Case Study: The U.S. Centers for Disease Control and Prevention s (CDC) Social Media Messaging and Hurricane Sandy

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Case Study: The U.S. Centers for Disease Control and Prevention s (CDC) Social Media Messaging and Hurricane Sandy Jay H. Dempsey, M.Ed Health Communication Specialist U.S. Centers for Disease Control and Prevention National Center for Environmental Health Agency for Toxic Substances and Disease Registry Fifth Annual National Disaster Epidemiology Workshop May 14-15, 2014 National Center for Environmental Health Agency for Toxic Substances and Disease Registry

Learning Objectives Describe how social media can be an important channel for government agencies to share emergency response information. Discuss how use of social media during an emergency response can relay critical, timely information while building your follower audience and establishing your profile or brand as a topic expert. Recognize that developing relevant content in advance is a key aspect of successfully responding to emergencies or natural disasters via social media.

NCEH/ATSDR Mission NCEH protects people s health from threats found in the air we breathe, the water we drink, and the world that surrounds us. ATSDR works to protect people from toxic chemical exposures.

CDC Digital Media Strategy Provide CDC content when, where, and how users want it.

Purpose Complement traditional health communication Elevate environmental health as a topic on social media Increase trust/ credibility of NCEH/ATSDR Leverage another mechanism for community engagement, especially in times of emergency

When disaster strikes CDC plays a role in preparing the nation for all types of public health threats, including natural disasters. When a disaster occurs, CDC responds to and supports national, state, and local partners to save lives. NCEH/ATSDR works w. state, local public health depts. to relay preparedness messaging, improve response to chemical emergencies, and more.

Social Media and Emergencies Growing number of web-enabled mobile devices. Currently 137 million; 192 million by 2016 (projected) In 2012, the number of mobile-connected tablets grew 2.5 times to 36 million, and each tablet generated 2.4 times more traffic than the average smartphone. There are more mobile devices on Earth than people. Sources: 1) Statistica.com, emarketer; Mobile Devices will Outnumber People by End of the Year, Mashable 2) Most Popular iphone Apps of All Time, CNN Money, Fortune 3) Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Social Media and Emergencies Facebook, Twitter among top app downloads. Facebook named most downloaded app of all time Social media use rises during disasters as people seek immediate and in-depth information Sources: 1) Statistica.com, emarketer; Mobile Devices will Outnumber People by End of the Year, Mashable 2) Most Popular iphone Apps of All Time, CNN Money, Fortune 3) Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Tuscaloosa, AL and Joplin, MO Tornadoes Social media were the public s first source of disaster information. Twitter played a key role generating the first photos of the Tuscaloosa tornado devastation. The public used social media to help find loved ones and offer support. Facebook page named "Joplin, Mo. Tornado Recovery" gained 123,000 members in the days after the tornado and was used to mobilize support for survivors and help locate family members. Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Hurricane Sandy, 2012 Deadliest and most destructive storm of the 2012 Atlantic hurricane season $65 billion in damage Affected 24 states, with severe damage in New Jersey and New York Blake, Eric S; Kimberlain, Todd B; Berg, Robert J; Cangialosi, John P; Beven II, John L; National Hurricane Center (February 12, 2013) (PDF). Hurricane Sandy: October 22 29, 2012 (Tropical Cyclone Report). United States National Oceanic and Atmospheric Administration's National Weather Service.

Hurricane Sandy, 2012 Facebook and Twitter were key venues for information sharing. Sandy became the number two most talked about topic on Facebook during 2012. 1.1 million people mentioning the word hurricane on Twitter within a 21-hour time period Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Hurricane Sandy, 2012 Instagram played a major role in information sharing Ten storm-related pictures per second posted on the site. The public turned to Internet-based telephone services to connect with friends and loved ones after the disaster. Skype received a 122% spike in traffic after the storm. Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Hurricane Sandy, 2012 Social media also venue for misinformation. Viral photo of clouds over New York City were altered. Fraustino, Julia Daisy, Brooke Liu and Yan Jin. Social Media Use during Disasters: A Review of the Knowledge Base and Gaps, Final Report to Human Factors/Behavioral Sciences Division, Science and Technology Directorate, U.S. Department of Homeland Security. College Park, MD: START, 2012.

