The document discusses the implementation of Web 2.0 strategies by the CDC to enhance the impact of its health communications through social media and interactive platforms. It highlights various initiatives such as mobile applications, user-generated content, and virtual worlds designed to engage diverse audiences in health promotion and disease prevention. The report also provides examples of successful campaigns and emphasizes the importance of adapting to emerging technologies to effectively disseminate health information.

1. Janice R. Nall National Center for Health Marketing February 26, 2008 CDC 2.0 : Using Social Media to Increase the Impact of CDC’s Science

2. Web Executive Seminars Social Sites for Social Good February 26, 2008 National Press Club Washington, DC Learn more: www.forumone.com/wes

3. Janice R. Nall National Center for Health Marketing February 26, 2008 CDC 2.0 : Using Social Media to Increase the Impact of CDC’s Science

4. Why does CDC care about Web 2.0? CDC should be ( must be ) where people are Increases the dissemination and potential impact of CDC’s science Leverages unique characteristics of emerging channels Reaches diverse audiences Facilitates interactive communication and community Our goal: To make CDC content, tools, and services available when, where, and how users want them – to improve the health and safety of people around the world

7. CDC 2.0 eHealth Efforts Email updates Podcasts/RSS eCards Mobile applications Social networks User-generated content Social bookmarking (digg, other tagging, etc.) Blogs/bloginars Wikis eGames Viral videos Virtual worlds Widgets GIS applications Other open-sourced tools

8. Web 2.0 - Research User Data Briefs Internet use Social Networks Mobile Phones eGames Viral Video Texting Tagging User Generated Content eCards Demographics Database Crisis Communication Plan for Social Media

10. CDC 2.0 in action: eCards

11. eCard Users Total CDC Health-e-Cards sent 2/14/07 – 11/30/07: 5,004 cards in first 9 months CDC Valentine Health-e-Cards sent 1/25/08 – 2/21/08: 5,850 cards in 29 days (including 820 cards in Spanish) Most popular CDC cards: Valentine Cards Holiday Cards Flu Prevention – health professionals World AIDS Day

12. Escape from Diab – http://www.escapefromdiab.com/ NIH funded game created in collaboration with Children's Nutritional Research Center of Baylor College of Medicine to help prevent childhood obesity and Type II diabetes Dance Dance Revolution as “exer-gaming” in high schools http://www.youtube.com/watch?v=x5YROvohvvI Northern Illinois University students learn principles of mechanical engineering by playing video games http://www.youtube.com/watch?v=LYGwaI-haOM eGames

13. CDC 2.0 in action: eGames Hosted eGames event in June to determine CDC’s optimal role in eGames Leading CDC’s Health-e-Interactive Community of Practice to encourage cross-CDC collaborations in games

14. CDC 2.0 in action: User-generated Tags

15. CDC 2.0 in action: Content Syndication

16. Widgets Mini-applications—also called “gadgets”— easily used on a desktop or personal page…they are constantly updated with whatever information you want. “ The Google personal homepage (which uses widgets) is the fastest-growing Google product,” says Marissa Mayer, the company’s vice president of “search products and user experience.” “This market is going to be very large.” Source: Newsweek, The Year of the Widget ?, December 30, 2006

17. Google Gadgets/Widgets

18. CDC 2.0 in action: Virtual Worlds Second Life Hygeia, the muse of health, becomes Hygeia Philo, CDC avatar

19. CDC Plans for Second Life Expanding space and developing more "in-world" content that matches the proactive CDC.gov marketing strategy. Developing partnerships with local universities (SCAD, GA Tech, and UGA) to build out the space, create engaging experiences to draw visitors to the site, and conduct research to evaluate in-world vs. real world behaviors. Developing in-world activities – users want to “do” something in virtual worlds…what health activities can we provide? In Sept 2007, conducted in-world interview with Washington Post reporter.

20. More Americans Have Cell Phones than PCs Mobile Applications Sources – From: http://www.marketingcharts.com/direct/survey-growing-opportunities-for-mobile-advertising-790/ (study conducted between March 29 and April 2, 2007 among 4,123 adults (aged 18 and over). Pew Internet and American Life Project Survey February to March, 2007 More than four out of five U.S. adults (85%) own a mobile phone, compared with seven in ten (71%) who have a landline or home phone.

