key: cord-0721999-nowwviz3 authors: Kummitha, Rama Krishna Reddy title: Smart technologies for fighting pandemics: The techno- and human- driven approaches in controlling the virus transmission date: 2020-04-20 journal: Gov Inf Q DOI: 10.1016/j.giq.2020.101481 sha: 76543cf60bfb2ed11726e199d20c29ad109f1e96 doc_id: 721999 cord_uid: nowwviz3 Abstract How do governments in China and Western democracies differ in their technological response to control the transmission of the pandemic? Based on an analysis of academic papers, World Health Organization reports and newspapers, this research compares two opposing approaches, whereas the Chinese cities and government have adopted a techno-driven approach, Western governments have adopted a human-driven approach to control the transmission of Covid-19. The findings highlight that although the techno driven approach may be more productive to identify, isolate and quarantine infected individuals, it also results in the suppression and censoring the citizen views. It is further emphasized that human interaction with the technology is mediated by the political and institutional context in which the technologies are implemented. This paper contributes to literature by understanding the human-technology relationship, and offers five practical observations for controlling virus transmissions during pandemics. Pandemics leave enormous burdens on our lives, economies, and societies at large. A pandemic is generally defined as a new disease that rapidly spreads in a number of countries and continents. Even a mild pandemic can kill several millions of people (Oster holm, 2005) . Over the past hundred years or so, we have seen three deadly pandemics, namely, in 1918 pandemics, namely, in , 1957 pandemics, namely, in and 1968 pandemics, namely, in (Mills et al., 2004 . Novel Coronavirus is the most recent pandemic that has resulted in unprecedented social and economic impact on society. Covid-19 is one of a large group of viruses that was transmitted to humans from bats in a local live animal market in Wuhan in late 2019 (Ji et al., 2020) . It infects the upper respiratory tract and can result in pneumonia and other associated illnesses, which can eventually affect the central nervous system, ultimately leading to death for those with underlying health conditions. Given the potential for human-to-human transmission and that inventing a vaccine would ideally take about one or two years, the World Health Organization (WHO) recommended that governments worldwide should quickly intensify active surveillance to identify infected individuals to allow rapid isolation and quarantine (Heymann & Shindo, 2020) . Geographically, Covid-19 has had a significant impact on cities. Cities contribute a whopping 80% of the total global GDP and host about half of the global population (The World Bank, governments in China and Western democracies differ in their technological response to control the transmission of the pandemic? This research finds that with the use of the most sophisticated technologies and stringent surveillance imposed across the cities in the first three months following the outbreak of the virus, the Chinese government adopted the techno-driven approach and was able to keep the transmission relatively under control. However, the Western democracies, have chosen to adopt the human-driven approach to tackle the pandemic. This research argues that the impact of the human-driven approach is slower than the techno-driven approach in controlling the transmission of the virus. It is further argued that while technology can contribute to enhancing resilience and controlling transmission, censorship and human involvement with technology limit its potential. As a result, the impact of smart technologies is potentially moderated by the social and political contexts in which they are implemented. The remainder of the paper is organized as follows. The second section below reviews the literature on smart technologies in China and Western democracies, while the third section describes the research approach adopted. The fourth and fifth sections discuss the smart technologies used by China and Western democracies, respectively. In the sixth section, it is emphasized how human interventions mediate the potential of technologies. The seventh section provides an overall discussion, considering both the theoretical and practical implications of this work. The last section concludes the paper, highlights the limitations of this research and proposes avenues for future research. of new-age technologies (Sun & Medaglia, 2019) . As a result, China has one of the strongest technological potentials for handling pandemics compared to other countries. Unlike in China, the regional and city governments in Western democracies enjoy balanced power-sharing with the central governments. Similar to the Chinese context, population growth in urban areas has resulted in cities, especially in North America and Europe, adopting smart city technologies (Albino, Berardi, & Dangelico, 2015) . The European Union, for example, initiated several strategies including the European Smart Cities & Communities initiative (Kylili & Fokides, 2015) , and the European Innovation Partnership for Smart Cities and Communities (Cardullo & Kitchin, 2019) . These programs allow European cities access resources from the European Commission to transform their cities into smart cities. Most Covid-19 affected countries in the Western context are known for their advanced smart cities. These countries are highly interconnected with each other largely due to their geographical proximity and the trading partnerships they have with China. This is the reason the Covid-19 pandemic was able to easily transfer to the major cities in these countries from China (Cohen & Kupferschmidt, 2020) . The IoT is interconnected into the physical and human world to offer smart solutions for citywide problems. Angelidou (2014) shows how New York, for instance, one of the cities highly affected by Covid-19, adopted the IoT for gathering insights from the communities. Other smart cities in the USA include, Washington DC, Boston, Denver, Seattle, Los Angeles, Chicago and Philadelphia (Pyzyk, 2019). When it comes to Europe, Barcelona, a highly affected city in Spain, J o u r n a l P r e -p r o o f also built its smart city technological ecosystem to enhance its usage of smart technologies. Especially, IoT driven services in Barcelona smart city have claimed to improve quality of life for its citizens (Kamel Boulos and Al-Shorbaji 2014). Care et al. (2018) argue that Milan, a smart city in Italy, was built around several innovative mechanisms to adopt smart technologies. Further research emphasizes other smart cities including Berlin and London (Zvolska, Lehner, Palgan, Mont and Pleplys 2019), Paris (Martinez-Balleste, Perez-Matinz, & Solanas, 2013) , and Amsterdam (Mora et al. 2019b) . Given the level of smart technologies adopted, smart cities are claimed to offer best living conditions and are equated with healthy cities (Kamel Boulos et al. 2013 ). Despite the growth of smart cities in China and Western democracies, the techno-or humandriven approach that generally cities adopt in their smart city governance determines their level of technological usage to interact with citizens. The techno-driven approach largely places heightened importance on technologies and makes citizens subordinate to the technologies adopted in the cities. Techno-driven approach does not take 'context' into consideration, rather expects technologies to fix all the glitches in cities (Janssen and Kuk, 2016) . This approach resonates with the 'hard technological determinism' that considers new technologies as basis of society where