1. The Shrinking Globe: Social Media and Global Health
Mark, Ryan, MD
Ranit Mishori, MD, MHS

2. Activity Disclaimer ACTIVITY DISCLAIMER
It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.
Ranit Mishori and Mark Ryan have indicated they have no relevant financial relationships to disclose.

3. What is social media? Online tools
Share ideas and user-generated content
Engagement
Without regard to distance or location

4. The wide world of social media

5. What is Twitter? Very short (140-character) messages.
Users identified by their
Posts (“tweets”) are shared among account “followers”, and can be shared (“re-tweeted”, or “RT”) with other users.
Twitter can be accessed by SMS/text.

6. Making sense of Twitter
Hashtags (the # symbol, followed by letters and numbers) help categorize tweets—e.g. #AAFPGlobal
They are searchable within Twitter, and allow users to follow specific topics.
Hashtags allow for shared, live discussion on these topics (e.g. TweetChat).
User-defined lists help organize the stream.

7. Global twitter activity: “where there is electricity, there are tweets”
500 million accounts worldwide; (250?) million estimated active users.
Over 400 million tweets daily.
60% of Twitter uses access the service via mobile apps.
Broad-based, in-the-moment

8. Using Twitter in global health: Organizational updates
WHO learned from H5N1, when social media was underused
2012: Enterovirus 71 outbreak in Cambodia
2013: Middle East Respiratory Syndrome Coronavirus
Ongoing H7N9 updates
Advocacy and awareness around specific issues: disability, lactation, violence against women, blood donation, etc.

9. @WHO Tsunami related Tweets managing radiation exposure
Iodized #salt doesn't have enough #iodine to protect you from radiation. Too much #iodizedsalt can cause poisoning. #japan #globalhealth
Consult your #doctor before taking #iodine pills. Do not self-medicate! #radiation #tsunami #japan #globalhealth
When WHO saw salt stockpiling in China, repeated these same messages in Chinese and saw this stop quickly.

10. Using Twitter in global health: Organizational updates

11. Using Twitter in global health: Connections and collaborations
Hospital San Vicente De Paul Hospital Regional Universitario family medicine residency
First contacts via Twitter, then FB messages, then . Led to a visit in June 2013 with potential for the site to become an M4 rotation site.

12. Using Twitter in global health: Sharing known resources
A message from Gabon: a request for help for clinical resources to assess CVD risk.
A colleague in Gabon who has contacts via social media uses Twitter to reach out for help to find resources to facilitate CVD risk measurements without lab values or technology. I shared an article I learned about at this meeting.

13. Using Twitter in global health: Education and public health
@bnwomeh: Want to teach a course on #globalhealth? Check out this catalogue of "Educational Modules" #meded
@jeffsturchio: Check out these ten game changing #globalhealth innovations in new Innovations Report: [ #Innovations2015

14. Using Twitter in global health: Disease surveillance

15. Using Twitter in Disease Surveillance
“…Our results show that estimates of influenza-like illness derived from Twitter chatter accurately track reported disease levels”.
Signorini A, Segre AM, Polgreen PM (2011) The Use of Twitter to Track Levels of Disease Activity and Public Concern in the U.S. during the Influenza A H1N1 Pandemic. PLoS ONE 6(5): e19467
Signorini A, Segre AM, Polgreen PM (2011) The Use of Twitter to Track Levels of Disease Activity and Public Concern in the U.S. during the Influenza A H1N1 Pandemic. PLoS ONE 6(5): e19467

16. Who’s Tweeting? WHO: @WHO UNHCR: @refugees, @refugeewomen
CDC
World
USAID Global
Gates
Gates Foundation
Fogarty International Center at
The
Duke Global
Michael Kidd,

17. Gates Foundation Twitter Network (NodeXL)
Not only does Gates Foundation have a network spanning the globe, but each node in the network can connect to the other via Gates

18. Who’s Tweeting NOW?
The discussion on the conference hashtag #AAFPGlobal can be seen here.
Look at the live twitter feed

19. Thank You!
@RichmodDoc
@ranitmd