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142
World Journal of Management and Economics
ISSN : 1819-8643
NETWORK-DRIVEN MONITORING OF COVID-19
OUTBREAK AT AIRPORTS VIA BLOCKCHAIN
TECHNOLOGY ADOPTION
Dr. Jaipal Dhobale1
, Dr. Arindam Ghosh2
1. Assistant Professor, ICFAI Business School (IBS) Hyderabad, IFHE University,
Donthanapalli, Shankerpalli Road, Hyderabad, Telangana.
2. Associate Professor, JAGSoM, Vijaybhoomi University, Karjat, Maharashtra
Abstract
The novel coronavirus (COVID-19) outbreak has left a significant imprint on a global
scale. The virus is transmitted through direct person-to-person contact with an infected
individual, as well as via respiratory droplets expelled by someone who is infected. In
numerous countries, the rapid transmission of this lethal virus is being exacerbated by
individuals entering from foreign countries or by local citizens who have recently
traveled abroad. This is particularly prominent due to the predominant use of air routes by
the majority of travelers (including citizens returning from overseas).
Numerous nations are implementing precautionary protocols at airports, including the
suspension of flights from various global regions. Within this article, we present an
innovative approach for airport-based COVID-19 spread monitoring. Our proposition
involves the network based integration of blockchain technology into an advanced
database that synergizes the United States Aviation Security Model (USASM) with
Healthcare Information Exchange (HIE) standards.
Originating slightly over ten years ago in 2008, blockchain technology has garnered
substantial attention from both scholars and professionals alike. Although its inception
was closely tied to the development of cryptocurrencies, over the past few years, Its
application has significantly widened, spanning across various domains, including
healthcare, supply chain management, the public sector, and governance.
Keyword
Network, Blockchain, Monitoring, COVID-19, Adoption, Air Traveling.
1. Introduction:
Since the 1900s, our world has witnessed a
rise in the occurrence of various disasters,
both stemming from nature and human
activity (Hawryluck et al., 2005). Among
these adversities, epidemic outbreaks pose a
significant threat to humanity (Yu et al.,
2020). If these epidemics are not effectively
addressed, they can escalate into pandemic
scenarios, culminating in a global crisis
(Queiroz et al., 2020). An epidemic is
characterized as the occurrence of disease
cases surpassing what is normally expected
(World Health Organization, 2020). It
typically spreads through interpersonal
human-to-human and animal-to-human
NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL
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143
interactions, as well as exposure to
hazardous substances such as radioactive
materials and healthcare waste (Yu et al.,
2020). Epidemic outbreaks, including
chikungunya, Conditions such as severe
acute respiratory syndrome (SARS),
Marburg hemorrhagic fever, H1N1
influenza, Ebola virus, Nipah virus,
smallpox, cholera, Crimean-Congo
hemorrhagic fever, Hendra virus infection,
Lassa fever, Meningitis, plague, Middle East
respiratory syndrome coronavirus (MERS-
CoV), and the Novel coronavirus (2019-
nCoV or COVID-19), have not only resulted
in significant loss of life and rapid spikes in
infections, but have also exerted adverse
effects on the global economy as a whole
(Yu et al., 2020). Moreover, the
apprehension surrounding epidemic
outbreaks has triggered a global state of
panic. The rapid surge in infected
individuals over a brief period, driven by the
contagious nature of these epidemics, results
in heightened requirements for medical
professionals, nursing staff, essential
medical resources, and healthcare
infrastructure. To ensure the prompt and
sufficient provision of healthcare services,
effective monitoring and containment of
disease transmission, as well as mitigation
of the nation's economic repercussions, it is
imperative to urgently implement a well-
coordinated and efficient pandemic
management strategy.
Starting from December 2019, a multitude
of instances involving atypical pneumonia
with an unidentified origin were identified in
Wuhan, China. Subsequently, it was verified
that the widespread outbreak was attributed
to human-to-human transmission. This
occurrence was first communicated to the
World Health Organization (WHO) on
December 31, 2019. From January 2020
onwards, the incidence of COVID-19 cases
witnessed a rapid escalation, prompting the
WHO to declare a global emergency on
January 31st (Amankwah-Amoah, 2020).
Despite the rapid transmission of the
COVID-19 pandemic within China's Wuhan
region, initial responses from governments
around the world tended to downplay the
situation, even as the US intelligence agency
issued warnings of a potentially catastrophic
event (Washington Post, 2020). In an effort
to curtail the virus's propagation, Wuhan
was subjected to a lockdown involving a
combination of regional and individual-level
quarantine measures. By mid-February
2020, the number of cases in China had
reached a stabilization point of
approximately 80,000 (ECDC 2020).
However, during this period, global air
travel had already facilitated the
dissemination of the COVID-19 virus to all
seven continents, with its presence
extending to 215 countries by the close of
June.
The true count of COVID-19 cases remains
elusive due to insufficient testing
infrastructure in many nations. According to
Worldometers data as of June 26th (20:30 h
Indian time), the cumulative confirmed
COVID-19 cases had surged to 9,757,432,
while the reported fatalities had climbed to
492,731 across a minimum of 215 countries.
Notably, over a quarter of these cases were
documented in the Americas, with
approximately 12.5% originating in Brazil
and roughly 7% in Russia. Figure 1 depicts
the worldwide distribution of COVID-19
cases as of June 26, 2020. Turning to India,
the recorded data from Worldometers
indicated a total of 497,824 confirmed cases
and 15,406 reported deaths. Given the
absence of a vaccine for COVID-19 and the
inadequacy of medical resources, various
countries, including India, implemented a
myriad of non-pharmaceutical interventions.
NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION
These encompassed measures such as
lockdowns (involving home quarantine,
voluntary/mandatory quarantine),
implementation of social distancing
protocols (targeting susceptible or entire
populations), closure of educational
institutions and non
Fig. 1. Global distribution of COVID
As COVID-19 is contagious in nature, this
disease spread from people to people
the first three patients of India have
travel histories outside India, there is a need
to screen the passengers in the airport to
monitor the spread of the virus
three patients of India were detected in
Kerala, all of them returned from Wuhan,
China. In India thirty-nine among the first
fifty patients came from abroad. Another ten
among the first fifty patients had no travel
history, but came in contact with
with travel history (ThePrint, 2020)
of the cases people from outside
through air traveling. Unfortunately, it has
also been observed that many people who
19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION
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144
These encompassed measures such as
lockdowns (involving home quarantine,
voluntary/mandatory quarantine),
implementation of social distancing
protocols (targeting susceptible or entire
populations), closure of educational
and non-essential
businesses/offices, postponement or
cancellation of planned events (such as
major conventions, trade exhibitions,
concerts, celebrations, political discussions,
and elections), as well as restrictions on
large gatherings.
