74 International TheEconomistOctober30th 2021
than designing a travel document. Pass
ports may reveal age, but vaccine passes
are gateways to personal health informa
tion, potentially a great deal of it. That
scares people. Even among countries with
relatively high vaccination rates, support
for vaccine passports varies, from 52% in
Hungary to 84% in Britain (see chart). In
India people are used to sharing their fin
gerprints and iris scans as part of the Aad
haar biometric idsystem. Yet many, like
Debjani Mazumder, a publishing executive
in Delhi, worry about pharmaceutical
companies and insurers getting hold of
their health records. “I feel like a guinea
pig,” Ms Mazumder says.
In theory, digital technology should
make it easy to verify vaccination status.
Yet because verifying apps cannot recog
nise all qrcodes, many verifiers take what
Edgar Whitley at the London School of Eco
nomics calls a “flashandgo” approach,
simply eyeballing them. A black market is
thriving. Oded Vanunu at Check Point Soft
ware Technologies, a cybersecurity com
pany, has posed as a buyer and sourced
fake French vaccine certificates for €75
($87), Russian ones for 9,500 roubles ($134)
and Singaporean alternatives for €250 on
the dark web and Telegram, a messaging
app. These sham passes look the part but
would fall short if properly scanned.
When airline agents, employers and bar
staff scan qrcodes, they check for two
things: confirmation that the bearer has
been vaccinated or tested for covidand a
digital signature proving the information
comes from a trusted issuer. Uniformity
across digital health passes would require
broad agreement on exactly what health
information to include, and how to label
and package it. That ought to be relatively
easy. In August, the World Health Organi
sation (who) published guidance recom
mending the minimum data for a certifi
cate. The name and date of birth of the
bearer plus the brand and batch number of
a jab are considered necessary. Identifying
who administered a jab—information
some passes include—is not.
What is trickier is creating a unified
system for checking the digital signatures
of health authorities. Creating a repository
of all trusted signatures is an expensive
and politically fraught task. Countries with
a national health service, like Britain, have
just one issuer. But in America, there are
around 300, including state governments,
hospitals and pharmacies.
Without a trusted way to verify certifi
cates across borders, even the most ad
vanced technology falters. George Connol
ly is chief executive of OneLedger, a firm
that designed OnePass, a blockchainbased
vaccine passport. He says it has access to
data from only around 20 jurisdictions. So
he gets contractors to check passes from
elsewhere by phoning and emailing
healthauthorities. DakotaGruener,head
ofid2020,a publicprivatepartnershipfo
cusedondigitalids,rollshereyes.“Doyou
needblockchain?No,”shesays.“Isblock
chaina distraction?Yes.”
Ludditeshavereasontofeelsmug.As
AlbertFoxCahnoftheSurveillanceTech
nology Oversight Project, an advocacy
group,putsit:“Thereissomuchmoney
beingspentonbuildingthisreallyshiny
newmetalfencearoundoursocietywhen
thewoodengate wasworkingjustfine.”
Bitsofpapersigned byclinicians,likethe
who’s“yellowcard”,havesufficedasim
munisationrecordsfordecades.Theseare
moregloballyinclusive,giventhatmany
people in poor countries do not have
smartphones. Judging by blackmarket
prices,paperpassesarenotmucheasierto
forge. Fakeversionsofpapervaccinecer
tificatesissuedbyAmerica’sCentres for
DiseaseControlandPreventiongofor$150
apieceonTelegram,morethansomedigi
talalternatives.
Overtheborderline
Thebiggestimpedimenttosensiblevac
cinepassportsisnottechnologybutgeo
politics.Itwouldtakea universallytrusted
organisation with sophistication in
health,technologyanddiplomacytoget
countries to agree on globalstandards.
Thismightseemanobviousroleforthe
who. But,embroiledintherivalrybetween
AmericaandChina,theorganisationhas
beenblastedfromallsidesforitshandling
ofthe pandemic. Ondigital passes, the
whohasgotitselfina muddle.Evenasit
haspublishedlengthydocumentsdescrib
ing whatvaccine passportsshould look
like,ithasinsistedthatproofofvaccina
tion shouldnotberequiredforinterna
tionaltravelwhenvaccinedistributionis
soskewedtorichnations.
