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Imagine a smartphone app that has entry to your medical data and assigns you a day by day score based on your preconditions, current checkups and lifestyle habits – how a lot you’ve drunk, smoked, exercised and slept on any given day can all have an effect on your factors whole, boosting or reducing your rating.
That “health score” will probably be embedded in a digital QR code accessible on your cellphone, prepared to be scanned each time wanted.
This is what the city authorities of Hangzhou in jap China has envisioned for its greater than 10 million residents, impressed by a “health code” system it adopted throughout the Covid-19 pandemic to profile folks based on their danger of an infection.
Across the globe, governments have stepped up the gathering of non-public knowledge in their struggle in opposition to the novel coronavirus, which has killed greater than 345,000 folks and contaminated shut to 5.5 million, in accordance to knowledge collected by Johns Hopkins University.
But there are additionally fears that a few of these extraordinary measures might be right here to keep even after the general public health disaster is over, posing a long-term risk to privateness.
That concern was amplified amongst Hangzhou residents when their municipal authorities introduced Friday that it was planning to make everlasting a model of the “health code” app used throughout the pandemic.
Since February, the Chinese authorities has used a color-based “health code” system to management folks’s actions and curb the unfold of the coronavirus. The routinely generated fast response codes, generally abbreviated to QR codes, are assigned to residents on their smartphones as an indicator of their health standing. The shade of those codes – in pink, amber or inexperienced – decides whether or not customers can go away residence, use public transport and enter public locations.
The health codes may also function a tracker for folks’s actions, as residents have their QR codes scanned as they enter public locations. Once a confirmed case is recognized, authorities are in a position to shortly hint the place the affected person has been and determine individuals who have been in touch with that particular person.
Hangzhou, a coastal city a few hundred miles southwest of Shanghai, was among the many first cities to use the health code system to determine which residents ought to go into quarantine. But now, the city authorities says it wants the “health code” to be “normalized” – which means it might be right here to keep properly past the pandemic.
At a gathering of the Hangzhou Municipal Health Commission on Friday, Sun Yongrong, the director of the fee, mentioned they have been wanting to set up a system that may assign residents a private score, shade and rating based on the collected knowledge on their medical historical past, health checkups and lifestyle habits.
An image demonstrating the design of the proposed system posted on the fee’s web site exhibits the day by day health score will vary from 0 to 100, corresponding to a shade in a gradient from pink to inexperienced.
The score might be affected by your day by day actions: 15,000 steps of day by day train will improve your score by 5 factors, 200 milliliters of baijiu – a sorghum-based Chinese liquor identified for its excessive alcohol content material – will decrease your score by 1.5 factors, 5 cigarettes will price you 3 factors, and 7.5 hours of sleep will add one level to your score, the demonstration exhibits.
There may additionally be a “group health score” for firms and residential committees, Sun mentioned. An illustration exhibits the health score for a corporation might be based on elements equivalent to how a lot its workers train and sleep per day, what number of workers have performed annual health checkups, and how properly power illness are managed amongst its workers.
Sun didn’t give particulars on how the information will probably be collected, whether or not the app will probably be obligatory, or how the score will have an effect on folks’s day by day life and enterprise operations.
However, the proposal was already met with criticism and anger on Chinese social media, with many customers raising privacy concerns.
“Medical history and health checkup reports are personal privacy, why should they be included in health codes to show others? Points will be deducted for smoking, drinking and not sleeping enough, does this mean our lives will be completely monitored?” said a user on Weibo, China’s Twitter-like platform.
“During the epidemic we had no choice, but I hope after the epidemic individuals will have the right to delete the app, instead of normalizing (its use),” one other person said.

The proposal has additionally raised questions over its wider software. On Zhihu, China’s model of Quora, some users voiced issues in opposition to its potential exploitation by insurance coverage firms and advertising and marketing corporations, whereas others anxious that it may lead to employment discrimination in opposition to folks with decrease scores.
The proposed health code system bears similarities to China’s social credit score system, an bold social-engineering type undertaking that makes use of massive knowledge and a mix of rewards and punishments to incentivize good conduct. In Hangzhou’s pilot scheme of the social credit score system, residents are assigned a score based on sure behaviors equivalent to their potential to pay money owed and charges on time and the quantity of group volunteering work they’ve accomplished.
Hangzhou, residence to China’s e-commerce and web large Alibaba, has been on the forefront of making use of massive knowledge and digital expertise to city administration. At the second, it’s unclear if the city’s health score proposal will probably be adopted and rolled out nationwide just like the coronavirus QR codes.
Some Chinese web customers, nevertheless, are already questioning the feasibility of the plan, pointing to technical difficulties equivalent to how to convert completely different medical situations into scores and provide you with a workable algorithm.
“This is too big a step. No matter how willing are Chinese people to sacrifice their privacy in exchange for conveniences, (the health score) will surely spark discontent from many users,” mentioned a comment on Zhihu.