Global distribution of COVID-19 cases as on 26th
June 2020 (Source: ECDC 2020)
19 is contagious in nature, this
to people, and
the first three patients of India have recent
, there is a need
to screen the passengers in the airport to
monitor the spread of the virus. The first
were detected in
returned from Wuhan,
nine among the first
came from abroad. Another ten
among the first fifty patients had no travel
history, but came in contact with people
hePrint, 2020). In most
of the cases people from outside entered
Unfortunately, it has
also been observed that many people who
had come from abroad did not revealed
complete information (The Hindu, 2020).
These situations forced authorities
different screening mechanisms in airport.
Initially, all the international passengers are
getting checked through infrared
thermometers in airports
Standard, 2020). India announced
compulsorily quarantine for passen
China, Republic of Korea, Italy,
and Germany, Spain. Further, the
government has also expanded the
quarantine for passengers from UAE, Qatar,
Kuwait, and Oman. Later, India banned
entry of Indians from Turkey, UK and EU
(The Economics Times, 2020
19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL
businesses/offices, postponement or
cancellation of planned events (such as
major conventions, trade exhibitions,
concerts, celebrations, political discussions,
and elections), as well as restrictions on
June 2020 (Source: ECDC 2020)
had come from abroad did not revealed
complete information (The Hindu, 2020).
forced authorities to impose
different screening mechanisms in airport.
ll the international passengers are
getting checked through infrared
in airports (Business
India announced
quarantine for passengers from
Italy, Iran, France
. Further, the
government has also expanded the
quarantine for passengers from UAE, Qatar,
. Later, India banned
entry of Indians from Turkey, UK and EU
The Economics Times, 2020). On 19 March
NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL
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145
the government of India announced ban on
commercial international airlines to operate
to India for a week from 22 March
(Livemint, 2020), but it further extended. As
of now, all the domestic and international
airports are closed till end of July, 2020.
Not only India, but many countries across
the world have imposed restrictions on
travelers. President of the USA Donald
Trump imposed restriction to travelers who
had visited the Schengen Area of Europe,
and later expanded to include the UK and
Ireland. Many other countries like Poland,
Denmark, Latvia, have restricted access for
non-citizen (Business Insider India, 2020).
The above facts and figures reveal that how
monitoring air travelers can be proved
essential in a pandemic situation. In this
article we have discussed that how a
blockchain based database can be helpful to
track the travel history of air travelers and
monitor them so that early detection and
prevention became possible during such
situations.
The idea of blockchain technology was first
introduced by Satoshi Nakamoto of Bitcoin
(Nakamoto, 2008). It is a decentralized
database or ledgers of record and data in an
encrypted form that are distributed and
visible among all the members in a network
(Khestri, 2018). The journey of blockchain
started in the financial sector, more
specifically in the area of crypto currency,
but in recent years the use of blockchain has
become pervasive across the industries. A
blockchain based supply chain is better in
terms of traceability and authentication. In
recent years many authors have reviewed
paper in the domain of blockchain
technology. Brandão et al. (2017)
considered areas like bitcoin, IoT, financial
area, crypto-currencies, e-governance,
health, while reviewing papers on
blockchain. Tama et al. (2017) reviewed
papers on blockchain dealt with mainly
healthcare, financial services, and business
and industry. Casino et al. (2019) presented
a literature review on blockchain-enabled
applications across different areas such as
supply chain management, business,
healthcare, IoT, privacy, and data
management. Authors like Nakamoto
(2008), Wu and Liang (2017) discussed
applications of blockchain in financial
sectors. Rivera et al. (2017) discussed how
blockchain can be used in the area of digital
identity. The handling of data and records
related to different activities of governance
can be managed efficiently with block chain.
Reijers et al. (2016) discussed those in their
papers quite vividly. Deloitte (2016)
discussed the potentiality of blockchain to
revamp the healthcare sector and issues
related to implementation. In the area of
managing supply chain blockchain
technology is getting used widely. Ahmed
(2018), discussed how blockchain
technology is used in supply chain to make
it more efficient and transparent. Kshetri
(2018) discussed how blockchain
applications are useful to handle trust issues
in supply chains. Alper (2018) discussed
that how Airbus (one of the leading aircraft
manufacturer) is considering the blockchain
technology in their supply chain to track the
movement of different parts and maintain
automated records. Russo (2018) depicted
how Walmart has adopted blockchain
technology for their food supply chain to
increase the traceability of food products.
Saberi et al. (2018) discussed the application
of blockchain in the context of sustainable
supply chain. So, it is quite evident that in
recent years authors have discussed the
application of block chain in various sectors,
but in spite of our sincere efforts we have
not found any paper, dealt with a blockchain
based data base management system in
airports. Which may be proved very critical
specially in critical global scenario, like
recent novel corona virus outbreak.
Murugan, et. al (2020) has proposed
Healthcare Information Exchange using
blockchain technology. Murugan and team
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have proposed a distributed solution based
on blockchain for exchange of medical
sensitive data between trusted stakeholders.
They used Hyperledger fabric to maintain
confidentiality of private data within
members of networks. Since, adoption of
our proposed model is largely based on
blockchain technology, in the succeeding
section we are going to discuss the basic
structure and characteristics of blockchain.
Current paper makes the following three
contributions: First, our paper provides an
idea of using blockchain for effective airport
operations. Second, during the pandemic
situation, our paper helps the airport
authorities to trace the COVID-19 patients
by effectively using the airport databased
management system and blockchain
technology. Third, our paper gives an idea
of dealing with the pandemic situations with
the adoption and usage of technology.
The present paper is organized into different
sections covering - a brief literature review
on blockchain technology, the basic
structure and features of block chain
technology, proposed database based
blockchain system for effective monitoring
of COVID-19 on airports and its working.
Current paper suggests effective way of
monitoring spread of COVID-19 like
diseases through airports. It gives new
insights to the stakeholders for effective
management of pandemic situations.
2. Structure and Characteristics of
blockchain:
Blockchain can be considered as distributed,
immutable, transparent databases or ledger
of records. It is a disruptive mechanism,
which is safe, reliable, and has numerous
applications. The concept was first
introduced by Nakamoto (Nakamoto, 2008).
Blockchain technology stores data as a chain
of blocks. Every new entity can be
considered as a block, and virtually
connected with the previous block with a
hash. Each block of a blockchain has a
timestamp (Kouhizadeh and Sarkis, 2018).