they play a pivotal role in structuring the social systems (Nograsek and Vintar, 2014; Bannister and Connolly, 2020) . The inherent capabilities of smart technologies are expected to solve problems experienced by the governments (Helbig, Gil-Garcia, and Ferro, 2009 ). While Techno-driven approach may be more effective in imposing law and order and J o u r n a l P r e -p r o o f offer techno-driven objective governance, it may also curtail human freedom, enhance censorship and raise ethical questions (Bimber 1994) . In contrast, the human-driven approach is oriented towards citizens, where technologies are selectively used, allowing citizens enjoy their freedoms. This approach resonates with 'soft technological determinism' where individuals retain agency in determining technological use (Pool, 1983; Nograsek and Vintar, 2014) . Under this approach, governments also enhance social and human capital among their citizens which allow developing technologies based on the local need. There is an overall understanding that human-driven approach allows governments adopt smart technologies to ensure better citizen engagement, to offer accountab ility (Gil-Garcia et al., 2016; Mora et al. 2019c) , and streamline interactions between communities and government (Androutsopoulou et al., 2019) . Additionally, citizens seek greater participation in the planning of urban development strategies, often initiating local enterprises (Kummitha, 2019) . The variance in the techno-and human-driven approaches potentially holds a key to determining the level of smart technologies used in the context of both Chinese and Western democracies to control the Covid-19 transmission. This section highlights the data selected for conducting the study, the methods, and the analytical approach adopted. Given the active role China plays in the global markets and the networks it forges across the globe, there has been a heightened interest among the governments, businesses, healthcare J o u r n a l P r e -p r o o f providers, and individuals to seek further information about COIVD-19 and the mechanisms that help China fight in controlling the transmission of the pande mic. WHO has urged the Chinese government, medical community and scientists to publish information actively about the emergent trends. As the virus transmitted to other parts of the globe towards the end of January, Western media have made a significant effort to show how technology has been used by Western democracies in controlling the transmission. Further, the scientific publishing houses have fast tracked publishing on Covid-19 and made all the published research openly available for anyone to use. In addition, media outlets have shown keen interest in not only publishing current trends but also various interventions being initiated to control the outbreak. Given the availability of the information from both scientific and media publishing houses for the Covid-19 related literature, I have chosen to review the scholarly articles, WHO reports, and newspaper articles to address my research question. For academic articles, I ran through a search in Scopus on 31 st March 2020 with search phases such as Coronavirus OR COVID-19 AND tech* and limited the search to identify those articles which were published in the year 2020. This search resulted in a total of 52 publications. I have chosen only those which were published in 2000 because Covid-19 was first identified on 31 mechanisms has been useful to understand the trends and the approaches adopted by various governments (Zhang 2016) . In line with the research question, I have largely focused on technological responses adopted by China and other Western countries. Further, I have read 71 situation reports released by the WHO. These reports have been released on a daily basis from 21 January 2020. The use of research articles, WHO situation reports and news from media outlets form a basis to triangulate the data (Kennedy 2008 ). I have read through all the articles, WHO situation repots, and newspaper items manually and identified clusters of information that could feed into this article. I have carried out a cooccurrence analysis for analyzing relationships among the major constructs (Kim et al. 2015) . As part of the co-occurrence, two constructs need to appear together in a large part of the data being analyzed (Boschma et al. 2014) . As part of the analysis, I used the WHOs recommendation and adopted three constructs-identify, isolate and quarantine for reducing the virus transmission, and seven additional constrains from the adoption and use of technologies to probe techno-or human-driven approaches. Those constructs include governance, smart technology usage, privacy concerns, lockdown, activism, information sharing, and infodemic. These constructs are drawn from the data, allowing to understand whether governments adopt techno-or humandriven approaches and associated benefits and concerns. The findings are discussed in the sections four and five below. While section four discusses the Chinese response, the section five articulates the response from Western democracies. J o u r n a l P r e -p r o o f Given the centralized power structure, the virus outbreak in Wuhan smart city and its quick spread to other cities forced the central government to step up. The central government actively set the IoT ecosystems into motion by bringing together different key stakeholders and devices to trace and track the individuals who were infected. In line with the WHO's (2020b) recommendation to identify, isolate and quarantine those who are infected, China made use of its well-established surveillance system and placed cities under complete quarantine using a draconian approach. This has been enforced across the country under the premise of feichang shiqi (which means extraordinary times). It is shown below how China has used its technology to control the spread of the virus. These findings indicate that most of the Chinese efforts were invested in identifying infected patients. One specific advantage China has is its surveillance system. A recent report highlights that most of the Chinese investment in smart cities is built around improving surveillance on their citizens in addition to focusing on the built environment (Andrelini, 2019) . For instance, the smart city of Chongqing in China currently uses 2.6 million security cameras to conduct surveillance of the city's 15.35 million people, equating one camera for every six residents. It is followed by the Shenzhen smart city which has 159 cameras per every 1000 residents, then the Shanghai smart city with 113 cameras, the Tianjin smart city with 93, and the Jinan smart city with 73 cameras, all per every 1000 people. These are the five most surveilled cities in the world. Kharpal (2020) emphasizes that during the quarantine, the government even installed CCTV cameras on apartment doors to ensure that residents would not leave their quarantined houses. Some of these cameras include AI technology and facial recognition to identify people (Keegan, 2019) . Chinese cities were coordinated under the central leadership to make use of the sensors for data collection throughout the cities, conduct decentralized testing, and flag those who were infected by Covid-19. The AI technology developed for identifying individuals is so robust that while CT scan results can take up to 15 minutes to diagnose, AI can complete the task in 10 seconds (McCall, 2020) . Drones equipped with cameras and controlled by operators were further deployed for conducting surveillance and issuing instructions and warnings to those failing to wear masks or failing to follow the emergency protocols. In cases where citizens failed to report their travel history in