SOCIAL MEDIA: A NEW DATA SOURCE FOR PUBLIC HEALTH. Mark Dredze Johns Hopkins University Michael Paul, Alex Lamb, David Broniatowski
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1 SOCIAL MEDIA: A NEW DATA SOURCE FOR PUBLIC HEALTH Mark Dredze Johns Hopkins University Michael Paul, Alex Lamb, David Broniatowski
2 BIG DATA: SOCIAL MEDIA AND HEALTH Tweets: ~500 million a day Health Tweets: at least 1 million a day Online forums: HealthBoards.com: 4.6m posts, almost 1m members CancerForums.net: 150k posts Drugs-Forum: 500k posts
3 WHY SHOULD I CARE?
4 PUBLIC HEALTH: IMPROVE HEALTH AND QUALITY OF LIFE IN A POPULATION
5 PUBLIC HEALTH: IMPROVE HEALTH AND QUALITY OF LIFE IN A POPULATION REQUIRES: DATA ON THE POPULATION
6 DATA Traditional mechanisms Surveys Clinical visits Social media reflects the ongoing lives of a massive population Health is a big part of that!
7 PUBLIC HEALTH CYCLE Population Doctors
8 PUBLIC HEALTH CYCLE Surveillance Population Doctors
9 PUBLIC HEALTH CYCLE Surveillance Population Doctors Intervention
10 PUBLIC HEALTH CYCLE Surveillance Better, faster, cheaper New opportunities Intervention Identifying people for communication Tailoring health messages for specific people/populations
11 EXAMPLES From my computer science research group
12 DISEASE TRACKING Disease tracking is slow and resource limited Twitter: mine infection reports Users tweet about symptoms 4 days before seeing a doctor; data available two weeks before traditional data Lamb et al, 2013
13
14 Pearson Correlation: Google: 0.92 Twitter: 0.77
15 Predict direction of above average changes National ILI %, 11 weeks from
16 Predict direction of above average changes National ILI %, 11 weeks from % accuracy
17 TRACKING DRUG TRENDS Constantly emerging recreational drugs: more than 1 new drug a week Drug studies are costly and have slow turnaround time (9 months for annual survey) Mine drug user narratives from forums to answer questions How do users smoke Salvia? What are typical dosages for Salvia? What populations use Salvia? Paul and Dredze, 2013
18 How are people using Salvia? ( ) Salvia Smoking Usage Salvia Oral Usage ) "Best way is to use a torch lighter, bong or pipe (bong recommended) and hold in each hit seconds." "A dose of Salvia leaves is 2 grams. A dose of Salvia 5X extract is 0.4 grams (400mg) A dose of salvia 10X extract is 0.2 grams (200mg) A dose of Salvia 25X extract is 0.08 grams (80mg) A dose of Salvia 50X extract is 0.04 grams (40mg) A dose of Salvia 250X extract is impossible."
19 What are the effects of Salvia? ( ) Salvia Smoking Effects "He then took one large hit and held it in and laid back and began to feel his body getting heavy and his vision started to get this dim orange brownish light to it and he closed his eyes and moved his body around and it shook both of the feelings off." Salvia Oral Effects ) "When chewed, the first effects are felt after about 15 minutes. After about 30 minutes, the full effects should be realized. Typical Salvia experiences last 5 to 10 minutes on average, with noticeable after-effects lasting up to 1/2 hour."
20 CDC'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM Measure correlation between risk factor and Tweets about an ailment by US state Paul and Dredze, 2011
21 CDC'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM Measure correlation between risk factor and Tweets about an ailment by US state CDC Risk Factor Twitter topics Correlation Asthma Allergies Exercise Obesity Health Care Coverage All Ailments Heart Attack Obesity Obesity Exercise Tobacco Use Cancer Paul and Dredze, 2011
22 MEDICATION USE Discover how people self-medicate common illnesses from self reports on Twitter Finding: People use Benadryl to treat insomnia Antibiotics incorrectly used to treat viral infections Paul and Dredze, 2011
23 PATIENT SAFETY Medical mistakes are a leading cause of death, possibly killing 250,000 people in the US a year Candid patient reports about safety events difficult to obtain Tweets about patient safety One of my residents was admitted to die because a surgeon messed up on her back surgery and she s only 43. REALLY?! my doctor screwed up my prescription... I ve been taking the wrong dosage for almost a year. HMM. MAYBE THAT EXPLAINS SOMETHING. lets recap. car wreck. hospital. blood clots. best friend died. other best friend had surgery that went wrong. 2nd degree sunburn Nakhasi et al., 2012
24 PATIENT SAFETY Most reports are by patient (80%) or relative (8%) Procedural (36%) and medication errors are the most common (22%) Anger most common reaction (22%), humor second (11%)
25 THANK YOU Contact me with your ideas! Michael J. Paul, Mark Dredze. You are what you Tweet: Analyzing Twitter for Public Health. International Conference on Weblogs and Social Media (ICWSM), Ralph Passarella, Atul Nakhasi, Sarah Bell, Michael J. Paul, Peter Pronovost, Mark Dredze. Twitter as a Source for Learning about Patient Safety Events. Annual Symposium of the American Medical Informatics Association (AMIA), 2012 Alex Lamb, Michael J. Paul, Mark Dredze. Separating Fact from Fear: Tracking Flu Infections on Twitter. North American Chapter of the Association for Computational Linguistics (NAACL), Michael J. Paul, Mark Dredze. Drug Extraction from the Web: Summarizing Drug Experiences with Multi-Dimensional Topic Models. North American Chapter of the Association for Computational Linguistics (NAACL), 2013.
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