The basic framework of ablockchain is
shown in Figure 2 (adopted from Nakamoto,
2008; Tama et al, 2017).
Figure 2: Basic framework of a blockchain, adopted from (Nakamoto, 2008; Tama et al, 2017)
Based on the network management and
accessibility it can be categorized mainly
under two categories- (i) private and (ii)
public (Kouhizadeh and Sarkis, 2018).
These two types of blockchain frameworks
are briefly described as -
(i) Private Blockchain:
In a private blockchain ledgers are shared
among a group of participants only, and
defined group of users get the access
(Kouhizadeh and Sarkis, 2018). In private
blockchain no one can read/write or audit
Transactions
Hash of
block 1
Transactions
Hash of
block N-1
Hash of
block 0
Transactions
Block 1 Block 2 Block N
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the blockchain without permission. Here the
owner of the blockchain is a single entity,
which can control the entire blockchain.
(ii) Public Blockchain:
In public blockchains all the transactions are
public, and users can remain anonymous
(Wang et al., 2019). In a public blockchain
anyone can join as a new user. It is truly
decentralized, but data can't be changed
once validated on the blockchain.
It is the salient features of the Blockchain,
which has made it popular and acceptable
across almost all the sectors. The features
are briefly discussed here -
(i) Decentralization:
In blockchain there is no point of central
control. Decentralized databases allow
participants of a blockchain to directly
interact via a peer-to-peer network
(Kouhizadeh and Sarkis, 2018).
Decentralization characteristic of blockchain
gives the freedom to the users of not trusting
any particular providers or authorities (Chu
and Wang, 2018). Every participant can
access same copy of the ledgers, which get
updated with new information or changes in
a decentralized manner (Swan, 2015), every
update requires consensus among the
partners (Kouhizadeh and Sarkis, 2018).
(ii) Immutable:
In blockchain data and information cannot
be changed without network member
consensus. The append-only feature of
blockchain technology ensures that new data
can only be added, no data can be modified
(Kouhizadeh and Sarkis, 2018). The data in
blockchain is immutable because the flow of
transactions is saved in chronological
ordered records, known as blocks (Tian,
2016). In case any change in a blockchain
takes place, it becomes visible to all network
participants and if the majority of
participants wish they can prevent any
unauthorized action.
(iii) Anonymity:
One of major characteristics of blockchain is
anonymity. As the concept of blockchain
evolved in the financial area, the anonymity
and confidentiality of this technology used
to be considered as indispensable
characteristics of blockchain. In blockchain
all the transactions are transparent, yet users
can remain anonymous (Wang et al, 2019).
It allows users to only be identified by
public keys, and users generate as many
public keys as necessary (Clohessy et al.,
2019). The concept of anonymity is valid
only for public block chain. In public
blockchain the parties are known to each
other, so the concept of anonymity doesn’t
hold true there (Saberi et al, 2018).
(iv) Smart contracts:
Smart contract allows credible transactions
without involvement of any third party. A
smart contract is software program, storing
rules and policies for negotiations between
parties (Saberi et al, 2018). Smart contracts
automatically executes the terms of a
contract in a blockchain (Wang et al, 2019).
Smart contracts help to reduce the time and
costs of contract process (Gupta,2017).
(v) Peer-to-peer communication:
Blockchain supports decentralized peer-to-
peer communications (Clohessy et al.,
2019). It facilitates transaction among the
participants without intermediaries or a
central point of control. Peer-to-peer
communication helps to reduce the number
of transactions in the blockchain and thus
reduces the potential frictions (Gupta, 2017).
(vi) Transparency:
Public blockchains are completely
transparent ledger system, where all the
participants can view all the transactions.
Due to the immutability characteristic
participants can view previous transactions,
and hence make it more transparent
NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL
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(Nakamoto, 2008; Clohessy et al., 2019).
Due to the transparency blockchain is
impervious to the alternations and tampering
to a large extends (Iansiti and Lakhani,
2017).
Now the question is why and how the
blockchain technology will help us at
Airports to monitor Outbreak of COVID-19
and other virus related diseases.
3. Proposed Model details:
Data requirement of proposed Model – The
two sets of international passenger data is
required to make proposed system work
efficiently.
1.Passenger Name Record (PNR) – Details
provided by the traveler to air carriers for
reservation purpose; these includes name
of the passenger, contact number, address
and billing information.
2.Passenger Advance Information Systems
(PAIS) – This data set should incorporate
passenger name, date of birth & location,
citizenship details, recent travel history
which should be derived from passport and
visa and passenger health details which
should be accessed through integrated
health information system.
Proposed model required international
traveler’s travel as well as medical history
details to monitor outbreak of virus related
diseases in a secure way across the globe.
Salient features of block chain technology
allow various agencies /stakeholders to
access the passenger details in decentralized,
transparent, updated and non-editable
manner.
Proposed model is a combination of United
States - Aviation security model, Healthcare
Information Exchange (HIE) using
blockchain followed by Interim guidance by
World health organization (WHO) on ‘Ebola
Event Management at Points of Entry’. HIE
model was proposed by A. Murugan and
team.
Main objective of the proposed model is
early detection of potentially infected
persons to stop transmission of COVID-19
and other life threatening infectious diseases
to human beings through air travel across
borders which are claiming lives and putting
pressure on health systems. To manage
suspected cases at point of Entry (PoE)
travel history and health history of the air
travelers is required. System also provides
alerts to the air travelers who have
unknowingly accompanied life threatening
contaminated travelers in real time till
specified time period (incubation period). If
a traveler is carrier of virus but is absolutely
normal i.e. incubation period of the infection
and after travelling it is confirmed that
he/she is infected, then through Passenger
Advanced Information System & HIE
information will be communicated to the co-
passengers and respective authorities for
further necessary actions to stop further
spread of virus.
We are adopting Health Information
Exchange (HIE) system proposed by
Murugan, et. al, 2020 to exchange
Electronic Health Records (EHR) with
Passenger Advanced Information System
(PAIS) through blockchain technology.
Figures 2 depicted below shows the
proposed model.
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Figure 2: Proposed model to monitor contamination of viruses through air travelers.
Health Information Exchange -
Objective of Health Information Exchange
(HIE) system is to provide secure channel to
share patient owned EHR with various
stakeholders. Figure-2 represent overview of
HIE system.
System incorporates Patient/user, hospital,
doctor, research organization, insurance
companies, pharmacist and emergency
contact as blockchain network members.
Within the network patient is having
ownership of the network and has complete
control over personal and medical data. As
per requirement patient can grant permission
of Electronic Health records to various
stakeholders for the purpose.
