Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications

The goal was to review mobile apps with COVID-19 digital vaccination certificates between November 2022 and March 2023 and evaluate: (a) compliance with the WHO Proof of Vaccination Scenario requirements, (b) risk levels of app permissions using a Permission Accumulated Risk Score (PARS), and (c) re...

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Main Authors: Isca Amanda, Savannah Graffin, Maria Adela Grando
Format: Article
Language:English
Published: SAGE Publishing 2024-03-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241239171
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author Isca Amanda
Savannah Graffin
Maria Adela Grando
author_facet Isca Amanda
Savannah Graffin
Maria Adela Grando
author_sort Isca Amanda
collection DOAJ
description The goal was to review mobile apps with COVID-19 digital vaccination certificates between November 2022 and March 2023 and evaluate: (a) compliance with the WHO Proof of Vaccination Scenario requirements, (b) risk levels of app permissions using a Permission Accumulated Risk Score (PARS), and (c) readability and transparency of the app's privacy policies using a Privacy Transparency Index (PTI) score. We found 49 mobile apps with COVID-19 digital vaccination certificates from across 32 countries. Most apps were developed by governments (37/49, 75.51%). We discovered a high positive correlation between the country-wide app total installs and the people vaccinated with at least one dose in the country (r = 0.93, P  = <.001). Most apps (97.96%) had sources of information available for compliance with WHO Proof of Vaccination Scenario requirements. Only two apps included all the required data items, while most apps (75%) included five or more data out of nine items. We found that most (97.96%) apps had a Google Play link to generate the Exodus platform permission report, and most (95.92%) apps had an associated privacy policy available. We identified 80 unique permissions; some (23.75%) were dangerous or special. We also found 28 types of trackers. The average PARS was 28.58 (IQR 23.25, range 15–38.25). Most of the apps’ privacy policies documents were difficult or very difficult to read (median grade level 14, IQR 2.6, range 13–15.6). The average PTI was 50.43 (SD 14.73; range 22.5–75). In conclusion, higher compliance with the WHO Proof of Vaccination Scenario requirements is desirable to support interoperability. Developers should limit the number of permissions for essential needs and disclose their purpose. Developers should write privacy policies that a wider audience can understand.
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spelling doaj.art-0d0219ee14224a51b883c1c67b3e3d002024-03-19T10:03:48ZengSAGE PublishingDigital Health2055-20762024-03-011010.1177/20552076241239171Scoping review of data privacy risks in COVID-19 apps with digital vaccination certificationsIsca AmandaSavannah GraffinMaria Adela GrandoThe goal was to review mobile apps with COVID-19 digital vaccination certificates between November 2022 and March 2023 and evaluate: (a) compliance with the WHO Proof of Vaccination Scenario requirements, (b) risk levels of app permissions using a Permission Accumulated Risk Score (PARS), and (c) readability and transparency of the app's privacy policies using a Privacy Transparency Index (PTI) score. We found 49 mobile apps with COVID-19 digital vaccination certificates from across 32 countries. Most apps were developed by governments (37/49, 75.51%). We discovered a high positive correlation between the country-wide app total installs and the people vaccinated with at least one dose in the country (r = 0.93, P  = <.001). Most apps (97.96%) had sources of information available for compliance with WHO Proof of Vaccination Scenario requirements. Only two apps included all the required data items, while most apps (75%) included five or more data out of nine items. We found that most (97.96%) apps had a Google Play link to generate the Exodus platform permission report, and most (95.92%) apps had an associated privacy policy available. We identified 80 unique permissions; some (23.75%) were dangerous or special. We also found 28 types of trackers. The average PARS was 28.58 (IQR 23.25, range 15–38.25). Most of the apps’ privacy policies documents were difficult or very difficult to read (median grade level 14, IQR 2.6, range 13–15.6). The average PTI was 50.43 (SD 14.73; range 22.5–75). In conclusion, higher compliance with the WHO Proof of Vaccination Scenario requirements is desirable to support interoperability. Developers should limit the number of permissions for essential needs and disclose their purpose. Developers should write privacy policies that a wider audience can understand.https://doi.org/10.1177/20552076241239171
spellingShingle Isca Amanda
Savannah Graffin
Maria Adela Grando
Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
Digital Health
title Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
title_full Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
title_fullStr Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
title_full_unstemmed Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
title_short Scoping review of data privacy risks in COVID-19 apps with digital vaccination certifications
title_sort scoping review of data privacy risks in covid 19 apps with digital vaccination certifications
url https://doi.org/10.1177/20552076241239171
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