On Wednesday, 28th of April 2021, foraus and Sensor Advice organized the workshop on “Tackling the immunity certificate conundrum: a call to action for proper health data governance“ that was moderated by the Swiss Digital Initiative.
Ever since the World Health Organisation officially declared Covid-19 a pandemic more than a year ago, the handling of health data has increasingly gained importance, especially with the global rollout of vaccination campaigns. Whether we call it a digital vaccination passport, immunity certificate or green pass, in the end it all comes down to the way people’s data related to their immunity status is collected, stored, accessed and used.
Together with distinguished experts Garrett Mehl (Head of Unit, Digital Health Technology, WHO), Elli Androulaki (Research Manager, IBM Research) and Alessandro Blasimme (Senior Scientist, Health Ethics and Policy Lab, ETH Zurich), the necessary framework conditions for a responsible immunity certification were discussed.
As part of three open ideation breakout sessions, the concrete questions around the requirements for a trustworthy, interoperable and sustainable digital immunity certification system were evaluated. Also, the potential involvement and role of International Geneva and its institutions were part of the discussion. The three breakout sessions were split into ethical, technological and scientific focus.
Why does the issue around the certificate conundrum matter?
As the workshop revealed, the topic is a highly complex and multifaceted issue. Everyone has different concerns and opinions. People are insecure about the next developments around the vaccine passports, whether they are being issued electronically or not and with what consequences to it. During the panel discussions of the three experts, the complexity of designing a global framework to securely storing and processing the collected data became evident. The pandemic was also described as a catalyst for a strong push around the health space with numerous ethical issues around personal, sensitive data involved and human lives at stake.
What issues do we see around the certificate conundrum discussion?
The first part of the breakout sessions was about listing issues connected to the immunity certificate conundrum. Although the breakouts had different focus areas, the overlap of ethical, technological and scientific issues became apparent as the presentations of the collected issues revealed:
Overarching issue clustering of the three focus groups:
How can we tackle this problem?
In the second part of the breakout sessions, potential solutions on how to address the most pressing issues were presented. The results again concluded similar and intertwined approaches on what it takes to create a trustworthy, interoperable and sustainable digital immunity certification system.
The role of International Geneva
The role of International Geneva was described as promising due to its strong ecosystem and connections to tech, public, health and ethical organizations which fulfil the multi-stakeholder requirement to solve the immunity certification issue. Also, International Geneva benefits from its strong ties to ethical practices as well as its long-standing neutral image and experience in the geo-political space.
As the global pandemic has seemingly hit us overnight and has ever since been the controlling factor of our lives, it is fair to say that the great solutions to some of the most complex questions do not come easily. It will take continuous efforts and a multi-stakeholder dialogue to tackle the immunity certificate conundrum not only effectively but also in a sustainable way. Key aspects for this to happen is the collaboration between governments, public health organizations and data management governance by modern technology providers, all paired with an open and transparent communication to the public.
What it means for the Swiss Digital Initiative:
The Swiss Digital Initiative (SDI) is headquartered in International Geneva, hence, the heart of multilateralism. The sharing of health data raises several ethical challenges and requires a strong governance thereof. With a focus on bringing ethical standards to the digital world, the SDI sees a potential to be involved in supporting the formation of an ethical framework around health data. With the current development of the first, globally leading Digital Trust Label, the SDI is potentially working on a first tool to support this development. The workshop proved that the SDI is not only well-positioned in terms of its location but also within the respective ecosystem of having strong connections, collaborations and partnerships to a variety of stakeholders from public and public organizations that serve as a key element to successfully fostering a trustworthy framework to operate in.