Patient being an air traveler must grant
access to authority at airport for his/her
medical history as emergency stakeholder so
that life threatening contamination /
incubation details will be accessible at
airport. Government authority at airport will
access patient’s electronic medical records
along with the travel history of the
passenger available through passport and
visa records. If these details revel that
passenger has travelled from the high risk
zone of contamination or having history of
life threatening contamination or he/she is in
the phase of contamination incubation,
authority will take decision about boarding
of the passenger. Based on incubation time
frame Passenger Advance Information
System will track the medical details of the
patient for required time frame and based on
the result of incubation necessary alerts will
be issued to the passengers, co-passengers
and various authorities associated with
management of life threatening
contamination at country level/regional
level/local level. Integration of Blockchain
of HIE and airport system for passenger
verification makes this data integration
possible.
The proposed activities of concerned
authorities in different stages of traveling
and follow up activities have been discussed
in the next section.
4. Management of Events:
A potential case of life threatening
contamination or incubation may be
detected at various points during travel.
Depends on the nature of exposures
appropriate responses / alerts and awareness
will be communicated to patients, air
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carriers and government agencies so that
necessary action should be initiated. Figure
3 shows different stages of travel where the
proposed model can be used to either
retrieve data or take some follow up actions.
These stages are taken from interim
guidelines provided by WHO to manage
contamination of Ebola, here we have
updated these stages to management
contamination of all life threatening viruses.
Figure 3: Potential point of detection of life threatening contamination.
The activities, supposed to be performed in every stage of travel of traveler are shown in the
Table1.
Table 1: recommended actions to be taken at specific stages of travel
Steps Questions
Source of
information
Recommendation for
action
Detection
at PoE at
departure
(PoE:
point of
entry)
Does the passenger appear
to be unwell?
Are the symptoms
consistent with suspected
life threatening
contamination?
If the country is unaffected
by life threatening
contaminated disease:
Has the passenger had
previous contact with
anyone suspected or
confirmed to have life
threatening contaminated
disease?
Does the passenger‘s
recent travel history
include a country where
there is a life threatening
contamination outbreak?
Health authority at
PoE ;
PAIS – HIE
PoE government / health
authority with appropriate
setup to test and treat life
threatening contamination.
Share details of life
threatening contamination
with appropriate authority to
monitor its spread using
proposed system.
Prevent traveler from
boarding if suspect or found
with life threatening
contamination.
PoE of departure
During transit
between fligts of
stopover
At PoE of
destination
(disembarkation)
After travel
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Detection
during
transit
Does the traveler require
medical attention upon
arrival at the PoE.
Are any precautions for the
disembarkation of ill and
healthy travelers needed?
All procedures of departure
and arrival needs to be
followed.
As per guidelines provided
by the authority to the air
carriers appropriate
measures needs to be
implement.
Health part of the
Aircraft General
Deflations.
Passenger Locator
Form.
The PoE health authority
should make prior
arrangements in coordination
with stakeholders at the PoE
, and the national health
authority to
Ensure sufficient availability
of PoE staff, personal
protective equipment for
responders and disinfectants.
Provide regional or national
public health contact
information.
At
destination
Are special measures
needed upon arrival at the
point of entry?
Procedures followed at
PoE needs to be followed
at departure by local health
authorities so that no
infected traveler should
exit from the airport.
Health Part of the
Aircraft General
Declaration
Passenger Locator
Card.
Health authority at
departure; PAIS –
HIE.
Government / health
authority with appropriate
setup to test and treat life
threatening contamination at
arrival point.
Share details of life
threatening contamination
with concern authorities as
per policy to monitor its
spread using proposed
system.
Determine a suitable product
for disinfection with the
aircraft operator. Sodium
hypochlorite (bleach) is not
an acceptable disinfectant on
board anaircraft.
Raise awareness among
relevant stakeholders and
personnel at arrival.
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After
travel
Are patients consistent
with symptoms of life
threading contaminated
diseases?
Does previous travel
history indicate contact
with anyone suspected of
infection?
Does the passenger have
history of recent travel in
the contaminated affected
areas?
Health authority at
arrival;
PAIS – HIE
The ill person should seek
medical assessment and care
at a hospital.
If traveler’s recent history
indicates contact with
anyone suspected with life
treating contamination,
contact tracing should be
undertaken to identify close
contacts.
PoE or point of arrival health
authorities should make
arrangements to facilitate
repatriation of cases and
transpiration of specimens.
Strengthen communication
between national health
surveillance and PoE using
proposed system.
Based on the interim guidelines issued by
WHO for control of Ebola event
Management at Points of Entry, inTable1 we
have recommended activities along with
source of information to find out the
questions at various stages of traveling to be
carried out to monitor the contamination of
COVID-19 like life threatening viruses
infection or chances of infection.
6. Conclusion:
Present work proposes an integrative
approach of blockchain technology and
Passenger Advance Information System to
monitor or stop the contamination of
COVID-19 like life threatening disease
across borders through air ways. In different
countries the wide spread of COVID-19
have taken place through the people with
travel histories. In most of the cases when
they arrived in airport no or little symptoms
of infection were visible, but later they fell
prey of it and within a short span of time
they contaminated to large section of people.
Many of them did not pay heed of self -
isolation of self-quarantine. Many times the
people who come from abroad moved from
one cities to other with high risk of
spreading disease. An effective blockchain
based data base system will help
government and regulatory authorities to
gather information of travelers. That will
help them track passengers for a long time,
if required. If people with travels history get
effected, their co- passengers can also be
found easily from the database. It may help
to contain highly infectious diseases like
COVID-19. The proposed blockchain based
model will help to prevent data from any
unauthorized accessing, will also ensure
transparency and immutability.
Newly blockchain based proposed model
discussed in the research paper will provide
effective mechanism to monitor and
indirectly support to stop spread of COVID-
19 like diseases through air transports. It
provides new insights to the researchers and
policy makers.
NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL
OF MANAGEMENT AND ECONOMICS
153
In proposed model only air travelers are
considered and discussion revolves around
proposed system and its functions only. This
work can be extended with developing codes
to implement the systems. The legal,
security, privacy issues can also be
considered while implementing the models.
