Twitter Said What? Using Social/News Media to Inform Public Health Situational Awareness during Disasters and Special Events

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1 United States Department of Health & Human Services Office of the Assistant Secretary for Preparedness and Response Twitter Said What? Using Social/News Media to Inform Public Health Situational Awareness during Disasters and Special Events 2012 ASTHO DPHP Meeting

2 Agenda Who are we and what do we do? Why use non-traditional data? Using social and news media tools for disasters & special events Roundtable Discussion Now Trending Challenge Winner ASPR Roundtable Ideation Forum ASPR: Resilient People. Healthy Communities. A Nation Prepared. 2

3 HHS/ASPR s Fusion Cell HISTORY Past Events & Responses RESOURCES Availability & Expected Needs SURVEILLANCE FUSION MODELING & SIMULATION CURRENT EVENTS & INTEL WEATHER ONGOING RESPONSE TRENDS & OUTCOMES ASPR: Resilient People. Healthy Communities. A Nation Prepared. 3

4 Novel Information Sources Traditional Sources have gaps Timeliness Lack of complete picture Access to information Population coverage Research looks promising Twitter and Influenza -You Are What You Tweet: Analyzing Twitter for Public Health Open Source Media and Health Surveillance - Use of Unstructured Event-Based Reports for Global Infectious Disease Surveillance Having real-time information available in the public domain through social media like Twitter could be revolutionary for health officials watching out for the first clues to new, emerging infectious diseases in our communities and for modernizing our public health system, Dr. Nicole Lurie, Assistant Secretary for Preparedness and Response. ASPR: Resilient People. Healthy Communities. A Nation Prepared. 4

5 Advantages of News Media Insight about novel or emerging issues Unofficial news reporting about a disease are available prior to official reports by an average of 12 days Knowing what the public is interested in for targeted public messaging and rumor control Knowing Earlier = Responding Faster? ASPR: Resilient People. Healthy Communities. A Nation Prepared. 5

6 News and Social Media Tools HealthMap Topsy Twitter ASPR: Resilient People. Healthy Communities. A Nation Prepared. 6

7 HealthMap Website healthmap.org and mobile app Outbreaks Near Me report real-time surveillance on numerous emerging infectious diseases and other health indicators Utilize informal online information sources: online news aggregators, eyewitness reports, news reports, expert reports (and Twitter reports coming soon) Automated process that updates 24/7/365 ASPR: Resilient People. Healthy Communities. A Nation Prepared. 7

8 HealthMap ASPR: Resilient People. Healthy Communities. A Nation Prepared.

9 HealthMap Feed Hurricane Isaac Hurricane Isaac August 28, 2012 ASPR: Resilient People. Healthy Communities. A Nation Prepared. 9

10 Topsy Free website to search events, topics, and trends Tweets, articles, pictures, videos Early July East Coast Power Outage: Heat-related illness Power outages ASPR: Resilient People. Healthy Communities. A Nation Prepared. 10

11 ASPR: Resilient People. Healthy Communities. A Nation Prepared. Twitter

12 What do we look for? Is the information from a reliable source? Was the report made by a trusted news source? may be reporting honest information, information from an individual should be verified if possible Is the information corroborated by several sources? Retweet corroboration Does the information fit into the larger picture for the event? Is the information just more noise or does it improve your situational awareness? ASPR: Resilient People. Healthy Communities. A Nation Prepared. 12

13 Inventory of Hashtags and Search Strings Search and keep track of the currently used hashtags Keep informed of events, trends, topics Tracking a hurricane: #isaac, #hurricane, #hurricaneisaac, #laisaac Search strings: hurricane + hospital, Isaac + nursing home Is there a way to make hashtags more useful during a public health emergency response? ASPR: Resilient People. Healthy Communities. A Nation Prepared. 13

14 Monitoring Multiple Events at Once: Isaac, RNC & DNC Put the search strings into a social media display (Hootesuite, Tweetdeck, etc.) ASPR: Resilient People. Healthy Communities. A Nation Prepared. 14

15 Citizens are Tweeting Hurricane Isaac RNC & #Flooding on Main Street between Elm and Oak Street Just left another peaceful protest #RNC There goes the #power! Good thing we have a #generator! Medic assisting woman due to heat exhaustion at #carolinafest. #dnc12 ASPR: Resilient People. Healthy Communities. A Nation Prepared.

