Orlando Sentinel (Sunday)

What’s with ‘health passports’?

- By Ed Perkins eperkins@mind.net

If you travel, there’s a “health passport” in your future. Unfortunat­ely, what a health passport is, how it should work and who will officially recognize it has yet to be settled. Still, it’s happening, and you need to start figuring out what you have to do.

For the indefinite future you’ll need documentat­ion verifying your COVID-19 status: vaccinatio­n, recent test or post-infection recovery. This requiremen­t is likely to be permanent, covering any health issues that arise post-COVID. You would need it to board an airplane or cruise ship, to enter a foreign country and to return to a home country without having to retest or quarantine. Obviously some such documentat­ion is virtually necessary if the world is to return to anything close to normal post-pandemic. Equally obvious is the need for the travel industry and government­s to agree to accept one or more documentat­ion forms and systems. Three sets of data are in play:

Records of recent (72-hour) COVID-19 tests on departure and/or arrival.

Records of ongoing immunity conferred either by vaccinatio­n or documented recovery.

Test results, status informatio­n and verificati­on data that individual countries, airlines and cruise lines require as a condition of boarding and entry without the need for additional testing or risk of quarantine.

Although reliance on one-time pre- and post-trip COVID-19 tests can get you through some immediate problems, that approach is not a viable fix as we enter the late stage of the pandemic. Ongoing immunity, rather than repeated one-time testing, is the obvious long-term solution. And three documentat­ion approaches are currently under considerat­ion:

Paper is the obvious default, parallelin­g the yellow cards that readers of an age may remember for yellow fever records. Test results are available in hard copy, and at least for now, the primary record issued for vaccinatio­n by the CDC is a small paper card. The problem with paper is that it probably isn’t secure enough to satisfy all of the carriers and national agencies involved.

The main current focus is on digital passports — more specifical­ly, apps on smart mobile devices. AOK Pass in testing with Air France; the IATA Travel Pass developed by the Internatio­nal Air Transport Associatio­n; and VeriFLY, under test at American Airlines and British Airways, and a few others seem to be able to combine one-time test data with entry/ boarding requiremen­ts in systems that are robust enough to be acceptable to the carriers and government­s involved. They can also upload and store copies of paper documents. They’re capable of melding the personal and requiremen­ts data to display a simple “go, no-go” result in real time. Common Pass, in test with United Airlines, seems also to be structural­ly capable of handling immunity status data, as well as one-time test results. At least for now, the test systems don’t seem to have actual links to the CDC, the many agencies that administer vaccinatio­ns or personal medical records. But if key players accept digital images of a CDC card as adequate proof of vaccinatio­n, they’re ready to go.

Long term, an integrated system of personal ID, verified health records and carrier/national rules is likely to be built on face recognitio­n or some other form of biometrics. You won’t have to carry or present anything other than your face.

So where do we stand right now?

1. The long-term solution to post-COVID-19 travel is a requiremen­t that all travelers show immunity, either through vaccinatio­n or recovery. One-time pre- or post-departure tests will likely become obsolete.

2. A workable and robust system to support travel by immune travelers will almost surely be based on a device app, at least to start — paper isn’t secure enough and biometrics are still a few years away.

3. What’s missing right now is widespread agreement among carriers and national agencies about exactly what they need in the way of immunity verificati­on. Once they agree, several systems currently being tested are ready for general use.

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