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Research Paper Network-Driven Monitoring

  • 1. 142 World Journal of Management and Economics ISSN : 1819-8643 NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION Dr. Jaipal Dhobale1 , Dr. Arindam Ghosh2 1. Assistant Professor, ICFAI Business School (IBS) Hyderabad, IFHE University, Donthanapalli, Shankerpalli Road, Hyderabad, Telangana. 2. Associate Professor, JAGSoM, Vijaybhoomi University, Karjat, Maharashtra Abstract The novel coronavirus (COVID-19) outbreak has left a significant imprint on a global scale. The virus is transmitted through direct person-to-person contact with an infected individual, as well as via respiratory droplets expelled by someone who is infected. In numerous countries, the rapid transmission of this lethal virus is being exacerbated by individuals entering from foreign countries or by local citizens who have recently traveled abroad. This is particularly prominent due to the predominant use of air routes by the majority of travelers (including citizens returning from overseas). Numerous nations are implementing precautionary protocols at airports, including the suspension of flights from various global regions. Within this article, we present an innovative approach for airport-based COVID-19 spread monitoring. Our proposition involves the network based integration of blockchain technology into an advanced database that synergizes the United States Aviation Security Model (USASM) with Healthcare Information Exchange (HIE) standards. Originating slightly over ten years ago in 2008, blockchain technology has garnered substantial attention from both scholars and professionals alike. Although its inception was closely tied to the development of cryptocurrencies, over the past few years, Its application has significantly widened, spanning across various domains, including healthcare, supply chain management, the public sector, and governance. Keyword Network, Blockchain, Monitoring, COVID-19, Adoption, Air Traveling. 1. Introduction: Since the 1900s, our world has witnessed a rise in the occurrence of various disasters, both stemming from nature and human activity (Hawryluck et al., 2005). Among these adversities, epidemic outbreaks pose a significant threat to humanity (Yu et al., 2020). If these epidemics are not effectively addressed, they can escalate into pandemic scenarios, culminating in a global crisis (Queiroz et al., 2020). An epidemic is characterized as the occurrence of disease cases surpassing what is normally expected (World Health Organization, 2020). It typically spreads through interpersonal human-to-human and animal-to-human
  • 2. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 143 interactions, as well as exposure to hazardous substances such as radioactive materials and healthcare waste (Yu et al., 2020). Epidemic outbreaks, including chikungunya, Conditions such as severe acute respiratory syndrome (SARS), Marburg hemorrhagic fever, H1N1 influenza, Ebola virus, Nipah virus, smallpox, cholera, Crimean-Congo hemorrhagic fever, Hendra virus infection, Lassa fever, Meningitis, plague, Middle East respiratory syndrome coronavirus (MERS- CoV), and the Novel coronavirus (2019- nCoV or COVID-19), have not only resulted in significant loss of life and rapid spikes in infections, but have also exerted adverse effects on the global economy as a whole (Yu et al., 2020). Moreover, the apprehension surrounding epidemic outbreaks has triggered a global state of panic. The rapid surge in infected individuals over a brief period, driven by the contagious nature of these epidemics, results in heightened requirements for medical professionals, nursing staff, essential medical resources, and healthcare infrastructure. To ensure the prompt and sufficient provision of healthcare services, effective monitoring and containment of disease transmission, as well as mitigation of the nation's economic repercussions, it is imperative to urgently implement a well- coordinated and efficient pandemic management strategy. Starting from December 2019, a multitude of instances involving atypical pneumonia with an unidentified origin were identified in Wuhan, China. Subsequently, it was verified that the widespread outbreak was attributed to human-to-human transmission. This occurrence was first communicated to the World Health Organization (WHO) on December 31, 2019. From January 2020 onwards, the incidence of COVID-19 cases witnessed a rapid escalation, prompting the WHO to declare a global emergency on January 31st (Amankwah-Amoah, 2020). Despite the rapid transmission of the COVID-19 pandemic within China's Wuhan region, initial responses from governments around the world tended to downplay the situation, even as the US intelligence agency issued warnings of a potentially catastrophic event (Washington Post, 2020). In an effort to curtail the virus's propagation, Wuhan was subjected to a lockdown involving a combination of regional and individual-level quarantine measures. By mid-February 2020, the number of cases in China had reached a stabilization point of approximately 80,000 (ECDC 2020). However, during this period, global air travel had already facilitated the dissemination of the COVID-19 virus to all seven continents, with its presence extending to 215 countries by the close of June. The true count of COVID-19 cases remains elusive due to insufficient testing infrastructure in many nations. According to Worldometers data as of June 26th (20:30 h Indian time), the cumulative confirmed COVID-19 cases had surged to 9,757,432, while the reported fatalities had climbed to 492,731 across a minimum of 215 countries. Notably, over a quarter of these cases were documented in the Americas, with approximately 12.5% originating in Brazil and roughly 7% in Russia. Figure 1 depicts the worldwide distribution of COVID-19 cases as of June 26, 2020. Turning to India, the recorded data from Worldometers indicated a total of 497,824 confirmed cases and 15,406 reported deaths. Given the absence of a vaccine for COVID-19 and the inadequacy of medical resources, various countries, including India, implemented a myriad of non-pharmaceutical interventions.
