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Social Media Data as a Public Data Resource 
Capable of Impacting Healthcare 
© 2014 Social Health Insights LLC 
Brian Norris MBA, RN-BC, FHIMSS 
@Geek_Nurse 
Mark Silverberg, MS-MIS 
@Skram
© 2014 Social Health Insights LLC 
NowTrending.HHS.gov 
• Built in response to the 2012 HHS/ASPR 
NowTrending Challenge 
• Utilizes the Twitter streaming API to look at 
disease & disaster related conversations 
• Won challenge 
• Continued research into how Twitter data could 
help inform disease and disaster surveillance 
• Exploring concepts that could be applied broader 
than just Twitter
© 2014 Social Health Insights LLC 
Why Twitter? 
• Estimated 500 Million Users Worldwide 
• ~ 500 Million tweets per day (October 2012) 
• = ~25 tweets for every human on the planet 
• If Twitter were a country it would be larger 
than the United States by 184 Million people 
• Would be the 3rd largest country in the world 
(behind China and India)
72% of adults are social site users 
© 2014 Social Health Insights LLC 
SOURCE: http://pewinternet.org/Reports/2013/social-networking-sites.aspx
Social Data Emerging in The Fight 
© 2014 Social Health Insights LLC 
Against Disease
© 2014 Social Health Insights LLC 
One day on Twitter 
319,079 Tweets collected from Twitter on 02/05/2013 that match terms tracked on MappyHealth.com
© 2014 Social Health Insights LLC 
Early questions 
 What problem do we want to solve? 
 How will users of the platform use the information 
provided? 
 What sources will be utilized to contribute towards the 
insight sought? 
 How does one visualize the data? 
 What semantics will be meaningful and useful? 
 What analytical intervals are pertinent? 
 Do we need geo-located data or more generalized? 
 How do we work around non-geo-located data points?
Lots of ways to answer these questions 
© 2014 Social Health Insights LLC
Overview of Our Technical Solution 
Tweets 
Receive a 
Tweets by 
keyword 
Twitter 
API Streaming 
filter endpoint 
© 2014 Social Health Insights LLC 
Simple NLP 
& Ingestion 
Daemon constantly 
receiving, 
classifying, and 
inserting Tweets into 
document-based 
database 
Number 
Crunching 
& Analytics 
Map/Reduce jobs on 
various intervals with 
some ad-hoc queries 
Visualizatio 
n and 
Exports 
POST https://stream.twitter.com/1.1 
/statuses/filter.json
Complimenting Traditional Data is a 
Start but there is so Much More! 
© 2014 Social Health Insights LLC
“Social Media Has Accelerated the Telephone 
Game Exponentially” 
© 2014 Social Health Insights LLC
© 2014 Social Health Insights LLC 
Influenza Vaccination 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
Monitoring How We Communicate 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC 
© 2014 Social Health Insights LLC
Pushing Information Out 
© 2014 Social Health Insights LLC
© 2014 Social Health Insights LLC 
H7N9 
'Two new bird flu 
cases' in China: Two 
new cases of H7N9 
"bird flu" are reported 
by China's official 
state new... 
http://t.co/hxlpL3narl 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
“死亡” & “death” H7N9 Tweets 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC 
© 2014 Social Health Insights LLC
Before “Official” Announcement 
@WHO: So far, WHO is aware of 14 confirmed #H7N9 cases, with 6 deaths. Awaiting 
confirmation of 2 more cases. #influenza #flu 
© 2014 Social Health Insights LLC 
WHO tweet 
Pre confirmation 
twitter chatter 
Chinese social reports of 14 
cases, 6 deaths H7N9 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
Where Are They Tweeting? 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC. Represents H7N9 tweets captured. 
© 2014 Social Health Insights LLC
Is every tweet equally important? 