the affected areas, IoT devices were used to ascertain their travel history and flag those cases (Liu & Li, 2020) . For instance, the travel of individuals to the affected areas was monitored and reported to the concerned authorities by AI applications (Jie, 2020) . In addition, corporations allowed the government to access their systems hosting the mobile applications (apps) that citizens routinely use to track down their travel history. For instance, apps such as Alipay and WeChat which are popularly used across China, helped the government to track down those who were infected (Kupfeschmidt & Cohen, 2020) . Public transportation has also adopted specific technologies to identify those likely to be infected. Megvii Technology Limited, for instance, has developed an AI body temperature screening system (as having a high or very low temperature is one of the basic symptoms used to identify those infected with Covid-19) which was deployed in most of the metro stations in China. This AI-based system screens up to 15 patients every second from a maximum distance of 3 meters based on non-contact remote temperature screening. Baidu, another AI firm, joined the efforts in developing another body temperature scanner, which can scan about 200 people per minute. Other AI firms, such as SenseTime, have also joined in the efforts in developing contactless temperature detection software that has been installed in public places (Jakhar, 2020). Further infrared systems with display screens have been installed in popular areas. As people pass through the system, their body temperature is displayed on the screens. Officials monitor the screens to identify those who were infected. Furthermore, police officers in the Chengdu smart city wear smart helmets that detect people with high temperature within a 5-meter radius. Thermal scanners were installed in all major Chinese train stations, and once infected persons were identified, they were transferred to a local isolation room from where t heir travel history was collected to understand where they had travelled and thus identify other potentially infected persons. AI has been used to integrate body and face identification with the help of dual sensing by visible light and infrared cameras to help authorities quickly identify patients. Overall, the AI systems are highly efficient and a source of relief for the overstressed health system in China. The data collected from different IoT devices are shared with the central server and analyzed using AI to supply the necessary medical resources. In the virus epicenter, Wuhan city, administrators coordinated with a consortium comprising five well-known laboratories and set up an emergency response center in Wuhan to enhance the city's virus testing potential. The consortium developed testing kits through war footing that could detect the virus more quickly and comprehensively. One of the well-known firms, BGI, initiated an anti-epidemic initiative which quickly led to 22 cities covering 100s of companies joining the initiative to develop test kits (GEN, 2020). AI has been useful in assisting the understaffed medical professions to navigate through the available data and understand the emerging trends. At the Zhongshan hospital in Wuhan, a doctor's team used Graphics Processing Unit (GPU)-accelerated AI to identify the visual signs of the virus from those who were likely to be infected. Infervision, a Beijing based start-up, developed a GPU-accelerated AI which was initially intended to detect cancer in the lungs. The system was remodeled for the purpose of detecting Covid-19. The app, Close Contact Detector, was developed to help people find out whether they had been in close contact with someone who was potentially infected. The travel history of patients who were tested positive for the virus was posted online via social platforms and media outlets, allowing other potential victims who had come close to the patient in the last few days to self-isolate and report to the concerned authorities. The much-matured smart city-based ecosystem which comprises the government, private firms and start-ups, came together to release mobile apps to help citizens check if they had been in contact with infected persons. In Suizhou, which is 170 kilometers from Wuhan, 2.2 million citizens were able to register their health condition using mobile apps. Yang Fei, the vice chief for Fuhe town in the Suizhou smart city, emphasized that "the technology we use today in epidemic control was hard to imagine in the past" (Jie & Quao, 2020, p. 1) . A digital prevention system developed by Alibaba in collaboration with Suizhou enabled DingTalk and Alipay apps to allow citizens to register for health care systems. This technology enabled the self-registration of patients meaning there was a reduced need for them to visit hospitals and spread the infection to medical J o u r n a l P r e -p r o o f professionals (Jie & Qiao, 2020) . In addition, two major hospitals with a capacity for 1000 beds each were built in Wuhan on war footing to accommodate infected patients. In addition to these efforts, a new health code was implemented in over 100 cities via an online prevention system allowing people to share their travel history and health status. Every c itizen is allocated with a QR (also known as Quick Response) code, which allows to track his/her movements. When citizens use public services such as public transportation or visit a super market, they are expected to scan their QR code. When infectors are detected, then those who could have been possibly infected, including those who travelled on the same bus or those who visited a super market at the same time, are informed and a quarantine procedure followed thereafter. Based on the information shared, individuals were allocated a particular color code. Those allocated a red color code were either affected by the virus or those had travelled recently to Hubei province. Those given a yellow code were required to self-isolate for two weeks (the incubation period for detecting the virus; Lauer et al., 2020) , and those given a green code retained access to the city (Jie, 2020) . AI determined the allocation of codes but very little information is available about the procedure used for allocation (Krolin & Satariano, 2020) . In addition, China also chose to lockdown the highly affected regions and cities. For instance, in Hubei, the lockdown was imposed from 23 rd January, where 15 cities including Wuhan were completely locked down. Drones were employed to ensure that the lockdown was strictly implemented. The entire public transport system was suspended. Citizens were not allowed to J o u r n a l P r e -p r o o f leave their houses and neighborhood community-based committees were empowered to take group orders from residents. While the entire world was closely observing China, its sophisticated technology-based manufacturing industry and technology-based ecosystems came to the rescue in assisting the authorities and imposing discipline among the masses. WHO refers to this approach as "unprecedented in public health history". The infrastructure China had built over the years to conduct surveillance on its citizens became a source of advantage. While China was able to "implement astounding, unprecedented and medieval" policies in containing the virus transmission, such an approach may be hard to impose anywhere outside China (Cohen & Kupferschmidt, 2020, p. 963) . Human rights experts, for instance, argue that the extreme surveillance measures followed in China may not work in other countries, as they impose severe restrictions on human rights of the citizens (Kupfeschmidt & Cohen, 2020) . While China largely focused on identifying those who are infected, Western