  • 3. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION These encompassed measures such as lockdowns (involving home quarantine, voluntary/mandatory quarantine), implementation of social distancing protocols (targeting susceptible or entire populations), closure of educational institutions and non Fig. 1. Global distribution of COVID As COVID-19 is contagious in nature, this disease spread from people to people the first three patients of India have travel histories outside India, there is a need to screen the passengers in the airport to monitor the spread of the virus three patients of India were detected in Kerala, all of them returned from Wuhan, China. In India thirty-nine among the first fifty patients came from abroad. Another ten among the first fifty patients had no travel history, but came in contact with with travel history (ThePrint, 2020) of the cases people from outside through air traveling. Unfortunately, it has also been observed that many people who 19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION OF MANAGEMENT AND ECONOMICS 144 These encompassed measures such as lockdowns (involving home quarantine, voluntary/mandatory quarantine), implementation of social distancing protocols (targeting susceptible or entire populations), closure of educational and non-essential businesses/offices, postponement or cancellation of planned events (such as major conventions, trade exhibitions, concerts, celebrations, political discussions, and elections), as well as restrictions on large gatherings. Global distribution of COVID-19 cases as on 26th June 2020 (Source: ECDC 2020) 19 is contagious in nature, this to people, and the first three patients of India have recent , there is a need to screen the passengers in the airport to monitor the spread of the virus. The first were detected in returned from Wuhan, nine among the first came from abroad. Another ten among the first fifty patients had no travel history, but came in contact with people hePrint, 2020). In most of the cases people from outside entered Unfortunately, it has also been observed that many people who had come from abroad did not revealed complete information (The Hindu, 2020). These situations forced authorities different screening mechanisms in airport. Initially, all the international passengers are getting checked through infrared thermometers in airports Standard, 2020). India announced compulsorily quarantine for passen China, Republic of Korea, Italy, and Germany, Spain. Further, the government has also expanded the quarantine for passengers from UAE, Qatar, Kuwait, and Oman. Later, India banned entry of Indians from Turkey, UK and EU (The Economics Times, 2020 19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL businesses/offices, postponement or cancellation of planned events (such as major conventions, trade exhibitions, concerts, celebrations, political discussions, and elections), as well as restrictions on June 2020 (Source: ECDC 2020) had come from abroad did not revealed complete information (The Hindu, 2020). forced authorities to impose different screening mechanisms in airport. ll the international passengers are getting checked through infrared in airports (Business India announced quarantine for passengers from Italy, Iran, France . Further, the government has also expanded the quarantine for passengers from UAE, Qatar, . Later, India banned entry of Indians from Turkey, UK and EU The Economics Times, 2020). On 19 March
  • 4. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 145 the government of India announced ban on commercial international airlines to operate to India for a week from 22 March (Livemint, 2020), but it further extended. As of now, all the domestic and international airports are closed till end of July, 2020. Not only India, but many countries across the world have imposed restrictions on travelers. President of the USA Donald Trump imposed restriction to travelers who had visited the Schengen Area of Europe, and later expanded to include the UK and Ireland. Many other countries like Poland, Denmark, Latvia, have restricted access for non-citizen (Business Insider India, 2020). The above facts and figures reveal that how monitoring air travelers can be proved essential in a pandemic situation. In this article we have discussed that how a blockchain based database can be helpful to track the travel history of air travelers and monitor them so that early detection and prevention became possible during such situations. The idea of blockchain technology was first introduced by Satoshi Nakamoto of Bitcoin (Nakamoto, 2008). It is a decentralized database or ledgers of record and data in an encrypted form that are distributed and visible among all the members in a network (Khestri, 2018). The journey of blockchain started in the financial sector, more specifically in the area of crypto currency, but in recent years the use of blockchain has become pervasive across the industries. A blockchain based supply chain is better in terms of traceability and authentication. In recent years many authors have reviewed paper in the domain of blockchain technology. Brandão et al. (2017) considered areas like bitcoin, IoT, financial area, crypto-currencies, e-governance, health, while reviewing papers on blockchain. Tama et al. (2017) reviewed papers on blockchain dealt with mainly healthcare, financial services, and business and industry. Casino et al. (2019) presented a literature review on blockchain-enabled applications across different areas such as supply chain management, business, healthcare, IoT, privacy, and data management. Authors like Nakamoto (2008), Wu and Liang (2017) discussed applications of blockchain in financial sectors. Rivera et al. (2017) discussed how blockchain can be used in the area of digital identity. The handling of data and records related to different activities of governance can be managed efficiently with block chain. Reijers et al. (2016) discussed those in their papers quite vividly. Deloitte (2016) discussed the potentiality of blockchain to revamp the healthcare sector and issues related to implementation. In the area of managing supply chain blockchain technology is getting used widely. Ahmed (2018), discussed how blockchain technology is used in supply chain to make it more efficient and transparent. Kshetri (2018) discussed how blockchain applications are useful to handle trust issues in supply chains. Alper (2018) discussed that how Airbus (one of the leading aircraft manufacturer) is considering the blockchain technology in their supply chain to track the movement of different parts and maintain automated records. Russo (2018) depicted how Walmart has adopted blockchain technology for their food supply chain to increase the traceability of food products. Saberi et al. (2018) discussed the application of blockchain in the context of sustainable supply chain. So, it is quite evident that in recent years authors have discussed the application of block chain in various sectors, but in spite of our sincere efforts we have not found any paper, dealt with a blockchain based data base management system in airports. Which may be proved very critical specially in critical global scenario, like recent novel corona virus outbreak. Murugan, et. al (2020) has proposed Healthcare Information Exchange using blockchain technology. Murugan and team
  • 5. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 146 have proposed a distributed solution based on blockchain for exchange of medical sensitive data between trusted stakeholders. They used Hyperledger fabric to maintain confidentiality of private data within members of networks. Since, adoption of our proposed model is largely based on blockchain technology, in the succeeding section we are going to discuss the basic structure and characteristics of blockchain. Current paper makes the following three contributions: First, our paper provides an idea of using blockchain for effective airport operations. Second, during the pandemic situation, our paper helps the airport authorities to trace the COVID-19 patients by effectively using the airport databased management system and blockchain technology. Third, our paper gives an idea of dealing with the pandemic situations with the adoption and usage of technology. The present paper is organized into different sections covering - a brief literature review on blockchain technology, the basic structure and features of block chain technology, proposed database based blockchain system for effective monitoring of COVID-19 on airports and its working. Current paper suggests effective way of monitoring spread of COVID-19 like diseases through airports. It gives new insights to the stakeholders for effective management of pandemic situations. 2. Structure and Characteristics of blockchain: Blockchain can be considered as distributed, immutable, transparent databases or ledger of records. It is a disruptive mechanism, which is safe, reliable, and has numerous applications. The concept was first introduced by Nakamoto (Nakamoto, 2008). Blockchain technology stores data as a chain of blocks. Every new entity can be considered as a block, and virtually connected with the previous block with a hash. Each block of a blockchain has a timestamp (Kouhizadeh and Sarkis, 2018). The basic framework of ablockchain is shown in Figure 2 (adopted from Nakamoto, 2008; Tama et al, 2017). Figure 2: Basic framework of a blockchain, adopted from (Nakamoto, 2008; Tama et al, 2017) Based on the network management and accessibility it can be categorized mainly under two categories- (i) private and (ii) public (Kouhizadeh and Sarkis, 2018). These two types of blockchain frameworks are briefly described as - (i) Private Blockchain: In a private blockchain ledgers are shared among a group of participants only, and defined group of users get the access (Kouhizadeh and Sarkis, 2018). In private blockchain no one can read/write or audit Transactions Hash of block 1 Transactions Hash of block N-1 Hash of block 0 Transactions Block 1 Block 2 Block N