Process NCEH role in emergency communication Pre-development of content Example: Q: What do I need to do to be ready for a hurricane/ ice storm/ flood/ tornado/ landslides/earthquake/ wildfires/ extreme heat/ extreme cold/ zombie apocalypse? To be ready for an #emergency, #CDC recommends 3 things: 1) Get a kit 2) Make a plan and 3) Be prepared. #CDCchat First, you should have an #emergency kit in your house. #CDCchat Your #emergency kit should have water, non-perishable food, and more. Full details here: http://go.usa.gov/0a3 #CDCchat (Links to full page on creating an emergency kit: http://emergency.cdc.gov/preparedness/kit/disasters/ ) Other items for #emergency kit include medicines, battery-powered radio. Full details here: http://go.usa.gov/0a3 #CDCchat Next, make a plan. For example, pick a meeting place for your family to regroup if you are separated. #CDCchat Identify emergency contacts like police and fire departments. #CDCchat Plan your evacuation route, including multiple routes you would take. Helpful if you have to take shelter fast. #CDCchat Stay informed! Your battery-powered radio may be your only source of information. #CDCchat

Process Coordinated messaging across CDC teams Phase 1: Immediately preceding landfall to 24 hours post-storm: Evacuation guidance Flood safety Power outage risks Phase 2: 2-3 days post-storm/ returning home: Power outage risks Food and water safety Worker safety Phase 3: 3-7 days post-storm/ environmental hazards: Vector control Injury prevention Sanitation Phase 4: 2-4 weeks post-storm/ short term recovery: Coping with trauma Mold remediation Protection from chemicals

Facebook posts Process When returning home after a disaster, be healthy and safe. Prevent CO poisoning by keeping generators outdoors, at least 20 feet away. Eat and drink only food and water you know is safe. Clean your home properly to stop mold. Learn more here: http://go.usa.gov/0cp Spanish content Si #Issac trae inundaciones a su área, debe estar preparado. Más información: http://go.usa.gov/rumd

Process SMS You can text SANDY to 87000 for alerts on Hurricane #Sandy. Stay informed! 242 subscribers 29 messages sent between Oct. 31, 2012 and Nov. 12, 2012 Total number of messages sent, received : 5,665. Twitter chat w. @DrRichardBesser (ABC News) Reached potential audience of 8,831,000 +

Outcomes Retweets of content from CDC channels, partners increased reach of messaging

Outcomes Total of 5,571 CDC related tweets, retweets during Sandy from Oct.24-Nov.20 from the following five CDC Twitter handles: Dr. Chris Portier, NCEH (@CDC_DrCPortier) Dr. Tom Frieden, CDC Director (@DrFriedenCDC) OPHPR/DEO/ERCB (@CDCemergency) OPHPR/OD (@CDCReady) Dr. Georgina Peacock, NCBDDD (@DrPeacockCDC) Source: Radian 6 analysis

Outcomes Potential reach of 130,823,818 Adjusted reach was 8,390,077 estimate when manually adjust for followers that likely received multiple tweets and remove those duplicates Adjusted reach without the 5 major CDC sources was 6,986,989 Source: Radian 6 analysis

Overall Trend :Tweets from Oct. 24 Nov.20, 2012 Source: Radian 6 analysis

Outcomes Increase in Web Traffic messages containing links to information on: injury prevention following a storm resulting = 877 web site visits staying safe and warm indoors when the power is out= 1, 932 visits safe clean-up of mold following a flood numbering=14, 881 visits www.cdc.gov/features/afteraflood/

Engagement

Lessons Learned/ Challenges Strategize/ plan content in advance (research #hashtags!) By establishing a reputation as a trusted source of information prior to emergency, officials will be viewed as preferred sources of information during an emergency Share content and cross-promote when practical Engage! Challenge/ future questions: Assessing how many people practically used the information Vanderford, M L, Nastoff, T, Telfer, J, and Bonzo, S. Emergency communication challenges in response to hurricane katrina: Lessons from the Centers for Disease Control and Prevention. Journal of Applied Communication Research. Vol. 35, No. 1, February 2007.

Twitter Alerts New in late 2013 Users can opt in to receive alerts during emergencies

Thank you! Jay H. Dempsey Health Communication Specialist Centers for Disease Control and Prevention National Center for Environmental Health/ Agency for Toxic Substances and Disease Registry 770.488.0700 jdempsey@cdc.gov National Center for Environmental Health Agency for Toxic Substances and Disease Registry