Tracking Twitter for public health has shown great potential. However, most recent work has been focused on correlating Twitter messages to influenza rates, a disease that exhibits a marked seasonal pattern. In the presence of sudden outbreaks, how can social media streams be used to strengthen surveillance capacity? In May 2011, Germany reported an outbreak of Enterohemorrhagic Escherichia coli (EHEC). It was one of the largest described outbreaks of EHEC HUS worldwide and the largest in Germany. In this work, we study the crowd's behavior in Twitter during the outbreak. In particular, we report how tracking Twitter helped to detect key user messages that triggered signal detection alarms before MedISys and other well established early warning systems. We also introduce a personalized learning to rank approach that exploits the relationships discovered by: (i) latent semantic topics computed using Latent Dirichlet Allocation (LDA), and (ii) observing the social tagging behavior in Twitter, to rank tweets for epidemic intelligence. Our results provide the grounds for new public health research based on social media.
Monitoring analysis has also been carried out on Twitter. The work of focused on the use of the terms H1N1" and swine flu" during the H1N1 2009 outbreak @cite_6 . They showed that the concise and timely nature of tweets can provide health officials with the a means to become aware, and respond to concerns raised by the public.
@cite_6
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Background Surveys are popular methods to measure public perceptions in emergencies but can be costly and time consuming. We suggest and evaluate a complementary “infoveillance” approach using Twitter during the 2009 H1N1 pandemic. Our study aimed to: 1) monitor the use of the terms “H1N1” versus “swine flu” over time; 2) conduct a content analysis of “tweets”; and 3) validate Twitter as a real-time content, sentiment, and public attention trend-tracking tool. Methodology Principal Findings Between May 1 and December 31, 2009, we archived over 2 million Twitter posts containing keywords “swine flu,” “swineflu,” and or “H1N1.” using Infovigil, an infoveillance system. Tweets using “H1N1” increased from 8.8 to 40.5 (R2 = .788; p<.001), indicating a gradual adoption of World Health Organization-recommended terminology. 5,395 tweets were randomly selected from 9 days, 4 weeks apart and coded using a tri-axial coding scheme. To track tweet content and to test the feasibility of automated coding, we created database queries for keywords and correlated these results with manual coding. Content analysis indicated resource-related posts were most commonly shared (52.6 ). 4.5 of cases were identified as misinformation. News websites were the most popular sources (23.2 ), while government and health agencies were linked only 1.5 of the time. 7 10 automated queries correlated with manual coding. Several Twitter activity peaks coincided with major news stories. Our results correlated well with H1N1 incidence data. Conclusions This study illustrates the potential of using social media to conduct “infodemiology” studies for public health. 2009 H1N1-related tweets were primarily used to disseminate information from credible sources, but were also a source of opinions and experiences. Tweets can be used for real-time content analysis and knowledge translation research, allowing health authorities to respond to public concerns. A microblogging service like Twitter continues to surge in importance as a means of sharing information in social networks. In the medical domain, several works have shown the potential of detecting public health events (i.e., infectious disease outbreaks) using Twitter messages or tweets. Given its real-time nature, Twitter can enhance early outbreak warning for public health authorities in order that a rapid response can take place. Most of previous works on detecting outbreaks in Twitter simply analyze tweets matched disease names and or locations of interests. However, the effectiveness of such method is limited for two main reasons. First, disease names are highly ambiguous, i.e., referring slangs or non health-related contexts. Second, the characteristics of infectious diseases are highly dynamic in time and place, namely, strongly time-dependent and vary greatly among different regions. In this paper, we propose to analyze the temporal diversity of tweets during the known periods of real-world outbreaks in order to gain insight into a temporary focus on specific events. More precisely, our objective is to understand whether the temporal diversity of tweets can be used as indicators of outbreak events, and to which extent. We employ an efficient algorithm based on sampling to compute the diversity statistics of tweets at particular time. To this end, we conduct experiments by correlating temporal diversity with the estimated event magnitude of 14 real-world outbreak events manually created as ground truth. Our analysis shows that correlation results are diverse among different outbreaks, which can reflect the characteristics (severity and duration) of outbreaks. Tracking the spread of an epidemic disease like seasonal or pandemic influenza is an important task that can reduce its impact and help authorities plan their response. In particular, early detection and geolocation of an outbreak are important aspects of this monitoring activity. Various methods are routinely employed for this monitoring, such as counting the consultation rates of general practitioners. We report on a monitoring tool to measure the prevalence of disease in a population by analysing the contents of social networking tools, such as Twitter. Our method is based on the analysis of hundreds of thousands of tweets per day, searching for symptom-related statements, and turning statistical information into a flu-score. We have tested it in the United Kingdom for 24 weeks during the H1N1 flu pandemic. We compare our flu-score with data from the Health Protection Agency, obtaining on average a statistically significant linear correlation which is greater than 95 . This method uses completely independent data to that commonly used for these purposes, and can be used at close time intervals, hence providing inexpensive and timely information about the state of an epidemic. Social media have been proposed as a data source for influenza surveillance because they have the potential to offer real-time access to millions of short, geographically localized messages containing information regarding personal well-being. However, accuracy of social media surveillance systems declines with media attention because media attention increases “chatter” – messages that are about influenza but that do not pertain to an actual infection – masking signs of true influenza prevalence. This paper summarizes our recently developed influenza infection detection algorithm that automatically distinguishes relevant tweets from other chatter, and we describe our current influenza surveillance system which was actively deployed during the full 2012-2013 influenza season. Our objective was to analyze the performance of this system during the most recent 2012–2013 influenza season and to analyze the performance at multiple levels of geographic granularity, unlike past studies that focused on national or regional surveillance. Our system’s influenza prevalence estimates were strongly correlated with surveillance data from the Centers for Disease Control and Prevention for the United States (r = 0.93, p < 0.001) as well as surveillance data from the Department of Health and Mental Hygiene of New York City (r = 0.88, p < 0.001). Our system detected the weekly change in direction (increasing or decreasing) of influenza prevalence with 85 accuracy, a nearly twofold increase over a simpler model, demonstrating the utility of explicitly distinguishing infection tweets from other chatter.