21. Establishing mobile.cdc.gov Disease management (diabetes) Geographic locators (HIV) Risk communication (flu) Persuasive messaging (health reminders) Health promotion (diets) Emergency preparedness Personal safety Mobile Applications for Health

22. CDC 2.0 in action: Mobile Diabetes Management Partnership with Georgia Tech University, CDC’s Diabetes Team, and CDC’s eHealth Division to study the use of a glucometer- integrated mobile phone Glucometer readings available on a collaborative Web site for discussion by the diabetes patient and diabetes educator Preliminary study results indicate participants improve their ability to effectively reflect on diabetes management Further Research: Investigating social media techniques to further motivate diabetes management Understanding potential barriers of this approach

23. CDC 2.0 in action: AIDS Personal PSA Project The New Face of AIDS: A Mobile Media Experience In one day, teams using mobile devices created compelling video messages encouraging positive health decisions By end of day, teams produced one-minute New Face of AIDS personal PSAs that encourage young people to be tested for HIV On World AIDS Day, 12/1/07, these AIDS PPSAs were pushed to mobile phone and Web users Expanding for HIV Testing Day in April 08 From more information, see: http://www.nmi.uga.edu/aids_ppsa / Sponsored by the University of Georgia, Kaiser Family foundation, Verizon, AIDS Research Consortium of Atlanta, Philadelphia FIGHT, CDC

24. CDC 2.0 in action: Mobile Applications Using Mobile Tech for Public Engagement (Pandemic Flu Proposal ) Example Questions to be Answered What are the potential risks of mobile communications? How does communication via mobile phones complement an overall communications strategy ? What mobile communications standards (SMS, MMS, WAP, IVR, voice, etc.) are most effective? How can technologies such as GPS,GIS, wearable sensors, and others be employed? What content is appropriate for mobile communications? What is the effectiveness of existing standards such as Common Alerting Protocol (CAP)? How can mobile technologies support surveillance efforts in collaboration with other CDC centers and government? What accessibility issues exist with mobile technologies? Project Purpose Launch pilot study of the application of mobile technologies for risk communication , and to publish findings and recommendations based on this study. Focus: Pandemic Flu Project Phases Background Reseach Design and Develop Pilot System Develop Targeted Messaging Launch Pilot System In Situ Field Research and Evaluation Analysis and Findings

25. Mobile: KnowIT Campaign Collaboration with HBO and Kaiser Family Foundation to encourage HIV testing – as part of World AIDS Day efforts 12/1/07 Mobile Texting Campaign: To encourage users to know their HIV status and to locate HIV testing facilities nearby Web banner ads, Health-e-Cards, and MySpace badges Video podcast and PSAs on YouTube With HHS, hosted a webinar for CDC HIV grantees

26. Mobile Texting February 28-March 1, 2008 Stanford University, Palo Alto, California A gathering of experts in health, behavior change and mobile technology A premiere conference on how mobile text messaging can promote better health Co-sponsored by CDC, Institute for the Future, others To Register: www.Texting4Health.org

27. Virginia Tech Tragedy New Media Background: In response to the tragedy at Virginia Tech, CDC’s Division of Violence Prevention created a short videocast for coping with stress after a traumatic event. To leverage the power of social media for reaching college students and educators, NCHM disseminated the podcasts and links to related CDC.gov eHealth information through multiple new media channels. Virginia Tech New Media: YouTube The CDC podcast “Coping with Stress after a Traumatic Event, such as a School Shooting” was made available through CDC.gov, iTunes and imported to YouTube.

28. Virginia Tech New Media: Blogs CDC podcast and web resources were disseminated to bloggers and posted as comments on 9 relevant blogs, including: CNN.com The Chronicle of Higher Education Teacher’s Magazine Blogboard Time.com NYTimes.com

29. Virginia Tech New Media: Social Networks It is estimated this profile has more than 850 friends, the actual list is kept private at the request of the profile owner, Resources were disseminated to two social network profiles. This profile posted the information in a blog to its network of friends. MySpace

30. Social Networks Facebook 52,167,000 unique visitors in June 2007 #20 ranked .com in U.S. (From: comScore Top 50 Properties (U.S.) June 2007, http://www.comscore.com/press/data.asp ) Boasts an audience of 33 million Web users The 35+ crowd now accounts for more than 41% of all Facebook visitors. From: http://www.businessweek.com/technology/content/aug2007/tc2007085_051788.htm?chan=technology_technology+index+page_top+stories My Space 114,147,000 unique visitors in June 2007 (From: comScore Top 50 Properties (U.S.) June 2007, http://www.comscore.com/press/data.asp

31. Social Networks

32. Social Networks: MySpace www.myspace.com/cdc_ehealth Launched 11/07 1776 page views 207 friends 221,218,358 people in CDC extended network

33. Social Networks – CDC Collaborations Daily Strength - http://www.dailystrength.org

34. Social Networks – CDC Collaborations CaringBridge - http:// www.caringbridge.org

35. Other Social Networks Social network for the 50+ crowd http://eons.com Social networks for physicians http://sermo.com Establishing CDC collaborations in Sermo and eons.