democracies have focused on human-driven approach, comprises of collecting anonymous data, ensuring lockdowns, and quarantine. How this strategy varies from that adopted in China is now considered. J o u r n a l P r e -p r o o f Unlike the surveillance system in Chinese smart cities, smart cities in Western democracies have heavily invested in the human capital of citizens. Western societies place significant importance on individual privacy and freedom, which have conventionally resulted in stringent privacy laws. For instance, several states in the United States have banned facial recognition technologies (Pyzyk, 2020) . In Europe, the European Union General Data Protection Regulation which came into effect in 2018 aims for greater transparency in collecting and preserving data, thereby ensuring personal data protection. Although smart cities have adopted the IoT to a different degree, data protection laws ensure that the data is not used in such a way that individual freedom and privacy are curtailed. Accordingly, these countries have largely used means of consensus building and persuasion to control the virus transmission. As a result, instead of rapidly employing technologies to screen citizens or access their mobile phones, the Italian and German governments approached mobile operators to share anonymous and aggregated data about the concentration and movements of the citizens in areas where Covid-19 is prevalent. The USA has conducted talks with Facebook and Google to access its anonymized data. A mismatch between regional and national policy regulations furthered the complications in sharing this anonymized data. Such data are useful to understand how many people are following the imposed strict lockdowns (Pollina & Busvine, 2020) . This is quite in contrast to the Chinese approach which was more active in identifying infected individuals. Governments often find it hard to navigate through data privacy laws and not to breach the trust conferred by the public on the government (Servick, 2020) . In the UK, t he National Health Service (NHS) partnered with Amazon, Microsoft and Hancock to analyze the data collected by the NHS telephone service to move available resources to tackle the pandemic. This partnership J o u r n a l P r e -p r o o f is expected to develop visual dashboards that offer necessary information for policy makers to inform effective policies (Kelion, 2020) . As existing technologies were not useful for collecting data from citizens due to the privacy regulations in place, several countries including the USA, Germany, France, Italy, Spain and the UK have adopted drive-through testing method to identify those who are infected. Further, universities and start-ups developed new apps that allow people to voluntarily share their data. The UK Covid symptom tracker app, for example, tracks the symptoms of infected individuals and determines the range of virus spreading in a particular area to help understand why some people become critically unwell compared to others (Wakefield, 2020) . In order to collect more personalized data, startups have come forward to create voluntary and privacy-conscious tracking apps such as: Safe Paths in the USA, and GeoHealth in Germany which aims to collect GPS location data and store it for 28 days. These apps allows individuals to share their data with health officials, should they be tested positive for the virus (Servick, 2020) . Similar ly, Germany has developed Corona Data Donation smart watch App which gathers anonymous data from volunteers to track down the infections. However, pressure groups have immediately started to put pressure on the government to respect the privacy of citizens (Kelion, 2020) . Although Western democracies have well equipped technological potential and documented information about their citizens, the lack of coordination between regional and national governments in Spain, Italy, the USA, and the different health care departments in Italy, have J o u r n a l P r e -p r o o f limited their potential in isolating patients from non-patients. For instance, the Italian prime minister has emphasized that the regions which have the autonomy to implement healthcare have failed to manage the situation adequately. Different regions with different extents of measurement and understanding and a lack of coordination have contributed to the spread of the virus. For instance, in Spain, the regional government of Madrid and the national government have failed to coordinate in a timely way (Tremlett, 2020). The lack of coordination initially between smart cities has also resulted in people travelling from one city to another. Both in Italy (smart cities in the north to south), Spain (Madrid to Barcelona) and the USA (New York to other cities), people have travelled from highly affected smart cities to other cities. As citizens generally use their unique personal identification numbers for accessing healthcare facilities, government bodies in Italy have the necessary equipment to track down patients and thus strengthen their datasets. However, this information is typically handled by different uncoordinated regional and national healthcare institutions (Editorial, 2020b). Italy has faced a situation whereby the lack of coordination between different healthcare departments has resulted in the failure to use available big data effectively. Smart cities, in general, require active coordination among different departments and levels of administration (Angelidou, 2014) . Germany and the USA, where regions and cities have powers to draw their own strategies, which sometimes would require special laws to impose one specific approach. The initial lack of coordination between various departments, among different smart cities, and regional and national governments have all contributed to the failure to create effective strategies to use existing resources or to restrict the spread of the virus. Despite these limitations, the technologies are used to different degrees by governments to isolate infected individuals. Table 1 below summarizes the level of techno-and human-driven approaches adopted by C hina and Western democracies. Western democracies Largely relied on technologies to identify individuals who have been most likely infected. Due to the rights conferred on the protection of individuals privacy, these countries rely on consensus building to access anonymous and aggregated data or to collect data from those who volunteer. Created awareness using technologies to ensure everyone, both infected and uninfected, could be traced with their mobile phones, in order to ensure quick isolation. Lack of coordination between different departments and regional and national governments have constrained the potential to isolate quickly those who have been infected. Relied on both technology assisted and manual lockdowns Table 1 : China's Techno-driven approach versus human-driven approach adopted by western democracies While Western countries have not adopted technological approaches fo r screening and isolating infected patients, they have heavily focused on the lockdown of affected regions and/or entire countries. For instance, the UK, France, Spain, and Germany, among other countries, have followed the national lockdown approach. Altho ugh Italy started with regional lockdown, it later J o u r n a l P r e -p r o o f imposed a nation-wide lockdown. Overall, there is a general understanding that imposing lockdowns is somewhat draconian in free societies. As the Prime Minister of the UK claimed, "No prime minister wants to enact measures like this". The police and army have been called in to impose lockdowns in these countries. Drones have been deployed in countries such as Spain, Italy, the