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Revealing the spatial distribution of a disease while preserving privacy.


ABSTRACT: Datasets describing the health status of individuals are important for medical research but must be used cautiously to protect patient privacy. For patient data containing geographical identifiers, the conventional solution is to aggregate the data by large areas. This method often preserves privacy but suffers from substantial information loss, which degrades the quality of subsequent disease mapping or cluster detection studies. Other heuristic methods for de-identifying spatial patient information do not quantify the risk to individual privacy. We develop an optimal method based on linear programming to add noise to individual locations that preserves the distribution of a disease. The method ensures a small, quantitative risk of individual re-identification. Because the amount of noise added is minimal for the desired degree of privacy protection, the de-identified set is ideal for spatial epidemiological studies. We apply the method to patients in New York County, New York, showing that privacy is guaranteed while moving patients 25-150 times less than aggregation by zip code.

SUBMITTER: Wieland SC 

PROVIDER: S-EPMC2584758 | biostudies-literature | 2008 Nov

REPOSITORIES: biostudies-literature

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Revealing the spatial distribution of a disease while preserving privacy.

Wieland Shannon C SC   Cassa Christopher A CA   Mandl Kenneth D KD   Berger Bonnie B  

Proceedings of the National Academy of Sciences of the United States of America 20081117 46


Datasets describing the health status of individuals are important for medical research but must be used cautiously to protect patient privacy. For patient data containing geographical identifiers, the conventional solution is to aggregate the data by large areas. This method often preserves privacy but suffers from substantial information loss, which degrades the quality of subsequent disease mapping or cluster detection studies. Other heuristic methods for de-identifying spatial patient inform  ...[more]

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