36. Online Public Engagement Pan Flu Vaccination Prioritization Web Dialogue – Dec 4 – 6, 2007 443 participants Participants agreed that this was a good format for discussing health policy issues: 35% strongly agreed 30% moderately agreed 15% slightly agreed

37. Seasonal Flu – Social Media Use 2007 ecards Graphical Buttons Graphical Badge for Social Networks Virtual Worlds Bloginar

38. Graphical Button November 1, 2007 – January 11, 2008 30,301 click-throughs to flu homepage from internal sites 3,834 click-throughs from external sites

39. Social Networks – Graphical Badge

40. Webinar for Mommy Bloggers November 29, 2007 Targeted mommy and daddy bloggers 7 bloggers participated, 4 mommy and daddy bloggers 6 blog entries written (One blog is in top 500 (#492) of all blogs on the Web) 12 comments on blog posts

41. flickr jaiku Webinar for Mommy Bloggers – Viral spread through social media

42. Health eCards November 2007 – January 2008 7 Health e-Cards created 856 cards sent Most popular: Flu Prevention for Health Professionals – sent 511 times

43. eGames – Whyville 2006 Seasonal Flu New Media Empowered as public health advocates Engaged in learning Virtual Worlds 20k Whyvillians Vaccinated in 6 wks; 135k visited the CDC Flu Clinic

44. Virtual Worlds - Whyville In-World Vaccinations WhyFlu November 1, 2007 – January 10, 2008 40,919 Whyvillians were virtually vaccinated against the Whyflu More than 1800 of those who participated were grandparents

45. 380 kids attended the party 150 unique questions asked Sample Questions How come some people get the flu even though they are vaccinated? Sometimes, don’t vaccinations cause you to get sick? Can we get more information about vaccinations elsewhere after this? How can you prevent from getting Whyflu? Virtual Worlds - Whyville

46. Other Social Media Second Life Flickr October 25, 2007 – January 9, 2008 19 Images posted on Flickr 2,064 total image views

47. Top 12 Recommendations for Implementing Social Media Follow the user – know the usage data/trends Demonstrate how this meets your agency’s mission Compare resources vs. impact Make security, IT, general counsel aware of your efforts Plan for evaluation – metrics, metrics, metrics Build the science – conduct research where you can Welcome collaborations – partner outside/inside Start small – quick wins – just do it! Seed social media concepts/methods thru training, other Document process – share results, lessons learned Educate leadership as to why you MUST do this – experts, articles, case studies Create climate of experimentation – you’ll have failures – that’s ok

48. CDC 2.0 Examples eCards http://www2a.cdc.gov/eCards/index.asp Podcasts/RSS http://www.cdc.gov/podcasts Tagclouds http://www.cdc.gov/ToolsResources/index.html#tagcloud Blogs http://www.cdc.gov/healthmarketing/blog.htm Email Updates http://www.cdc.gov/emailupdates/ Social Networks (My Space http://myspace.com/cdc_ehealth ) Virtual Worlds (Second Life http://secondlife.com Whyville http://www.whyville.net/smmk/nice )

49. CDC 2.0 Examples Use of graphical images - Link to CDC.gov http://www.cdc.gov/Other/link.html User-generated content sites You Tube http://youtube.com Flickr http://flickr.com About CDC.gov http://www.cdc.gov/Other/about_cdcgov.html CDC.gov Widgets http://www.cdc.gov/widgets Virtual tour of CDC.gov – http://www.cdc.gov/vrtour.html New Media Campaigns – Seasonal Flu 2007 – http://www.cdc.gov/healthmarketing/ehealth_fluseason.htm World AIDS Day & HIV Testing – http://www.cdc.gov/healthmarketing/ehealth_wad2007.htm

50. Contact Information Janice R. Nall – [email_address] Division of eHealth Marketing National Center for Health Marketing CDC www.cdc.gov www.cdc.gov/healthmarketing

51. LEARN MORE: www.forumone.com/wes Web Executive Seminars