Public Health and Critical Event Surveillance Through Wearable Devices: Can It Be Done?

How my kid’s RSV infection and then wake turbulence on a plane gave me an idea… And I’m betting I’m not the only one who thought of it.

René F. Najera, MPH, DrPH
6 min readAug 17, 2024

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Close-up of a person wearing a smartwatch and adjusting the settings on its screen. The smartwatch displays the time as 5:42 and shows additional information, including steps taken and weather details.
Photo by Luke Chesser on Unsplash

When my child was born, we decided to buy a sock with an embedded heart rate monitor and oxygen sensor. We were those paranoid parents who work in healthcare and public health, and have heard too many horror stories about things like Sudden Infant Death Syndrome or accidental suffocation. The little sock-like device fit around her tiny foot and sent a continuous stream of data to a base unit. In turn, the base unit would feed the data to algorithms that would alert us if the kid’s heart rate or oxygen levels dropped.

This is how the accompanying app for the sock showed her information to us when she was healthy:

A screenshot of a health monitoring app showing three metrics: Total Sleep, Average Oxygen, and Average Heart Rate. The Total Sleep section shows 12 hours of sleep with periods of awake and asleep marked in a bar graph. The Average Oxygen level is shown as 100% with a stable graph. The Average Heart Rate is displayed as 109 BPM, with a slightly fluctuating line graph.

As you can see, she slept through most of the night, with a little movement close to waking up, and then lots of movement once she woke up. Her average oxygen level was 100%, and her average heart rate while sleeping was 109 beats per minute.

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René F. Najera, MPH, DrPH

DrPH in Epidemiology. Public Health Instructor. Father. Husband. "All around great guy." https://linktr.ee/rene.najera