USA, Germany and France to strictly implement lockdowns. By the time the lockdowns were imposed, the coordination among the government departments and different cities with their national governments has been strengthened in most of the countries. The difference between the technological response from China and the Western democracies shows how an authoritative regime can force the use of smart technologies to address a pandemic. However, the very same authoritative regime also forcefully censored t he voices of its citizens and reduced the potential of technologies to prevent the widespread infection of the virus. When Li Wenliang, the whistle-blower doctor who first identified the infection trend while working in the Wuhan Central Hospital sent a message in a chat forum to fellow doctors about the potential of the virus outbreak, his views were censored. Wuhan city authorities forced him to write an apology, and the government claimed that the doctor was disturbing the social order (Green, 2020) . A total of eight individuals were investigated by the state in connection with this development. Many activists who questioned the government's initial response strategy were forced into quarantine despite not showing any symptoms related to the virus (Xiong & Gan, 2020) . China is notoriously known for employing smart technologies to censor any content or data that citizens upload to social media websites that the government does not feel comfortable with (Westcott, 2020) . United Nations Development Program (2015) for instance highlighted that, Chinese smart cities are largely focused on the technology infrastructure, known as J o u r n a l P r e -p r o o f hardware. Communities are seen as passive beneficiaries of these technologies rather than playing an active role in the society, which resonates with the hard technological determinism (Hu & Zheng, 2020) . Overall, the Chinese context illustrates how technologies can be largely used to communicate government planning and to impose citizen compliance. The Chinese crackdown on whistle-blowers has been a major concern in an authoritarian regime where citizens have very little freedom to express their feelings. Although the communication from Wenliang had the potential to spread information using a digital chat forum and quickly help people take precaution measures, the government nonetheless censored his views. This helped the government to ensure that the only information available was that which it released (Woodward, 2020) . The censorship has potentially hampered the ability of digital technologyin this case, a chat forumto control the spread of the virus to other parts of China and the world. Those who questioned the government's strategy have been put under house arrest. As Zhangrun (2020) summarizes, government and bureaucrats "stood by blithely as the crucial window of opportunity that was available to deal with the outbreak snapped shut in their faces" (p. 2). This is the reason he argues that this catastrophe has been turned into a manmade pandemic. In an interview, Wenliang highlighted that "If the officials had disclosed information about the epidemic 1 earlier I think it would have been a lot better" (Green, 2000, p. 682) . Furthermore, scientists and activists have been silenced from speaking out about China's lack of early response (Thorp, 2002) . Although cases in China started to appear from as early as 8 th 1 Until 11 th March, WHO used epidemic to describe the virus outbreak. December 2019, the authorities did not make announcements about this until 7 th January 2020 (Editorial, 2020) . The Mayor of Wuhan admitted that there had been a delay in announcing the information about the virus as the national government had not given clearance in a timely manner (Ayittey et al., 2020) . In addition, it was not until 20 th of January that information about human-to-human transmission was announced. However, Wenliang in his WeChat message sent on 31 st December had emphasized the human-to-human transmission potential of the virus. Research has now confirmed that human-to-human transmission took place starting from the middle of December 2019 . Although the Premier Jinping later ordered the free flow of information in a timely fashion, an array of information sources about Covid-19 were censored from the internet, depriving people of the opportunity to know more about the virus. As Kavanagh (2020) Gaps in governance resulting from the decentralized political system remain a constraint to effectively implementing strategies. In addition, the individual freedom and rights conferred to J o u r n a l P r e -p r o o f individuals, the privacy protection laws enacted and the human-driven approaches adopted in smart cities, all limit the potential to actively adopt technologies to constrain the transmission of the virus compared to China. The findings indicate that while China has adopted techno-driven approach, Western democracies have relied on human-driven approach. As summarized in the table 2 below, both the Chinese and Western governments have initially denied the potential risk from Covid-19. However, while China has denied the impact of the virus by adopting the means of suppression, the Western democracies have denied by freely sharing the information with their citizens. When it comes to the governance aspect, Chinese smart cities have actively coordinated where the majority of interventions have been drawn from the central government . In comparison, lack of coordination in the Western context between the cities, regional governments and the national governments have contributed to the quick transmission of the virus. When it comes to adopting ubiquitous technologies, China draws its strategies based on a techno-driven perspective, where its well established technological ecosystem has been mobilized to impose technological solutions (Hu & Zheng, 2020) . In Western democracies, technologies are selectively used, partly due to the human-driven approach adopted in promoting technological ecosystems that allow limited use of technologies. For instance, Western democracies continue to rely on anonymous data, which may not be as effective as collecting data from individuals (Stamali et al. 2015) . The data protection laws in the Western democracies ensure personal data protection. Such a provision limits the governments optio ns to collect data from citizens directly. As Caraglu et al. (2011) highlighted, these smart cities focus on social J o u r n a l P r e -p r o o f inclusion, knowledge networks, voluntary organizations, and social and relational capital, in addition to achieving social and environmental sustainability. The overall intention is to empower communities as smart communities which are able to develop their own smart technologies and use them for solving urban problems. In order to enhance creativity among citizens, these smart cities have invested in building city-level ecosystems that can bring government, communities, private firms and universities together, so that cities act as clusters of innovation to enable and facilitate the invention of technologies that look after their needs and bring competitive advantages to the cities (Kummitha & Crutzen, 2019) . Accordingly, the enhanced use of technologies and data collection in the Chinese context raises privacy concerns which are not addressed by the government authorities. The enormous investment in surveillance has meant that Chinese smart cities have become surveillance cities. Moreover, it has systems in place that ensure citizens follow rules set forth without fail and demonstrate discipline towards the government and state. For instance, the mobile phones of citizens are reportedly spied upon repeatedly using government-sponsored