Crucially,thewhohasdeclinedtoin
volveitselfinvalidationandverification.
Maintaininga registeroftrustedsignato
rieswouldrequirea largestaff.Itwouldal
sorequirepoliticallychargedchoices,like
whethertorecognisesignaturesfromPal
estineorAfghanistan,andwhichvaccines
aregoodenough.Thewhowouldalsohave
totakesomekindofactionwhena state
broketherules.CarmenDolea,headofthe
InternationalHealthRegulationsSecretar
iatatthewho, saysthistaskgoesbeyond
itsmandate. “Thereareliability issues,”
sheadds.
Still,clumsily, theworlddoesseemto
beconvergingona fewstandardsandtech
nologies.TheEuropeanUnion’sstandards
fordigitalcovidcertificates,forexample,
arealsobeingusedbyTurkeyandSwitzer
land.India’shavebeenpickedupbySri
LankaandthePhilippines.
Thenextstep,thewhosays,isforcoun
triestonegotiatebilateralorregionalar
rangements.Recentnegotiationsbetween
BritainandIndiaillustratehowmessythis
canbe.BritainhadrefusedtoacceptIndia’s
CoWINvaccinecertificates,inpartbecause
theydidnotstatethebearer’sprecisedate
ofbirth.ThegovernmentinNewDelhiin
cludedonlytheyearofbirthbecausemany
poorIndiansdonotknowtheirexactbirth
days.Atitfortatescalationintravelre
strictionskeptfamiliesapartandbusiness
tripsonholdforweeks,beforeanagree
mentwasreachedearlierthismonth.India
added the precise date, reasoning that
mostpeoplewhocanaffordinternational
travelknowtheirbirthdays.
Somewonksstillthinktheycanfixthe
problemsofpoorgovernancewithmore
technology.NandanNilekani,cofounder
ofInfosys, atechgiant,andthedriving
force behindIndia’s Aadhaarsystem, is
pinninghishopeson“adaptors”thatcon
vertonetypeofpassintoanother.Creating
therightadaptorswouldbelikefindinga
waytosaveshoppersfromhavingtowalk
aroundwithAmericanExpresscards,Mas
terCardsandVisacardsincaseshopsre
quiredifferentkindsofpayment.Buttech
nologythatbuildsbridgesbetweenpasses
wouldnotsolvetheproblemthatissuers
wouldhavetotrustoneanother—andus
erswouldhavetotrusttheadaptorsfid
dlingwiththeirhealthdata.
Perhaps,fromtheashesofthepandem
ic,theworldwilldevisea seamlessdigital
vaccinepassportthatwillreplacetheyel
lowcard.Butwhencovidisstillkilling
thousandsofpeoplea week,thebickering
over qr codes and digital signatures
among multilateral organisations, tech
groupsandstatesisa sideshow,if nota dis
traction.Vaccinepassportswillnevercon
tainthevirus. Onlyvaccines will.More
thanthreequartersofpeopleinDenmark,
SingaporeandQatararefullyvaccinated,
accordingto JohnsHopkinsUniversity.Yet
lessthan1%ofthoseinEthiopiaandUgan
daare.Someday,vaccinepassportsmight
help keep thepeace. Butright nowthe
worldmustfocusonwinningthewar.n
Vax populi
Sources:Ipsos;OurWorldinData;TheEconomist
*Orclosestavailable †April11th ‡April8th
§Surveyof12,797employedadultsaged16-74
across 28 countries,Mar26th-Apr9th2 21
1009080706050
Alltravellersenteringshouldberequiredtohave
a vaccinepassport,Mar-Apr2021,%agreeing§
Adult population with at least
first dose, April th 2021*, %
60
40
20
0
Argentina
Chile
France Germany
Britain
Hungary
India
Italy
Japan Malaysia
Netherlands†
Poland‡
Russia
Spain
Tu r ke y
United States