Affiliation:
1. Department of Social Sciences, NYU Shanghai, Shanghai, China
2. NYU Shanghai Center for Global Health Equity, Shanghai, China
Abstract
Introduction/Background Since 2020, China has implemented unprecedented digital health surveillance over citizens and residents in response to the coronavirus disease 2019 pandemic. We explore the implementation of Health Code ( jiankang ma), a contract-tracing and risk assessment app for coronavirus disease 2019, in China. By engaging with the concept of ‘ocular ethics’, we ask why and how some populations become invisible in China's Health Code surveillance system. Methods This study used an ethnographic approach to critically examine the role of digital technology in the coronavirus disease 2019 pandemic governance. Three months of participant observation and 20 interviews were conducted to understand the design of Health Code and the situation of homeless population. Results We find that China's digital health surveillance during the coronavirus disease 2019 pandemic has failed to cover the homeless population, who either fail to access Health Code or find ways to avoid its mandatory health surveillance. We further summarize four problems resulting in their exclusion, including the loss of ID cards, access to smartphones and phone numbers, problematic design and elastic surveillance, and the neglect of homeless community's precarious living situation. Conclusion Situating our work in the literature on theories of surveillance and anthropology of pandemics, we argue that without recognizing the structural problems embedded in homelessness, a large number of poor and homeless migrants are rendered invisible in this data-driven health surveillance, which further pushes them into social exclusion.
Subject
Health Information Management,Computer Science Applications,Health Informatics,Health Policy
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