mobile applications such as Great Nation, which is used by 100 million registered users including students, civil servants and workers that have installed the app under pressure from the government. Scores are allocated to those who spend time on the app, which is seen as a symbol of patriotism as the app allows citizens to learn about the leader and the history of the country. Those with low scores are often shamed and penalized in schools and workplaces (Herndez, 2019). As Braun et al. (2018) highlighted, more data collection would create further opportunities for privacy invasion, whereas Western democracies are forced to work within strict data privacy laws that protect the privacy of their citizens. instead used by the government in the Western democracies to inform decisions and to find ways in which issues can be addressed (Hollands, 2008; Komninos, 2008) . Further, activists are freely allowed to write to the governments to speak up about the rights of the citizens and to seek for transparency in the governments approach. While these countries have freely shared the data about the virus transmission and allowed everyone aware about the growing trends, China has been accused of concealing information from public and international community. However, due to the techno-driven approach, China has not reportedly witnessed infodemic. Infomedic refers to the misinformation in circulation. Whereas the widespread availability of social media in Western democracies resulted in infodemic, as the WHO director highlights "we're not just fighting an epidemic (pandemic); we're fighting an infodemic" (The Lancet 2020c, p.537). These findings highlight that a techno-driven approach may be more effective compared to J o u r n a l P r e -p r o o f human-driven approach in controlling the virus transmission during pandemics. The political and social arrangements in Western democracies most likely do not allow top-down technological visioning, thereby reducing the potential impact that technologies can have. The case of Covid-19 highlights that the smart technological response to controlling a pandemic may be more effective in authoritative regimes, as we have witnessed in the Chinese context. Governments may gain full control over the situation by adopting a techno-driven approach and imposing technologies to tackle the pandemic. The enhanced use of technology allowed Chinese authorities to reach into the private space of individuals and breach the privacy of its citizens. Such a forceful approach helped the Chinese regime keep the virus transmission under control in a relatively quick timeframe (Johnson et al., 2020) . The level of technology deployed to impose government regulations shows that technology is useful for taking forward the stringent policies set forth. The well-established smart technology ecosystem aids their cities and lets the national government coordinate the strategy. While conventionally, societal needs and norms determine individual behavior, modern days mark the enhanced use of technologies to impose discipline and compliance. The Covid-19 response from China provides direct answers for smart city researchers who raised questions around the problem-solving potential of urban technologies (Greenfield, 2013) . (Janssen and Kuk, 2016) . In the Western context, the societal and institutional set up does not allow the top-down approaches followed in the Chinese context. Thus, it is safe to argue that, although smart technologies are said to have transformative powers, their potential is subject to the social, political and institutional context in which they are deployed (Kummitha, 2020; Kuk and Janssen 2013) . Earlier research has articulated that smart city initiatives often lack the engagement of social and political conditions (Luq ue-Ayala & Marvin, 2015) . However, the present work highlights that the political and institutional context has indeed played a key role in determining the course of action for controlling the virus transmission. Further, early research emphasized that smart technologies institutionalize and mechanize processes by collecting and analyzing data and then solving problems without significant levels of human intervention (Chatterjee et al., 2018) and that interaction between humans and devices would result in 'superior judgements' (Sohoemaker & Tetlock, 2017) . The literature has also J o u r n a l P r e -p r o o f emphasized that smart city spaces are governed by algorithmic administration and categorization (Dalton et al., 2020) , whereas this research demonstrates that such an understanding is merely an imaginary. This research also highlights that governments continue to retain their agency and conceal information that they deem not to be shared, which limits the influence of technologies. Although the smart city literature emphasizes that technologies aid city authorities in addressing stubborn social problems, the way that Covid-19 has been handled highlights that the technodriven approach do not directly result in technological determinism, rather, it offers a vector of options for decision-makers to choose, based on their own judgment. As a result, the impact of smart technologies is less effective in smart cities than has been projected in the literature (Hollands, 2008) , because of the way humans use, interpret, manipulate and communicate the trends picked by the IoT based on political and institutional needs. In addition, the potential of technologies is constrained by the social and institutional arrangements prevalent in national contexts. Thus, those who govern may continue to exploit new-age technologies for their own benefit. First, we have learned that the Chinese techno-driven approach appears to be more promising than the human-driven approach largely adopted in Western democracies. However, one specific aspect governments should address during health emergencies is ensuring that their citizens are fully informed about their privacy rights and assured that any data collected during the pandemic J o u r n a l P r e -p r o o f will be handled to benefit the society at large. Governments also need to ensure that the enhanced collection and use of data will be temporary and the activity will cease once the situation comes under control. In this way, governments will be able to assure their citizens about their rights and the governmental responsibility to protect these rights. Such an approach allows citizens to voluntarily come forward to communicate their health data and download dedicated mobile apps to share their health updates and location histories. In countries where the top-down adoption of technologies is impossible, this approach allows crowdsourcing the information from citizens. A specific strength of technological advancement is that communities even in the developing and least developed countries have access to mobile technologies, and hence, data may still be sourced (Klaus, 2020) . Second, governments need to actively share the information they collected about infectious diseases with their citizens and global community. This allows global community to make necessary arrangements to prevent the transmission. Governments may be able to roll out e arly surveillance measures and organize the medical supply chains. As advised by WHO and learned from the Chinese context, early surveillance is the most effective strategy available for the prevention of transmission. While conducting the surveillance that matches with the Chinese approach may not be possible in most of the modern democracies, the governments need to impose lockdowns as early as possible. The delay in imposing lockdowns may result in excessive transmission as happened in several Western countries in the case of