  • 6. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 147 the blockchain without permission. Here the owner of the blockchain is a single entity, which can control the entire blockchain. (ii) Public Blockchain: In public blockchains all the transactions are public, and users can remain anonymous (Wang et al., 2019). In a public blockchain anyone can join as a new user. It is truly decentralized, but data can't be changed once validated on the blockchain. It is the salient features of the Blockchain, which has made it popular and acceptable across almost all the sectors. The features are briefly discussed here - (i) Decentralization: In blockchain there is no point of central control. Decentralized databases allow participants of a blockchain to directly interact via a peer-to-peer network (Kouhizadeh and Sarkis, 2018). Decentralization characteristic of blockchain gives the freedom to the users of not trusting any particular providers or authorities (Chu and Wang, 2018). Every participant can access same copy of the ledgers, which get updated with new information or changes in a decentralized manner (Swan, 2015), every update requires consensus among the partners (Kouhizadeh and Sarkis, 2018). (ii) Immutable: In blockchain data and information cannot be changed without network member consensus. The append-only feature of blockchain technology ensures that new data can only be added, no data can be modified (Kouhizadeh and Sarkis, 2018). The data in blockchain is immutable because the flow of transactions is saved in chronological ordered records, known as blocks (Tian, 2016). In case any change in a blockchain takes place, it becomes visible to all network participants and if the majority of participants wish they can prevent any unauthorized action. (iii) Anonymity: One of major characteristics of blockchain is anonymity. As the concept of blockchain evolved in the financial area, the anonymity and confidentiality of this technology used to be considered as indispensable characteristics of blockchain. In blockchain all the transactions are transparent, yet users can remain anonymous (Wang et al, 2019). It allows users to only be identified by public keys, and users generate as many public keys as necessary (Clohessy et al., 2019). The concept of anonymity is valid only for public block chain. In public blockchain the parties are known to each other, so the concept of anonymity doesn’t hold true there (Saberi et al, 2018). (iv) Smart contracts: Smart contract allows credible transactions without involvement of any third party. A smart contract is software program, storing rules and policies for negotiations between parties (Saberi et al, 2018). Smart contracts automatically executes the terms of a contract in a blockchain (Wang et al, 2019). Smart contracts help to reduce the time and costs of contract process (Gupta,2017). (v) Peer-to-peer communication: Blockchain supports decentralized peer-to- peer communications (Clohessy et al., 2019). It facilitates transaction among the participants without intermediaries or a central point of control. Peer-to-peer communication helps to reduce the number of transactions in the blockchain and thus reduces the potential frictions (Gupta, 2017). (vi) Transparency: Public blockchains are completely transparent ledger system, where all the participants can view all the transactions. Due to the immutability characteristic participants can view previous transactions, and hence make it more transparent
  • 7. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 148 (Nakamoto, 2008; Clohessy et al., 2019). Due to the transparency blockchain is impervious to the alternations and tampering to a large extends (Iansiti and Lakhani, 2017). Now the question is why and how the blockchain technology will help us at Airports to monitor Outbreak of COVID-19 and other virus related diseases. 3. Proposed Model details: Data requirement of proposed Model – The two sets of international passenger data is required to make proposed system work efficiently. 1.Passenger Name Record (PNR) – Details provided by the traveler to air carriers for reservation purpose; these includes name of the passenger, contact number, address and billing information. 2.Passenger Advance Information Systems (PAIS) – This data set should incorporate passenger name, date of birth & location, citizenship details, recent travel history which should be derived from passport and visa and passenger health details which should be accessed through integrated health information system. Proposed model required international traveler’s travel as well as medical history details to monitor outbreak of virus related diseases in a secure way across the globe. Salient features of block chain technology allow various agencies /stakeholders to access the passenger details in decentralized, transparent, updated and non-editable manner. Proposed model is a combination of United States - Aviation security model, Healthcare Information Exchange (HIE) using blockchain followed by Interim guidance by World health organization (WHO) on ‘Ebola Event Management at Points of Entry’. HIE model was proposed by A. Murugan and team. Main objective of the proposed model is early detection of potentially infected persons to stop transmission of COVID-19 and other life threatening infectious diseases to human beings through air travel across borders which are claiming lives and putting pressure on health systems. To manage suspected cases at point of Entry (PoE) travel history and health history of the air travelers is required. System also provides alerts to the air travelers who have unknowingly accompanied life threatening contaminated travelers in real time till specified time period (incubation period). If a traveler is carrier of virus but is absolutely normal i.e. incubation period of the infection and after travelling it is confirmed that he/she is infected, then through Passenger Advanced Information System & HIE information will be communicated to the co- passengers and respective authorities for further necessary actions to stop further spread of virus. We are adopting Health Information Exchange (HIE) system proposed by Murugan, et. al, 2020 to exchange Electronic Health Records (EHR) with Passenger Advanced Information System (PAIS) through blockchain technology. Figures 2 depicted below shows the proposed model.
  • 8. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 149 Figure 2: Proposed model to monitor contamination of viruses through air travelers. Health Information Exchange - Objective of Health Information Exchange (HIE) system is to provide secure channel to share patient owned EHR with various stakeholders. Figure-2 represent overview of HIE system. System incorporates Patient/user, hospital, doctor, research organization, insurance companies, pharmacist and emergency contact as blockchain network members. Within the network patient is having ownership of the network and has complete control over personal and medical data. As per requirement patient can grant permission of Electronic Health records to various stakeholders for the purpose. Patient being an air traveler must grant access to authority at airport for his/her medical history as emergency stakeholder so that life threatening contamination / incubation details will be accessible at airport. Government authority at airport will access patient’s electronic medical records along with the travel history of the passenger available through passport and visa records. If these details revel that passenger has travelled from the high risk zone of contamination or having history of life threatening contamination or he/she is in the phase of contamination incubation, authority will take decision about boarding of the passenger. Based on incubation time frame Passenger Advance Information System will track the medical details of the patient for required time frame and based on the result of incubation necessary alerts will be issued to the passengers, co-passengers and various authorities associated with management of life threatening contamination at country level/regional level/local level. Integration of Blockchain of HIE and airport system for passenger verification makes this data integration possible. The proposed activities of concerned authorities in different stages of traveling and follow up activities have been discussed in the next section. 4. Management of Events: A potential case of life threatening contamination or incubation may be detected at various points during travel. Depends on the nature of exposures appropriate responses / alerts and awareness will be communicated to patients, air
  • 9. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 150 carriers and government agencies so that necessary action should be initiated. Figure 3 shows different stages of travel where the proposed model can be used to either retrieve data or take some follow up actions. These stages are taken from interim guidelines provided by WHO to manage contamination of Ebola, here we have updated these stages to management contamination of all life threatening viruses. Figure 3: Potential point of detection of life threatening contamination. The activities, supposed to be performed in every stage of travel of traveler are shown in the Table1. Table 1: recommended actions to be taken at specific stages of travel Steps Questions Source of information Recommendation for action Detection at PoE at departure (PoE: point of entry) Does the passenger appear to be unwell? Are the symptoms consistent with suspected life threatening contamination? If the country is unaffected by life threatening contaminated disease: Has the passenger had previous contact with anyone suspected or confirmed to have life threatening contaminated disease? Does the passenger‘s recent travel history include a country where there is a life threatening contamination outbreak? Health authority at PoE ; PAIS – HIE PoE government / health authority with appropriate setup to test and treat life threatening contamination. Share details of life threatening contamination with appropriate authority to monitor its spread using proposed system. Prevent traveler from boarding if suspect or found with life threatening contamination. PoE of departure During transit between fligts of stopover At PoE of destination (disembarkation) After travel
  • 10. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 151 Detection during transit Does the traveler require medical attention upon arrival at the PoE. Are any precautions for the disembarkation of ill and healthy travelers needed? All procedures of departure and arrival needs to be followed. As per guidelines provided by the authority to the air carriers appropriate measures needs to be implement. Health part of the Aircraft General Deflations. Passenger Locator Form. The PoE health authority should make prior arrangements in coordination with stakeholders at the PoE , and the national health authority to Ensure sufficient availability of PoE staff, personal protective equipment for responders and disinfectants. Provide regional or national public health contact information. At destination Are special measures needed upon arrival at the point of entry? Procedures followed at PoE needs to be followed at departure by local health authorities so that no infected traveler should exit from the airport. Health Part of the Aircraft General Declaration Passenger Locator Card. Health authority at departure; PAIS – HIE. Government / health authority with appropriate setup to test and treat life threatening contamination at arrival point. Share details of life threatening contamination with concern authorities as per policy to monitor its spread using proposed system. Determine a suitable product for disinfection with the aircraft operator. Sodium hypochlorite (bleach) is not an acceptable disinfectant on board anaircraft. Raise awareness among relevant stakeholders and personnel at arrival.
