Several projects have shown the feasibility to use textual social media data to track public health concerns, such as temporal influenza patterns or geographical obesity patterns. In this paper, we look at whether geo-tagged images from Instagram also provide a viable data source. Especially for "lifestyle" diseases, such as obesity, drinking or smoking, images of social gatherings could provide information that is not necessarily shared in, say, tweets. In this study, we explore whether (i) tags provided by the users and (ii) annotations obtained via automatic image tagging are indeed valuable for studying public health. We find that both user-provided and machine-generated tags provide information that can be used to infer a county's health statistics. Whereas for most statistics user-provided tags are better features, for predicting excessive drinking machine-generated tags such as "liquid" and "glass" yield better models. This hints at the potential of using machine-generated tags to study substance abuse.
The exponentially increasing stream of real time big data produced by Web 2.0 Internet and mobile networks created radically new interdisciplinary challenges for public health and computer science. Traditional public health disease surveillance systems have to utilize the potential created by new situation-aware realtime signals from social media, mobile sensor networks and citizens? participatory surveillance systems providing invaluable free realtime event-based signals for epidemic intelligence. However, rather than improving existing isolated systems, an integrated solution bringing together existing epidemic intelligence systems scanning news media (e.g., GPHIN, MedISys) with real-time social media intelligence (e.g., Twitter, participatory systems) is required to substantially improve and automate early warning, outbreak detection and preparedness operations. However, automatic monitoring and novel verification methods for these multichannel event-based real time signals has to be integrated with traditional case-based surveillance systems from microbiological laboratories and clinical reporting. Finally, the system needs effectively support coordination of epidemiological teams, risk communication with citizens and implementation of prevention measures. However, from computational perspective, signal detection, analysis and verification of very high noise realtime big data provide a number of interdisciplinary challenges for computer science. Novel approaches integrating current systems into a digital public health dashboard can enhance signal verification methods and automate the processes assisting public health experts in providing better informed and more timely response. In this paper, we describe the roadmap to such a system, components of an integrated public health surveillance services and computing challenges to be resolved to create an integrated real world solution. Recent work in machine learning and natural language processing has studied the health content of tweets and demonstrated the potential for extracting useful public health information from their aggregation. This article examines the types of health topics discussed on Twitter, and how tweets can both augment existing public health capabilities and enable new ones. The author also discusses key challenges that researchers must address to deliver high-quality tools to the public health community.  We present a review of pharmacovigilance techniques from social media (SM) data.Our review discusses twenty-two studies, comparing them across various axes.We present a possible pathway for automated pharmacovigilance research from SM. ObjectiveAutomatic monitoring of Adverse Drug Reactions (ADRs), defined as adverse patient outcomes caused by medications, is a challenging research problem that is currently receiving significant attention from the medical informatics community. In recent years, user-posted data on social media, primarily due to its sheer volume, has become a useful resource for ADR monitoring. Research using social media data has progressed using various data sources and techniques, making it difficult to compare distinct systems and their performances. In this paper, we perform a methodical review to characterize the different approaches to ADR detection extraction from social media, and their applicability to pharmacovigilance. In addition, we present a potential systematic pathway to ADR monitoring from social media. MethodsWe identified studies describing approaches for ADR detection from social media from the Medline, Embase, Scopus and Web of Science databases, and the Google Scholar search engine. Studies that met our inclusion criteria were those that attempted to extract ADR information posted by users on any publicly available social media platform. We categorized the studies according to different characteristics such as primary ADR detection approach, size of corpus, data source(s), availability, and evaluation criteria. ResultsTwenty-two studies met our inclusion criteria, with fifteen (68 ) published within the last two years. However, publicly available annotated data is still scarce, and we found only six studies that made the annotations used publicly available, making system performance comparisons difficult. In terms of algorithms, supervised classification techniques to detect posts containing ADR mentions, and lexicon-based approaches for extraction of ADR mentions from texts have been the most popular. ConclusionOur review suggests that interest in the utilization of the vast amounts of available social media data for ADR monitoring is increasing. In terms of sources, both health-related and general social media data have been used for ADR detection-while health-related sources tend to contain higher proportions of relevant data, the volume of data from general social media websites is significantly higher. There is still very limited amount of annotated data publicly available , and, as indicated by the promising results obtained by recent supervised learning approaches, there is a strong need to make such data available to the research community. Traditional public health surveillance requires regular clinical reports and considerable effort by health professionals to analyze data. Therefore, a low cost alternative is of great practical use. As a platform used by over 500 million users worldwide to publish their ideas about many topics, including health conditions, Twitter provides researchers the freshest source of public health conditions on a global scale. We propose a framework for tracking public health condition trends via Twitter. The basic idea is to use frequent term sets from highly purified health-related tweets as queries into a Wikipedia article index -- treating the retrieval of medically-related articles as an indicator of a health-related condition. By observing fluctuations in frequent term sets and in turn medically-related articles over a series of time slices of tweets, we detect shifts in public health conditions and concerns over time. Compared to existing approaches, our framework provides a general a priori identification of emerging public health conditions rather than a specific illness (e.g., influenza) as is commonly done. Analyzing user messages in social media can measure different population characteristics, including public health measures. For example, recent work has correlated Twitter messages with influenza rates in the United States; but this has largely been the extent of mining Twitter for public health. In this work, we consider a broader range of public health applications for Twitter. We apply the recently introduced Ailment Topic Aspect Model to over one and a half million health related tweets and discover mentions of over a dozen ailments, including allergies, obesity and insomnia. We introduce extensions to incorporate prior knowledge into this model and apply it to several tasks: tracking illnesses over times (syndromic surveillance), measuring behavioral risk factors, localizing illnesses by geographic region, and analyzing symptoms and medication usage. We show quantitative correlations with public health data and qualitative evaluations of model output. Our results suggest that Twitter has broad applicability for public health research. 