Cough AI

Is that cough serious?

Discover potential signs of respiratory conditions with Helfie.

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What is Cough AI?

Helfie’s Cough AI uses Health Intelligence to analyse your cough for potential signs of respiratory conditions, including tuberculosis, COVID-19, COPD, asthma, and bronchitis. Simply cough into your phone and see your results in seconds.

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Cough AI: accuracy by respiratory condition.

  • Tuberculosis

  • COVID-19

  • COPD

  • Asthma

How it works Cough AI

Your smartphone’s microphone captures the unique acoustic characteristics of your cough, which Helfie analyses for potential signs of respiratory conditions.

Helfie’s technology analyses these sounds, known as your cough signature, to identify patterns associated with respiratory conditions such as tuberculosis, COVID-19, COPD, and asthma. Your Health Intelligence (HI) then uses this analysis to assess potential respiratory health risks, providing personalised insights to help guide your next steps.

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Cough AI - The facts.

Helfie Tuberculosis AI health check interface

What is tuberculosis?


Tuberculosis (TB) is a bacterial infection that primarily affects the lungs but can spread to other parts of the body. It spreads through the air when someone with infectious TB coughs, speaks, or sings.

Common symptoms include a persistent cough, fever, night sweats, unexplained weight loss, and fatigue. Read More…

Why check for tuberculosis?

Early detection is vital. TB is treatable and curable, but without treatment, it can cause serious illness and even death. Identifying potential signs early can help people seek timely medical care and reduce the risk of transmission.

According to the World Health Organisation, tuberculosis remains one of the world's top 10 causes of death and is the leading cause of death from a single infectious agent.

The science

In a peer-reviewed clinical study involving 567 participants, the underlying Swaasa cough-analysis technology achieved 86.82% accuracy and 90.36% sensitivity in screening for pulmonary tuberculosis (TB), compared with standard diagnostic methods. Read the study in Scientific Reports (2023).

Helfie Covid AI health check interface

What is COVID-19?


COVID-19 is a highly infectious respiratory disease caused by the SARS-CoV-2 virus. It spreads mainly through airborne particles released when an infected person breathes, speaks, coughs, or sneezes.

Common symptoms include fever, cough, fatigue, sore throat, congestion, and shortness of breath. Symptoms range from mild to severe, with older adults and people with underlying health conditions at greater risk of serious illness. Read More…

Why check for COVID-19?

Early detection of COVID-19 can help you seek timely medical care and take precautions to reduce the risk of spreading the virus to others.

While most people experience mild to moderate symptoms, COVID-19 can cause severe respiratory illness, hospitalisation, and even death, particularly among older adults, immunocompromised people, and those with underlying health conditions. COVID-19 can also lead to long COVID, where symptoms such as fatigue, breathlessness, and cognitive difficulties persist for months or longer, even after a mild initial infection. Important note: Helfie’s Cough AI checks for potential signs of COVID-19. It cannot confirm an infection or replace an approved diagnostic test.

The science

In a peer-reviewed study involving 234 participants, the underlying Swaasa cough-analysis technology achieved 75.54% accuracy and 95.45% sensitivity in screening for COVID-19, compared with laboratory-confirmed results. Read the study in Scientific Reports (2023).

Helfie COPD AI health check interface

What is COPD?

Chronic obstructive pulmonary disease (COPD) is a group of long-term lung diseases that restrict airflow, making breathing difficult. It includes emphysema and chronic bronchitis.

Common symptoms include a persistent cough, often with mucus, shortness of breath, wheezing, and fatigue. Smoking is the leading cause, although long-term exposure to air pollution, dust, and chemical fumes can also contribute. Read More…

Why check for COPD?

Early detection is important because COPD develops gradually, and symptoms can go unnoticed or be mistaken for normal signs of ageing.

Although COPD cannot be cured, early diagnosis and appropriate treatment can help manage symptoms, reduce flare-ups, and improve quality of life.

According to the World Health Organisation, COPD is the third leading cause of death worldwide, responsible for approximately 3.4 million deaths in 2023.

