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March 24, 2020
 
Retraction: We would like to apologize for an error that occurred in a MobiHealthNews article published on March 23, 2020. The article, entitled “Ada’s conversational chatbot for customer intake, symptom checking pulls in $44M Series B,” contained factual errors which misidentified Ada as Ada Health. HIMSS Media removed the story from our website and regrets the error.
 
covidnearyou
 
 

Looking to better track the spread of the novel coronavirus, a team of engineers from some of Silicon Valley's most notable companies has joined forces with Boston Children's Hospital's Chief Innovation Officer John Brownstein on a new tool dubbed covidnearyou.org. The platform aims to gather data from people at home and report it back to public health organizations like the CDC.

"[We] were thinking about how participatory surveillance could be valuable, and especially in the light of the lack of testing and having a say in what happens in the community," Brownstein told MobiHealthNews.

Since the platform launched on Sunday night, over 50,000 users have entered their symptoms and location. When a user goes to the site, they are asked if they are healthy or sick, about their flu shot status, and their zip code. Those reporting that they feel ill are asked additional questions about symptoms and travel history.

This tool builds on another of Brownstein's projects, "flunearyou," which was first launched in 2011.

"Many people get sick and don't get seen by a physicians, so it never gets to public health [officials]. People are feeling ill but they never report it," Brownstein said. "We thought, why not create a platform where people can contribute about respiratory illness, starting with the flu as an example. The idea is crowd sourcing that information to get insights that are very different than the traditional healthcare data."

However, the coronavirus tool had to be built quickly, and designed to give users specific updates about the spread of the disease. That was where the engineers from the major tech giants came into play.

"We encountered a bunch of volunteer engineers from Google, Amazon and Airbnb, and many others ... who were working to build something very similar, so we connected and thought, let's deploy this incredible set of people on 'covidnearyou,'" he said.

He noted that the engineers took on this project in addition to their day jobs.

The more users enter data, the more valuable the tool becomes, he said.

WHY IT MATTERS

The coronavirus is quickly spreading across the United States. The World Health Organization's latest situation report counts 31,573 cases in the U.S. and 332,930 worldwide.

Governments and public health organizations have been working to track new cases and prepare health systems.

THE LARGER TREND

This isn't Brownstein's only mapping efforts, he has also been working on a tool called HealthMap.

“[It's] this idea that there is all this information online and we can capture events ahead [of time using] what might be reported through these networks, social media, chatrooms … our work is focused initially on early signs of a disease,” Brownstein told MobiHealthNews in February. “That is what we did with the coronavirus and found some signs on local news, chatrooms. ... We’ve been working with an international team to do some crowdsourcing of identification of key words and metadata.”

HealthMap recently teamed up with chatbot Buoy Health to share information back and forth.

“Because we have a good sense of underlying risk, we can push that information to Buoy, and that can help them fine-tune their algorithm and fine-tune their decision support tools,” Brownstein said. “But the reverse is also true – they are collecting symptom data from consumers that can point to signals for disease contamination.”

Another effort includes a team from Johns Hopkin’s Center for System Science and Engineering, who released a new live dashboard that integrates information from the WHO and CDC to track the virus in real time. The dashboard includes information about cases by region and country, as well as the deaths. The information is displayed in a map and in corresponding charts.

 
Siri COVID19 reactions
 
 

Apple's Siri has been updated to provide symptom-based guidance and, in some cases, telehealth-app download links to users seeking COVID-19 information from the virtual assistant.

Now, when users ask Siri a question along the lines of "How do I know whether I have coronavirus?" or "I think I have coronavirus," the tool initiates a new conversation tree to determine the user's current symptoms. The user responds to each of these voice and text prompts with "yes," "no" or "not sure."

The functionality went live over the weekend, with users on Twitter spotting the new responses on Saturday. Siri's replies throughout the process all follow the guidances and information released by the CDC and the U.S. Public Health Service, and generally fall under four categories.

If the user says they do not have COVID-19 symptoms and have not been exposed, Siri will direct them to the CDC's website for more information. Similarly, if they might have symptoms but are unsure, Siri offers some basic information about the disease and again refers users to the CDC's website.

If the user tells Siri that their symptoms are serious but not life threatening, the virtual assistant advises them to speak with their physician and provides a selection of consumer telehealth apps in case the user can't manage an in-person visit. The apps featured in the list of downloads include Amwell, Teladoc, Doctor on Demand, HealthTap, PlushCare, Sydney Care and MDLive, among others.

Finally, if the user describes their condition as severe or otherwise indicates an emergency, Siri will advise them to call 911.

WHY IT MATTERS

As of a March 24 update, the CDC has received reports of more than 44,000 cases and 544 deaths in the U.S. With more cases developing each day and a tidal wave of misinformation spreading online, the Siri update places public health guidance in every iPhone, iPad, Apple Watch, MacBook and other up-to-date Apple device. In particular, older demographics' preference for voice interfaces and virtual assistants means that this update could help spread proper COVID-19 guidance among a high-risk aging population.

The update is also something of a boon to consumer-facing telehealth, a care resource that has seen increasing use and mainstream acceptance over the course of the pandemic.

THE LARGER TREND

The latest Siri content update is one component of a larger push within Apple to help connect users with appropriate health information and resources regarding the novel coronavirus, MobiHealthNews has learned. Other products in the initiative include a dedicated COVID-19 news tab within Apple News, as well as a collection of coronavirus podcasts within the Apple's Podcasts app.

Meanwhile, the global pandemic has also led the tech company to shift its annual Worldwide Developers Conference event to an entirely online format.

Other tech heavyweights have taken on the challenges of health information and misinformation over the past several weeks. Google, Facebook and Twitter have all signed on with health agencies in their efforts to cut through the hoaxes and other problematic information being hosted on their services.

 
 
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