Covid-19. Third, cities need to coordinate with each other in addition to actively coordinating with the national governments. Authoritative regimes may need to empower their regional governments to share health related information quickly, whereas in the Western context, the coordination between regional and national governments needs to engage in a sustained effort to minimize the impact. Fourth, in order to control the impact of infodemic, there is a need that the authorities keep vigilant and ensure passing the information to the public quickly. Governments may need to partner with the technology based firms that own the social media platforms to control infodemic. Fifth, there is a need for sharing best practices among the countries such as encouraging different key stakeholders in their technological ecosystems to come together to invent and implement necessary technologies which may help detect and isolate the infected patients, and build community-level resilience in order to cope with the crisis. I believe that this is the right time to promote the smart community concept where communities build resilient and address their own social problems (Gil-Garcia et al. 2014) . This paper discussed how China and Western democracies differ in their approaches to adopting smart technologies to control the transmission of the Covid-19 pandemic. While Chinese smart cities have actively coordinated and let the national government take control over the regions in a techno-driven approach, the smart cities in the Western democracies have initially lacked in their coordination efforts with the national governments and adopted a human-driven approach to J o u r n a l P r e -p r o o f control the transmission. Although both China and Western democracies have well-established technological regimes, technological usage differed significantly in both contexts, largely as a result of constraints imposed by the political and institutional environments. While in the Chinese context, governments adopted top-down technologies to discipline and censor their citizens, in the Western context, technologies were used to inform, persuade and attain consensus among citizens to help limit virus transmission. In both contexts, findings highlight that humans mediate with the technologies and limit their impacts. However, there is an overall concern that governments may take advantage of the Covid-19 to reinforce technological visioning on citizens beyond controlling the pandemic. The issues discussed in this paper need to be generalized with caution. First, given the ongoing nature of Covid-19, the issues highlighted in this article may continue to evolve. Second, the newspaper-based analysis used in this article was unstructured. For instance, experts have specifically raised their concerns about China's capabilities regarding censorship. They argue that the WHO and the Western media have largely relied on the information censored by the Chinse government to make their arrangements (Jong, 2020). Hence, these findings need to be generalized with caution. The Covid-19 outbreak is not only about health care, but also businesses, livelihoods, wellbeing, innovation and resilience. While medical researchers and scientists are active in bringing out new findings and data about the pandemic, scholars from other disciplines should come forward and contribute to advancing our combined potential to face this pandemic. In particular, it would be interesting to understand how cities and governments in other countries are handling the pandemic. Further research may focus on rural J o u r n a l P r e -p r o o f areas as well to understand the strategies rural communities and governments adopt to limit the transmission. It may also be useful to understand how technologies are used to enhance the potential of the health care systems in different countries. It will also be interesting to study how service firms, including essential delivery services, have used technology to aid delivery. For instance, Lin (2020) shows that during the lockdowns grocery orders were delivered in 20 minutes in major cities in China. However, we need more evidence from different parts of the globe. There is also evidence that community-based initiatives, both technological and non-technological in nature, are in effect to serve the most needy and vulnerable. For instance, community-based apps, such as the Nextdoor app, offer necessary support for those in need in the community. Thus, it is worthwhile to study community-level resilience and how it supplements or even replaces technological responses to handling the pandemic. The other research avenue is to study how governments, technology firms and international agencies address the infodemic to control fake news. Overall, research on the technological innovations, local community active participation to build resilience, partnerships being built to contain the outbreak, and process innovations could build the resilience of cities and help address the current and future outbreaks. In addition, lockdowns have resulted in the world's largest work from home experiment. It will be worthwhile to study how various technologies have been useful for workers, universities and businesses. For social scientists, it is an opportunity to study several rarely experienced occurrences. What happens when everyone works from home, universities go online, communities follow social distancing, and governments are free to collect whatever information they wish to collect or make new provisions and laws to enhance their own powers, thus J o u r n a l P r e -p r o o f Journal Pre-proof curtailing human rights and citizen privacy (Harari, 2020) . While the majority of these changes will return to previous normality in due course, governments may continue to employ some measures that restrict the freedom and powers of individuals. For example, the National Assembly of Hungary voted to confer sweeping powers to the government to rule by decree during the Covid-19 emergency. Thus, it would be interesting to understand what kind of impact such developments leave on the society. Further, it is also worthwhile to study how the technologies and innovations employed by the governments to control the Covid-19 transmission are used beyond the pandemic control and how citizens react to them. Smart cities: definitions, dimensions, performance, and initiatives How China's smart city tech focuses on its own citizens Transforming the communication between citizens and government through AI-guided chatbots Smart city policies: a spatial approach Understanding smart cities: innovation ecosystems, technological advancements, and societal challenges Updates on Wuhan 2019 novel coronavirus epidemic The future ain't what it used to be: forecasting the impact of ICT on the public sphere Coronavirus: hospitals must learn from past pandemics Three faces of technological determinism Scientific knowledge dynamics and relatedness in biotech cities Security and privacy challenges in smart cities Smart urbanism and smart citizenship: the neoliberal logic of 'citizen-focused' smart cities in Europe Crowdsourcing for the development of smart cities Success of IoT in smart cities of India: an empirical analysis Strategies shift as coronavirus pandemic looms smart" discourse, the liits of representation, and new regimes of spatial data Understanding smart cities as a glocal strategy: a comparision between Italy and China Artificial intelligence for the real world Business model analysis of public services operating in the smart city ecosystem: the case of SmartSantander Italy's coronavirus death toll passes 10,000. Many are asking why the fatality rate is so high Covid-19: preparedness, decentralisation, and the hunt