The science

In a 2025 clinical study involving 3,006 participants, the underlying Swaasa cough-analysis technology demonstrated 86.3% accuracy in identifying COPD, compared with clinical assessments and spirometry. Read the research on medRxiv (2025).

Got a question? Just ask.

Your personal Health Intelligence (HI) is always there, ready to provide clarity and deeper insights.

Whether you're concerned about a persistent cough or want to learn more about your asthma, just type or talk to your Health Intelligence to explore your respiratory health in more detail.

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Helfie Cough AI conversational chat interface on a smartphone

More to know about Cough AI.

How accurate is Cough AI?

Helfie’s Cough AI uses clinically studied cough-analysis technology to screen for potential signs of respiratory conditions, including tuberculosis, COVID-19, COPD, and asthma.

  • Accuracy
    • Tuberculosis
    • 86.82% accuracy
    • 90.36% sensitivity
    • COVID-19
    • 75.54% accuracy
    • 95.45% sensitivity
    • COPD
    • 86.3% accuracy
    • 61.1% sensitivity
    • Asthma
    • 83.0% accuracy
    • 68.2% sensitivity
      Accuracy measures overall correct classifications.
      Sensitivity measures the proportion of people with the condition correctly identified.
  • Algorithm
    • Mel-frequency cepstral coefficients (MFCC) for acoustic feature extraction.
    • Convolutional neural networks (CNNs) and feedforward neural networks for tuberculosis and COVID-19.
    • Audio Spectrogram Transformer (AST) for COPD and asthma.
  • Capture mechanism
    • Non-invasive cough recording via smartphone microphone.
  • Training data
    • Thousands of cough recordings collected and analysed across clinical research studies.
  • Research and clinical validation
    • Powered by Swaasa (Salcit Technologies), Google Health Acoustic Representations (HeAR), EPFL Switzerland, and Helfie R&D Labs.
    • Supported by peer-reviewed research and additional clinical studies involving thousands of participants.
    • Clinical research institutions include Apollo Hospitals, Government TB and Chest Hospital, and Christian Medical College (CMC) Vellore.

How does Helfie track changes in your respiratory health over time?

Your Health Intelligence (HI) connects information from your cough checks, conversations, and uploads to build a clearer picture of your respiratory health over time.

By tracking results and identifying patterns, it can help you notice potential changes in your respiratory health and understand how factors such as lifestyle, environment, and existing conditions may be affecting it.

How does Health Intelligence work?

Helfie’s Health Intelligence (HI) brings together information from your health checks, conversations, uploads, and history, then connects it with a vast body of medical knowledge to build an increasingly informed picture of your health.

Rather than relying on a single AI model or looking at each result in isolation, HI uses multiple layers of intelligence and machine learning to interpret health signals, connect related information across different areas of your health, and understand those results in the context of you.

It also maintains an active memory of your health journey, so previous results, patterns, and interactions can inform what comes next.

The result is intelligence that is personal, contextual, and designed to help you better understand and manage your health over time.

How do my health checks and conversations work together?

A health check gives your Health Intelligence new information about you. You can then talk to your HI about those results, ask what they mean, explore possible reasons for changes, and understand them in the context of previous checks and health history.

The conversation also becomes part of that context. So when you check again later, your HI can consider both your new results and what it’s learned from earlier checks and conversations.

This is how it builds a more detailed, connected picture of your health over time.

Can I share my check results with my GP?

Helfie makes it easy to share your Cough AI results and respiratory health trends with your doctor or healthcare provider, giving them additional information to support their assessment.

Sharing results from multiple checks, alongside your symptoms and health history, can help your healthcare provider understand changes over time and make better-informed decisions.

How does Helfie personalise my results?

To improve accuracy, Helfie’s Cough AI needs a few key details to refine your assessment.

Currently, Helfie uses the following inputs for this check: Age, Location and Symptoms.

The science behind Cough AI.

Helfie’s checks are backed by the latest research and science.

More about The Science

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