  • 11. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 152 After travel Are patients consistent with symptoms of life threading contaminated diseases? Does previous travel history indicate contact with anyone suspected of infection? Does the passenger have history of recent travel in the contaminated affected areas? Health authority at arrival; PAIS – HIE The ill person should seek medical assessment and care at a hospital. If traveler’s recent history indicates contact with anyone suspected with life treating contamination, contact tracing should be undertaken to identify close contacts. PoE or point of arrival health authorities should make arrangements to facilitate repatriation of cases and transpiration of specimens. Strengthen communication between national health surveillance and PoE using proposed system. Based on the interim guidelines issued by WHO for control of Ebola event Management at Points of Entry, inTable1 we have recommended activities along with source of information to find out the questions at various stages of traveling to be carried out to monitor the contamination of COVID-19 like life threatening viruses infection or chances of infection. 6. Conclusion: Present work proposes an integrative approach of blockchain technology and Passenger Advance Information System to monitor or stop the contamination of COVID-19 like life threatening disease across borders through air ways. In different countries the wide spread of COVID-19 have taken place through the people with travel histories. In most of the cases when they arrived in airport no or little symptoms of infection were visible, but later they fell prey of it and within a short span of time they contaminated to large section of people. Many of them did not pay heed of self - isolation of self-quarantine. Many times the people who come from abroad moved from one cities to other with high risk of spreading disease. An effective blockchain based data base system will help government and regulatory authorities to gather information of travelers. That will help them track passengers for a long time, if required. If people with travels history get effected, their co- passengers can also be found easily from the database. It may help to contain highly infectious diseases like COVID-19. The proposed blockchain based model will help to prevent data from any unauthorized accessing, will also ensure transparency and immutability. Newly blockchain based proposed model discussed in the research paper will provide effective mechanism to monitor and indirectly support to stop spread of COVID- 19 like diseases through air transports. It provides new insights to the researchers and policy makers.
  • 12. NETWORK-DRIVEN MONITORING OF COVID-19 OUTBREAK AT AIRPORTS VIA BLOCKCHAIN TECHNOLOGY ADOPTION / WORLD JOURNAL OF MANAGEMENT AND ECONOMICS 153 In proposed model only air travelers are considered and discussion revolves around proposed system and its functions only. This work can be extended with developing codes to implement the systems. The legal, security, privacy issues can also be considered while implementing the models. References  Ahmed, A. (2018). How Blockchain Will Change HR Forever. (https://www.forbes.com/sites/ashikahm ed/2018/03/14/how-blockchain-will- change-hr-forever/#22750200727c). Accessed on 22. 04. 2020  Alper, T. (2018), Airbus, Rolls-Royce seeking blockchain air parts traceability solution. https://cryptonews.com/news/airbus- rolls-royce-seeking-blockchain-air- parts-traceability-1700.htm. Accessed on (29.04.2019)  Amankwah – Amoah, J., Stepping Up and Stepping Out of COVID-19: New Challenges for Environmental Sustainability Policies in the Global Airline Industry, Journal of Cleaner Production, https://doi.org/10.1016/j.jclepro.2020.1 23000  Brandão,A.,SãoMamede,H., Gonçalves,R., (2018), Systematic review of the literature, research on blockchain technology as support to the trust model proposed applied to smartplaces .In:World Conference on Information Systems and Technologies. Springer, pp.1163–1174.  Business Insider India,Pallini, T., “5 airlines are temporarily suspending operations as coronavirus and government restrictions shake the travel industry. Here's the full list.”, 16 March 2020, available from (https://www.businessinsider.in/science/ news/5-airlines-are-temporarily- suspending-operations-as-coronavirus- and-government-restrictions-shake-the- travel-industry-heres-the-full-list- /articleshow/74643895.cms). Accessed on 20.03.2020.  Business Standard, Coronavirus outbreak: “Airports start stringent screening to check spread”, 9 March 2020,available from (https://www.business- standard.com/article/current- affairs/coronavirus-outbreak-airports- start-stringent-screening-of-passengers- 120030900013_1.html). Accessed on 19.03.2020.  Casino, F., Dasaklisb, T. K., and Patsaki C. (2019), A systematic literature review of blockchain-based applications: Currentstatus, classification and open issues, 36, pp. 55-81.  Clohessy T., Acton T., Rogers N. (2019), Blockchain Adoption: Technological, Organisational and Environmental Considerations. In: Treiblmaier H., Beck R. (eds) Business Transformation through Blockchain. Palgrave Macmillan, Cham. (DOI: https://doi.org/10.1007/978-3-319- 98911-2_2)  Chu, S. and Wang, S. (2018), The Curses of Blockchain Decentralization (https://arxiv.org/pdf/1810.02937.pdf). Accessed 20.04.2020.  Deloitte, (2016), Blockchain: Opportunities for Health Care.. (https://www2.deloitte.com/us/en/pages/ public-sector/articles/blockchain- opportunities-for-health-care.html). Accessed on 23. 04. 2020  European Centre for Disease Prevention and Control (ECDC). (2020). COVID- 19 Situation update worldwide.
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