16 Percy Quin Dam &Tangipahoa River 11:00 am BREAKING: Miss. Emergency Mgmt. notified GOHSEP/Tangi. Parish gov't of imminent failure of dam at lake Tangi. at Percy Quinn State Park. 11:15 am BREAKING: Urgent! Parish President says those living along the Tangipahoa River have about 90 minutes to get out... Google Earth image 11:31 am Dam failing leads to mandatory evacuation along Tangipahoa River. ASPR: Resilient People. Healthy Communities. A Nation Prepared. 16

17 Aftermath of the Storm Saw this crypt that was washed from its grave just as we got on levee to enter south Plaquemines Parish #Isaac Tombs and caskets floating in Braithwaite, LA #lawx #Isaac #Isaac floods Springfield Cemetery #Isaacon9 ASPR: Resilient People. Healthy Communities. A Nation Prepared. WAFB News article: "Oh, it's an awful feeling seeing the graves float up. It's terrible reported one citizen.

18 Public Health Messaging West Nile Virus fema needs to be providing victims with mosquito spray those of us without power or homes are being exposed to west nile River Ridge residents left homeless by Hurricane Issac being eaten alive exposed NOT HELPING US!! Carbon Dioxide "Carbon monoxide treatment cases now up to almost 20. Y'all, please go to ready.nola.gov and check how to use generators properly." ASPR: Resilient People. Healthy Communities. A Nation Prepared. 18

19 Limitations to Using Twitter Twitter data is not uniform geographically Published in a 2011 study by Cheng, Caverlee, Lee, and Sui. The demographics of Twitter users are not well known and do not represent the general population Creating baseline of Twitter data for disease surveillance is an enormous undertaking ASPR: Resilient People. Healthy Communities. A Nation Prepared.

20 Roundtable Discussion How is your state/territory department of health using social media and news media? Where do you get your real-time data? (What sources, apps, or tools?) What key information do you need to know to do your job well everyday? Could you use social/news media to capture those key pieces of information? What information that you receive would signal that there may be a big issue on the horizon? Could social/news media help you receive that crucial information faster? What type of data do you wish you could better access and communicate about? How do you validate a social media finding? What might be some benefits and challenges to using social and news media data? ASPR: Resilient People. Healthy Communities. A Nation Prepared. 20

21 2012 ASPR Public Health Challenge Now Trending: #Health in My Community Create an App that analyzes open source Twitter data for public health topics and delivers Top 5 Trending Illnesses outputs for both a specified geographic area and the national level. This output data will be provided for a Department of Health to use as they see fit. Following Disease Trends, 140 Characters at a Time ASPR: Resilient People. Healthy Communities. A Nation Prepared.

22 And the winner is Dr. Nicole Lurie, Assistant Secretary for Preparedness and Response selected MappyHealth. Multiple ways to view both domestic and international data MappyHealth & other apps will be available for YOU to use in YOUR state s/territory s daily health surveillance. We need your help! Use the tool in your normal operations Provide periodic feedback Sign-up today or Fusion@hhs.gov for more info ASPR: Resilient People. Healthy Communities. A Nation Prepared. 22

23 Do You Have the Next Bright Idea? Stay Tuned for. ASPR Fusion Roundtable Join virtual discussions about: Utility of Social Media & Public Health Novel Data Sources Data Sharing Innovative Tools & Technologies Share individual insight and learn from your state/territory colleagues. ASPR: Resilient People. Healthy Communities. A Nation Prepared.

24 Contact Fusion Website: ges/default.aspx Twitter ASPR: Resilient People. Healthy Communities. A Nation Prepared. 24

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