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Reliable vaccine tracking and monitoring during transport and storage are essential to ensure dose effectiveness while minimizing waste. However, current solutions face challenges related to reliability, immutability, security, transparency, flexibility, extensibility, patient support, trust, and cost. Centralized systems are vulnerable to fraud, tampering, and manipulation, often relying on manual service contracts and lack of attested IoT devices to ensure data authenticity. Moreover, most existing platforms do not provide tamper-proof, near real-time monitoring, resulting in operational vulnerabilities and increased costs. This article presents Coldnet, a novel architecture for vaccine tracking and tracing that addresses these issues by: (i) integrating IoT device attestation with the registration of immutable data and flexible monitoring attributes; (ii) using Blockchain-based smart contracts to automatically manage tracking and monitoring clauses, improving security and enabling dynamic rule management; (iii) offering intuitive interfaces to support patient access to delivery information; and (iv) deploying an affordable, user-friendly IoT prototype to monitor and report vaccine status. A case study demonstrates Coldnet's feasibility, with an average delay of 20 seconds for recording and checking conditions — suitable for real operations. A simulation evaluating scalability and the impact of IoT attestation shows transaction costs of US1. 51 for ten vaccine batches with five monitored properties each, a cost deemed acceptable for the added features. Execution delays remained stable (0. 85–0. 92 seconds), with negligible impact from attestation. Coldnet contributes to reliable vaccine logistics, improving public health efforts by strengthening trust, transparency, and data integrity in vaccination campaigns.
Boas et al. (Mon,) studied this question.