A/HRC/43/29
and create new forms of segregation and neglect, with older persons abandoned in their
private homes or deprived of human interactions. Attention must be paid to ensure that
technologies designed to assist older persons do not stigmatize them as frail and needy,
which would have a disempowering effect on them and perpetuate dependency and
indignity. Electronic surveillance and monitoring technologies could result in unwanted
supervision that could even take place without an older person’s consent or conscious
knowledge (ibid., para. 52).
24. The use of big data and artificial intelligence in the health context poses significant
risks to patients’ right to privacy regarding sensitive health data and other personal
information. With the growth of consumer health technologies such as wearable technology
and smartphone applications, the creation, processing, exchange and sale of vast amounts of
health data have increased worldwide (A/71/368, para. 13). This trend accompanies the
increased risk of inadvertent disclosure of sensitive health-related patient data from healthcare institutions, but also of unwarranted sharing with third parties. A further concern is the
ability of artificial intelligence to infer and predict health conditions that individuals have
not voluntarily disclosed, which may result in the denial of health insurance. Policy
frameworks for the right to health need to protect the right to privacy and security in the use
of digital health technologies such as biometric identification. Suitable regulation is also
needed to ensure the quality and safety of software products, devices and applications that
not only are used in primary health care, but also may be directly marketed or otherwise
available to individuals.12
D.
Right to an adequate standard of living
25. Over half of the world’s population today lives in urban areas, a number expected to
rise to 68 per cent by 2050.13 Cities are often the centre of innovations and new
technologies, as they host universities, research institutions and major technology
industries. Increasingly, many cities are harnessing the power of new technologies to
address the challenges posed by urbanization, to design and manage the complex
interactions of energy, transport, water and waste, and to advance the goals of the New
Urban Agenda and of Sustainable Development Goal 11 on making cities inclusive, safe,
resilient and sustainable.
26. Effective and accountable use of information and communications technology and
digital technologies can help urban planners and residents to enhance equitable access to
urban services and opportunities. Conscious and targeted efforts and a broader participatory
process are necessary to ensure that new technologies support the better realization of
economic, social and cultural rights, such as the rights to housing, water and sanitation, for
the most disadvantaged people. Without such efforts, there is a risk that efforts related to
smart cities may not necessarily be focused on improving the quality of urban life for all
and providing better access to quality services, particularly for poor and the disadvantaged
people.
27. The wave of recent technological advances, such as the digitization of land and
property data, cloud computing and the emergence of digital platforms, are contributing to a
process of financialization of housing that is happening at a much faster pace and is deeper
in scope than previously. The social and cultural value of housing may also be undermined
by technologies enabling private actors to transform housing and real estate markets into
financial instruments and a commodity of choice for investment. Digital platforms
facilitating short-term rentals have contributed to driving up rent to a level that is no longer
affordable for many residents in some locations. 14 Some governmental authorities have
12
13
14
6
World Health Organization, “Digital technologies: shaping the future of primary health care”, 2018,
p. 6.
World Urbanization Prospects: The 2018 Revision (United Nations publication, Sales No.
E.20.II.A.1), p. xix.
Desiree Fields and Dallas Rogers, “Towards a critical housing studies research agenda on platform
real estate”, Housing, Theory and Society, 2019, p. 4.
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