Total Estimated Impressions = Max Followers (during collected timeframe) * Number of Tweets. For Timeframe from 03/31/2013 6 am to 4/8/2013 
12 pm GMT … Total Estimated Impressions = 1,996,125,456 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC – H7N9 Tweets Captured 
© 2014 Social Health Insights LLC
@WHO: #H7N9 in China: These are the first-ever cases of H7N9 infection in humans. No 
indication so far of human-to-human transmission 
© 2014 Social Health Insights LLC 
Follow That Tweet 
Buenos Aires, Santiago, 
US, London, Beijing, Hong 
Kong, Cairo 
Beijing, Quito, Perth, 
Canberra, Sydney 
Global 
Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
© 2014 Social Health Insights LLC 
Ebola in the US 
500% increase
© 2014 Social Health Insights LLC 
Heatmapping Ebola 
Conversations
© 2014 Social Health Insights LLC 
Same for Disasters: 
Example Earthquake Activity 
Mexico 
Earthquake 
Nepal 
Earthquake
© 2014 Social Health Insights LLC 
Constant Challenges 
Cough, Running Nose and 
Fever. Can you go away ? 
:( 
Vs. 
I have a Bieber Fever ♥ 
1 - 3% Geo-Tagged Vs. 97 – 99% Non Geo-Tagged 
Washington, DC Vs. I am on Earth! 
• Access limitations to full data streams (rate limits, term limits, connectivity 
• Linguistics and slang 
• Character limitation for message
Location-driven listening: knowing where and 
© 2014 Social Health Insights LLC 
what people are talking about
© 2014 Social Health Insights LLC 
Other Emerging 
Digital Disease Innovations
© 2014 Social Health Insights LLC 
Opportunities
“Now Trending has provided us a quick and easy 
to understand look at how social media 
conversations around illnesses trend. This has 
been especially helpful during recent illness 
outbreaks for providing a more complete 
situational awareness analysis.” 
- Health and Human Services, Assistant Secretary for 
© 2014 Social Health Insights LLC 
Preparedness Response (HHS/ASPR)
Using Other Open & Public Data 
Using Google Glass to interface with information systems and 
APIs to bring information and insights to users where and when 
they need or want them. AskOpenData.com & DawnData.com 
© 2014 Social Health Insights LLC 
Eldercare.gov has a website and 
hotline staffed 9-5 but we built a 
SMS/phone automated attendant 
that anyone can use anytime
© 2014 Social Health Insights LLC 
Thank you 
Brian Norris MBA, RN-BC, FHIMSS 
@Geek_Nurse 
Mark Silverberg, MS-MIS 
@Skram

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Social Media Data as a Public Data Resource Capable of Impacting Healthcare @ UofA Big Data in Healthcare Symposium

  • 1. Social Media Data as a Public Data Resource Capable of Impacting Healthcare © 2014 Social Health Insights LLC Brian Norris MBA, RN-BC, FHIMSS @Geek_Nurse Mark Silverberg, MS-MIS @Skram
  • 2. © 2014 Social Health Insights LLC NowTrending.HHS.gov • Built in response to the 2012 HHS/ASPR NowTrending Challenge • Utilizes the Twitter streaming API to look at disease & disaster related conversations • Won challenge • Continued research into how Twitter data could help inform disease and disaster surveillance • Exploring concepts that could be applied broader than just Twitter
  • 3. © 2014 Social Health Insights LLC Why Twitter? • Estimated 500 Million Users Worldwide • ~ 500 Million tweets per day (October 2012) • = ~25 tweets for every human on the planet • If Twitter were a country it would be larger than the United States by 184 Million people • Would be the 3rd largest country in the world (behind China and India)
  • 4. 72% of adults are social site users © 2014 Social Health Insights LLC SOURCE: http://pewinternet.org/Reports/2013/social-networking-sites.aspx
  • 5. Social Data Emerging in The Fight © 2014 Social Health Insights LLC Against Disease
  • 6. © 2014 Social Health Insights LLC One day on Twitter 319,079 Tweets collected from Twitter on 02/05/2013 that match terms tracked on MappyHealth.com
  • 7. © 2014 Social Health Insights LLC Early questions  What problem do we want to solve?  How will users of the platform use the information provided?  What sources will be utilized to contribute towards the insight sought?  How does one visualize the data?  What semantics will be meaningful and useful?  What analytical intervals are pertinent?  Do we need geo-located data or more generalized?  How do we work around non-geo-located data points?
