Suchergebnisse

POLICY POINTS: Millions of life‐sustaining implantable devices collect and relay massive amounts of digital health data, increasingly by using user‐downloaded smartphone applications to facilitate data relay to clinicians via manufacturer servers. Our analysis of health privacy laws indicates that most US patients may have little access to their own digital health data in the United States under the Health Insurance Portability and Accountability Act Privacy Rule, whereas the EU General Data Protection Regulation and the California Consumer Privacy Act grant greater access to device‐collected data. Our normative analysis argues for consistently granting patients access to the raw data collected by their implantable devices. CONTEXT: Millions of life‐sustaining implantable devices collect and relay massive amounts of digital health data, increasingly by using user‐downloaded smartphone applications to facilitate data relay to clinicians via manufacturer servers. Whether patients have either legal or normative claims to data collected by these devices, particularly in the raw, granular format beyond that summarized in their medical records, remains incompletely explored. METHODS: Using pacemakers and implantable cardioverter‐defibrillators (ICDs) as a clinical model, we outline the clinical ecosystem of data collection, relay, retrieval, and documentation. We consider the legal implications of US and European privacy regulations for patient access to either summary or raw device data. Lastly, we evaluate ethical arguments for or against providing patients access to data beyond the summaries presented in medical records. FINDINGS: Our analysis of applicable health privacy laws indicates that US patients may have little access to their raw data collected and held by device manufacturers in the United States under the Health Insurance Portability and Accountability Act Privacy Rule, whereas the EU General Data Protection Regulation (GDPR) grants greater access to device‐collected data when the processing of personal ...

Negative interactions between humans and wildlife (i.e. those presenting risks to human security or private property) can trigger retaliation and potential human-wildlife conflict (HWC). The nature and strength of these human responses may depend on previous interactions with wildlife and can be shaped by landscape conditions. However, the ways in which previous experiences and landscape conditions interact to shape peoples' attitudes towards wildlife are not well-understood. We conducted our study in Tsavo Conservation Area, Kenya, which experiences some of the highest rates of HWC documented in East Africa. We explored how previous experiences with wildlife and landscape conditions interact to inform the attitudes of people towards wildlife. We conducted semi-structured surveys among 331 households and fit an ordinal mixed-effects regression model to predict human attitudes to wildlife as a function of landscape conditions and previous interactions. Respondents indicated that baboons, elephants, and lions posed the greatest risks to human security and private property. Households experiencing risks from wildlife wanted wildlife populations to decrease, whereas households depending on grazing lands outside the study area wished to see wildlife increase. Our study demonstrates that human-wildlife interactions have important social and spatial contexts, and are not uniform across households in the same area owing to location of private property. Correspondingly, for interventions to be effective, we recommend considerations of local contexts and landscape conditions of communities.