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
2022783018
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.