  • 8. Lots of ways to answer these questions © 2014 Social Health Insights LLC
  • 9. Overview of Our Technical Solution Tweets Receive a Tweets by keyword Twitter API Streaming filter endpoint © 2014 Social Health Insights LLC Simple NLP & Ingestion Daemon constantly receiving, classifying, and inserting Tweets into document-based database Number Crunching & Analytics Map/Reduce jobs on various intervals with some ad-hoc queries Visualizatio n and Exports POST https://stream.twitter.com/1.1 /statuses/filter.json
  • 10. Complimenting Traditional Data is a Start but there is so Much More! © 2014 Social Health Insights LLC
  • 11. “Social Media Has Accelerated the Telephone Game Exponentially” © 2014 Social Health Insights LLC
  • 12. © 2014 Social Health Insights LLC Influenza Vaccination Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
  • 13. Monitoring How We Communicate Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC © 2014 Social Health Insights LLC
  • 14. Pushing Information Out © 2014 Social Health Insights LLC
  • 15. © 2014 Social Health Insights LLC H7N9 'Two new bird flu cases' in China: Two new cases of H7N9 "bird flu" are reported by China's official state new... http://t.co/hxlpL3narl Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
  • 16. “死亡” & “death” H7N9 Tweets Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC © 2014 Social Health Insights LLC
  • 17. Before “Official” Announcement @WHO: So far, WHO is aware of 14 confirmed #H7N9 cases, with 6 deaths. Awaiting confirmation of 2 more cases. #influenza #flu © 2014 Social Health Insights LLC WHO tweet Pre confirmation twitter chatter Chinese social reports of 14 cases, 6 deaths H7N9 Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
  • 18. Where Are They Tweeting? Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC. Represents H7N9 tweets captured. © 2014 Social Health Insights LLC
  • 19. Is every tweet equally important? Total Estimated Impressions = Max Followers (during collected timeframe) * Number of Tweets. For Timeframe from 03/31/2013 6 am to 4/8/2013 12 pm GMT … Total Estimated Impressions = 1,996,125,456 Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC – H7N9 Tweets Captured © 2014 Social Health Insights LLC
  • 20. @WHO: #H7N9 in China: These are the first-ever cases of H7N9 infection in humans. No indication so far of human-to-human transmission © 2014 Social Health Insights LLC Follow That Tweet Buenos Aires, Santiago, US, London, Beijing, Hong Kong, Cairo Beijing, Quito, Perth, Canberra, Sydney Global Data captured using the Twitter streaming API - https://dev.twitter.com/docs/streaming-apis. Visual created by Social Health Insights LLC
  • 21. © 2014 Social Health Insights LLC Ebola in the US 500% increase
  • 22. © 2014 Social Health Insights LLC Heatmapping Ebola Conversations
  • 23. © 2014 Social Health Insights LLC Same for Disasters: Example Earthquake Activity Mexico Earthquake Nepal Earthquake
  • 24. © 2014 Social Health Insights LLC Constant Challenges Cough, Running Nose and Fever. Can you go away ? :( Vs. I have a Bieber Fever ♥ 1 - 3% Geo-Tagged Vs. 97 – 99% Non Geo-Tagged Washington, DC Vs. I am on Earth! • Access limitations to full data streams (rate limits, term limits, connectivity • Linguistics and slang • Character limitation for message
  • 25. Location-driven listening: knowing where and © 2014 Social Health Insights LLC what people are talking about
  • 26. © 2014 Social Health Insights LLC Other Emerging Digital Disease Innovations
  • 27. © 2014 Social Health Insights LLC Opportunities
  • 28. “Now Trending has provided us a quick and easy to understand look at how social media conversations around illnesses trend. This has been especially helpful during recent illness outbreaks for providing a more complete situational awareness analysis.” - Health and Human Services, Assistant Secretary for © 2014 Social Health Insights LLC Preparedness Response (HHS/ASPR)
  • 29. Using Other Open & Public Data Using Google Glass to interface with information systems and APIs to bring information and insights to users where and when they need or want them. AskOpenData.com & DawnData.com © 2014 Social Health Insights LLC Eldercare.gov has a website and hotline staffed 9-5 but we built a SMS/phone automated attendant that anyone can use anytime
  • 30. © 2014 Social Health Insights LLC Thank you Brian Norris MBA, RN-BC, FHIMSS @Geek_Nurse Mark Silverberg, MS-MIS @Skram