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      Twitter: A Good Place to Detect Health Conditions

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          Abstract

          With the proliferation of social networks and blogs, the Internet is increasingly being used to disseminate personal health information rather than just as a source of information. In this paper we exploit the wealth of user-generated data, available through the micro-blogging service Twitter, to estimate and track the incidence of health conditions in society. The method is based on two stages: we start by extracting possibly relevant tweets using a set of specially crafted regular expressions, and then classify these initial messages using machine learning methods. Furthermore, we selected relevant features to improve the results and the execution times. To test the method, we considered four health states or conditions, namely flu, depression, pregnancy and eating disorders, and two locations, Portugal and Spain.

          We present the results obtained and demonstrate that the detection results and the performance of the method are improved after feature selection. The results are promising, with areas under the receiver operating characteristic curve between 0.7 and 0.9, and f-measure values around 0.8 and 0.9. This fact indicates that such approach provides a feasible solution for measuring and tracking the evolution of health states within the society.

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          Social and news media enable estimation of epidemiological patterns early in the 2010 Haitian cholera outbreak.

          During infectious disease outbreaks, data collected through health institutions and official reporting structures may not be available for weeks, hindering early epidemiologic assessment. By contrast, data from informal media are typically available in near real-time and could provide earlier estimates of epidemic dynamics. We assessed correlation of volume of cholera-related HealthMap news media reports, Twitter postings, and government cholera cases reported in the first 100 days of the 2010 Haitian cholera outbreak. Trends in volume of informal sources significantly correlated in time with official case data and was available up to 2 weeks earlier. Estimates of the reproductive number ranged from 1.54 to 6.89 (informal sources) and 1.27 to 3.72 (official sources) during the initial outbreak growth period, and 1.04 to 1.51 (informal) and 1.06 to 1.73 (official) when Hurricane Tomas afflicted Haiti. Informal data can be used complementarily with official data in an outbreak setting to get timely estimates of disease dynamics.
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            Public health surveillance of dental pain via Twitter.

            On Twitter, people answer the question, "What are you doing right now?" in no more than 140 characters. We investigated the content of Twitter posts meeting search criteria relating to dental pain. A set of 1000 tweets was randomly selected from 4859 tweets over 7 non-consecutive days. The content was coded using pre-established, non-mutually-exclusive categories, including the experience of dental pain, actions taken or contemplated in response to a toothache, impact on daily life, and advice sought from the Twitter community. After excluding ambiguous tweets, spam, and repeat users, we analyzed 772 tweets and calculated frequencies. Of the sample of 772 tweets, 83% (n = 640) were primarily categorized as a general statement of dental pain, 22% (n = 170) as an action taken or contemplated, and 15% (n = 112) as describing an impact on daily activities. Among the actions taken or contemplated, 44% (n = 74) reported seeing a dentist, 43% (n = 73) took an analgesic or antibiotic medication, and 14% (n = 24) actively sought advice from the Twitter community. Twitter users extensively share health information relating to dental pain, including actions taken to relieve pain and the impact of pain. This new medium may provide an opportunity for dental professionals to disseminate health information.
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              Comparison of web-based biosecurity intelligence systems: BioCaster, EpiSPIDER and HealthMap.

              Three web-based biosecurity intelligence systems - BioCaster, EpiSPIDER and HealthMap--are compared with respect to their ability to gather and analyse information relevant to public health. Reports from each system for the period 2-30 August 2010 were studied. The systems were compared to the volume of information that they acquired, their overlaps in this information, their timeliness, their sources, their focus on different languages and their focus on different geographical regions. Main results were as follows: EpiSPIDER obtains the most information and does so mainly through Twitter; no significant difference in systems' timeliness was found; there is a relatively small overlap between the systems (10-20%); the systems have significant differences in their ability to acquire information relevant to different countries, which may be due to the sources they use and the languages they focus on. © 2011 Blackwell Verlag GmbH.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, USA )
                1932-6203
                2014
                29 January 2014
                : 9
                : 1
                : e86191
                Affiliations
                [1 ]Department of Information and Communication Technologies, Campus Elviña s/n, Coruña, Spain
                [2 ]University of Aveiro, DETI/IEETA, Campus Universitariá de Santiago, Aveiro, Portugal
                University of Oxford, United Kingdom
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Conceived and designed the experiments: VMP SM JLO. Performed the experiments: VMP. Analyzed the data: VMP SM MÁ FC JLO. Wrote the paper: VMP SM MÁ FC JLO.

                Article
                PONE-D-13-10567
                10.1371/journal.pone.0086191
                3906034
                24489699
                340e070b-ba1f-4807-b080-06ae88bb7d8b
                Copyright @ 2014

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 March 2013
                : 10 December 2013
                Page count
                Pages: 11
                Funding
                The work of VMP, MA and FC was supported by Xunta de Galicia CN2012/211, the Ministry of Education and Science of Spain and FEDER funds of the European Union (Project TIN2009-14203). SM and JLO were funded by FEDER through the COMPETE programme and by Portuguese national funds through FCT - “Fundação Para a Ciência e a Tecnologia” under project number PTDC/EIA-CCO/100541/2008 (FCOMP-01-0124-FEDER-010029), and by the QREN Mais Centro program through the Cloud Thinking project (CENTRO-07-ST24-FEDER-002031). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Computer Science
                Algorithms
                Computer Applications
                Web-Based Applications
                Computing Methods
                Computer Inferencing
                Natural Language Processing
                Software Engineering
                Software Tools
                Text Mining
                Medicine
                Clinical Research Design
                Epidemiology
                Survey Research
                Epidemiology
                Epidemiological Methods
                Social Epidemiology
                Public Health
                Behavioral and Social Aspects of Health

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                Uncategorized

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