for patient zero Examining citizens' perceived value of internet of things technologies in facilitating public sector services engagement Are small cities online? Content, ranking, and validation of US municipal websites The role of universities in smart city innovation: multi stakeholder integration and engagement perspectives BGI's coronavirus response?: building a lab in Wuhan Scientists are sprinting to outpace the novel coronavirus Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study Being smart: emerging technologies and innovation in the public sector Conceptualizing smartness in government: an integrative and multi-dimensional view Former President of the European and Italian society for Virology highlight that this is the best that can be done in a democracy Li Wenliang, The Lancet Against the smart city (the city is here for you to use: Book 1) Yuval Noah Harari: the world after coronavirus Understanding the complexity of electronic government: implications from the digital divide literature The hottest app in China teaches citizens about their leader -and, yes, that's a test COVID-19: what is next for public health? The Lancet Will the real smart city please stand up? City: Analysis of urban trends, Culture, theory, policy, action Smart city initiatives: a comparative study of American and Chinese cities The challenges and limits of big data algorithms in technocratic governance Cross-species transmission of the newly identified coronavirus 2019-nCoV Big data, grid management support disease control in Quzhou Smart city projects help China contain coronavirus, Global Times Type, tweet, tap, and pass: how smart city technology is creating a transactional citizen On the internet of things, smart cities and the WHO healthy cities Crowdsourcing, citizen sensing and sensor web technologies for public and environmental health surveillance and crisis management: trends, OGC standards and application examples IOT and AI for smart government: a research agenda Big brother is watching: Chinese city with 2.6m cameras is world's most heavily surveilled, The Guardian UK coronavirus app must respect privacy rights Coronavirus: NHS uses tech giants to plan crisis response Getting counted: markets, media, and reality Dynamic patterns of industry convergence: evidence from a large amount of unstructured data The real-time city? Big data and smart urbanism Pandemics are also an urban planning problem Coronavirus: 3D printers save hospital with valves Intelligent cities and globalization of innovation networks As coronavirus survillance escalates The evolution of the internet of things industry and market in China: an interplay of institutions, demands and supply Assembling infrastructures and business models for service design and innovation Influence of new-age technologies on marketing: a research agenda Intelligent cities: variable geometrics of spatial intelligence Entrepreneurial urbanism and technological panacea: why smart city planning needs to go beyond corporate visioning? Smart cities and entrepreneurship: an agenda for future research Why distance matters: the relatedness between technology development and its appropriation in smart cities Technological Forecasting & Social Change Smart cities and the citizen-driven internet of things: a qualitative inquirty into an emerging smart city Can China's COVID-19 strategy work elsewhere? European smat cities: the role of zero energy buildings The internet of everything: smart things and their impact on business model The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application Developing and validating a citizen-centric typology for smart city services Two groups use artificial intelligence to find compounds that could fight the novel coronavirus Early transmission dynamics in Wuhan, China, of Novel Coronavirus infected pneumonia China's manufacturing locus in 2025: with a comparison of "made-in-china 2025" and Smart cities with big data: reference models, challenges, and considerations Delivery technology is keeping Chinese cities afloat through coronavirus An institutionalized policy-making mechanism: China's return to techno-industrial policy China's innovation policies: evolution, institutional structure, and trajectory Smart cities for emergency management Developing a critical understanding of smart urbanism? Urban Studies Artificial intelligence powered internet of things and smart public service Breakingviews -Wuhan virus will shape China's smart city vision Transmissibility of 1918 pandemic influenza The first two decades of smart-city research: a bibliometric analysis Combining co-citation clustering and text-based analysis to reveal the main development paths of smart cities Strategic principles for smart city development: a multiple case study analysis of European best practices How to overcome the dichotomous nature of smart city research: proposed methodology and results of a pilot study Looming threat to COVID-19 infection in Africa: act collectively, and fast. The Lancet E-government and organizational transformation of government: black box revisited? Can China return to normalcy: while keeping the coronavirus in check? The Science Coronavirus cases have dropped sharply in South Korea European mobile operators share data for coronavirus fight Outpacing an outbreak: how tech helps cities handle public health threats Cellphone tracking could help stem the spread of coronavirus. Is privacy the price? Building a more intelligent Enterprise Social media for openness and accountability in the public sector: cases in the Greek Context, Government Information Quarterly Coronavirus outbreak the focus of artificial intelligence that is helping predict where it will strike next Mapping the challenges of artificial intelligence in the public sector: evidence from public healthcare A path dependence perspective on the adoption of internet of things: evidence from early adopters of smart and connected sensors in the United States Emerging understanding of 2019-nCoV. The Lancet COVID-19: too little, too late? The Lancet rethinking smart cities: ICT for new-type urbanization and public participation at the city and community level in China China is getting smarter -but at what cost? BBC Technology Coronavirus: tracking app aims for one millio n downloads China has made eating wild anmilas illegal aftet the Coronavirus outbreak Global surveillance for COVID-19 disease caused by human infection with novel coronavirus (COVID-19 An integrative public IoT framework for smart government At least 5 people in China have disappeard, gotten arrested, or been silenced after speaking out about the coronavirus-here's what we know about them Virus outbreak 'could reshape china's smart city vision Smart city with Chinese characteristics against the background of big data: idea, action and risk This Chinese doctor tried to save lives, but was silenced. Now he has coronavirus Does smart city policy lead to sustainability of cities? Land Use Policy Internet of Things for Smart Cities Meso-level factors in technological transitions: the development of TD-SCDMA in China Understanding the relationship between information architectures and business models: an empirical study on the success configurations of smart communities Is smart city resilient? Evidence from China. Sustainable cities and society Urban sharing in smart cities: the cases of Berlin and London I would like to thank the review team for their encouragement and guidance throughout the review process. The paper has significantly benefited from their comments. I also thank Hilary Silver, Werner Menski, Sadaat Yawar, Luca Mora, and Giorgia Piccirilli for their discussions on the drafts of this paper.J o u r n a l P r e -p r o o f Journal Pre-proof