This document explores the role of social media in public health. It defines public health and social media, and outlines why people use social media. It provides examples of how different organizations, including governments, NGOs, physicians and patients, are using social media tools like blogs, Twitter, social networking sites, and mobile technologies. The document discusses barriers to social media use in public health like digital divides, and the role of organizations like PAHO in supporting member states. It argues that engaging people where they are online is key to success, and provides low-cost case studies of health organizations innovating with tools like video, mobile technologies and crowdsourcing.

1. To tweet or not to tweet? :Exploring the role of social media for [public] health Francisco Grajales (@ciscogiii)

2. This is an extended slide deck from what was presented by the author at PAHO on November 28th, 2009.The webcast can be seen athttp://ow.ly/Ghrp

3. Sneak preview What is Public Health? What is Social Media? Why do people use Social Media? Blogs Twitter (Microblogs) Mashups mHealth

4. Public health: The approach to medicine that is concerned with the health of the community as a whole; three of its core functions include: 1. The strategic formulation and prioritization of health policies and interventions that improve the overall health of the community; 2. The evaluation of health services, health promotion and disease prevention programmes to ensure equitable, cost-effective care; and 3. The monitoring and assessment of the community and at-risk-individuals.

5. Social media is information designed to be disseminated through social interaction, created using highly accessible and scalable publishing techniques that do not require a technical background. It supports the democratization of knowledge and information, transforming people from content consumers into content producers. Social media can be said to have three components: 1.Concept (art, information, or meme). 2.Media (physical, electronic, or verbal). 3.Social interface (intimate direct, community engagement, social viral, electronic broadcast or syndication).

7. Tag cloud of 2.0

8. Internet penetration rates in the Americas (ITU Data) Source: ITU

9. Social Media and Commnication 9+ / variable by takeholder Source: ITU

10. 17% of all time spent onlinein 2009 was on social networking sites! Nielsen – August 2009

11. Why should you care?

12. Who is using Social Media?

13. Twitter Usage 19% of American adults online use Twitter Source: Pew Internet & American Life Project Survey 2009

14. Local governemnts Government

15. Industry (something fishy/Sermo?) Physicians

16. Pharma

17. IGOS (WHO/PAHO/UNICEF) IGOs

18. NGOs (Rockefeller, google, bill and melinda gates) NGOs

19. Presidential Candidates Obama

20. And your grandma too! The largest growing Facebook demographic is women older than 55

21. Why is social media important?

22. Do you have a mobile?

23. How did you learn to use it?

24. Social media is the same…

25. This raises a few questions…

26. Where do we take public health practice?

27. What is the key to success?

28. What are the best strategies?

29. NEJM Practicing medicine in the era of facebook?/twitter How have others adapted?

30. Types of Social Media Tools

31. Video SharingSlide SharingSocial BibliographiesMicrobloggingCommunities of PracticeVirtual WorldsWebcasts & PodcastsReally Simple Syndication BlogsWikisSocial NetworkingSocial BookmarkingPhoto SharingMashupsForums

32. BLOGS

33. Blogs

34. 140 Helathcare uses of twitter Microblogging (Twitter examples)

35. Microblogs - twitter Information Dissemination

36. Health Promotion, Hand Health tracking Blood sugar tracking

37. Food tracking/diabetes Lifestyle support

38. Smoking Cessation Smoking cessation

39. Research Pandemics in the Age of Twitter: Content Analysis of “Tweets” During the H1N1 Outbreak Proceedings of Medicine 2.0 - 2009

40. Social Networking

41. Sermo (CoP) Professional Networking

42. Patients Lke Me Clinical Trials 2.0

43. Open patient data

45. Photo Sharing - Flickr Photo sharing

46. Social Bookmarking - Delicious Social Bookmarking

47. Mashups Mashups

48. Have you ever used ArcGIS?

49. MindGa Multi-source data integration

50. Ushahidi in Africa Crowdsourcing

51. Hello Txt Multi-platform Integration

52. 4 and 5 G allow the emminence of the late start with realtime telemedicine and elearning mHealth - The Future Waterproof Solar 4-Way Bidirectional Video

53. Sexinfo SF eLearning

54. It also works in Developing Countries

55. Frontline SMS Mass Communication

56. TextEagle (MobileCrowdsourcing) Microfinance

57. Mobileactive.org Social Movement

58. Other Examples

59. Pillbox Government 2.0 - Innovation

60. Infodemiology Informatics + Epidemiology

61. Medgle API Industry can also provide APIs

62. Open MRS Open Source EMRs

63. Esladiabetes NGOs are not reinventing the wheel but using available tools like Skype

64. PHR Microsofot HealthVault Personal Health Records

65. Istedd Innovation for collaboration

66. Web 2.0 tools can also provide critical info in times of crises

67. So, where do we take Public Health?

68. The key to innovation is going where the people are

69. Engagement is vital for success

70. Case study 1: What is the cost of data?

71. Remember R, SPSS or Mathlab?

72. Google Trends It can be free

73. Mayo Case Study 2: Mayo Clinic

74. What is the cost of an audiovisual studio?

75. Flip $170 USD

76. Case Study 3: Three Things To Know About and Stent Advert $7500 investment for video Generated over 160,000 views and almost 1000 comments Increased the number of site hits for company by >180% www.thespanner.com

77. Case study 4

78. Problems Problems?

79. 193 Member States

80. Data silos and mirroring across borders

81. Personal Boundaries

82. Stakeholder Barriers Other Barriers Policy Digital divide Digital sovereignty and governance Complexity in the removal of false information posted by third parties. Privacy, confidentiality and anonymity Identity management Fusion of professional and personal identities. Consumer protection Moral and ethical obligations Information quality

83. PAHO’s Role Support member states with strategies that work 2. Train staff and strategically deploy Social Media 3. Develop partnerships with stakeholders 4. Don’t reinvent the wheel

84. For full recommendations, please contact the author.

85. The continuation to this slide deck can be found at: www.slideshare.net/kclauson To tweet or not to tweet: Exploring the role of social media in public health: Part II Kevin A. Clauson, Pharm.D. Associate Professor

86. Questions?

87. Acknowledgments Maged N Kamel Boulos, PhD Kevin Clauson, PharmD Joan Dzenowagis, PhD Kendall Ho, MD, FRCPC Bertalan Mesko, MD Devin Pelcher, PharmDCand Ms. Anna Lucia Ruggiero Qing Zeng-Treitler, PhD

88. Cisco | ciscogiii | me@franciscograjales.com

90. Pictures without a citation are licensed for use by the author