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Using Social Media to Augment Traditional Tuberculosis Contact Investigation Methods Using Social Media to Augment Traditional Tuberculosis Contact Investigation Methods

Using Social Media to Augment Traditional Tuberculosis Contact Investigation Methods - PowerPoint Presentation

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Using Social Media to Augment Traditional Tuberculosis Contact Investigation Methods - PPT Presentation

Leslie Henry BSN RN PHN Nurse Consultant Tuberculosis Control Branch California Department of Public Health Objectives Describe how s ocial m edia sites can be used to identify and locate potential contacts and ID: 780462

social media information case media social case information facebook contact index public 2014 trieu outbreak photos additional million born

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Slide1

Using Social Media to Augment Traditional Tuberculosis Contact Investigation Methods

Leslie Henry, BSN, RN, PHNNurse ConsultantTuberculosis Control BranchCalifornia Department of Public Health

Slide2

Objectives

Describe how social media sites can be used to identify and locate potential contacts and possible exposure sitesIdentify ethical considerations to keep in mind when employing social media in a contact

investigation

Slide3

Disclosures

The faculty have no conflicts of interest to disclose

Slide4

What is Social Media?

Social media: Computer-mediated tools

that allow people to create, share or exchange information, ideas, and pictures/videos in

virtual communities and networks

Used to share ideas, exchange information, display viewpoints

Arranged as forums, communities, or networksInstantly connect and transmit messages to large numbers of peopleVast amount of personal, formerly ‘private’, data available

Trieu, 2014

Slide5

Social Media Platforms

Facebook

(2004)

Online profile: ability to share pictures, posts, and opinions

As of 2018 there are 2.3 billion mobile active users

5 new profiles are created every SECOND

Instagram

(2010)

A primarily mobile application profile of photo sequences

1 billion users worldwide

95 million photos shared per day

Twitter

(2006)

Exchange of messages of 280 characters or less321 million monthly users who send 500 million Tweets a day

LinkedIn (2003)Online resume used for professional networkingHas more than 500 million usersYouTube (2005)A web sharing device for videos1.3 billion users300 hours of video are uploaded every minuteYelp (2004)Publishes reviews on local businesses with personal input from users33 million unique Yelp visitors a month

Trieu, 2014

Slide6

Who Uses Social Media

Law Enforcement

Lawyers

Government

A

genciesSchools and UniversitiesHospitalsInsurance CompaniesProspective Employers

Slide7

How many of you use social media as part of your job?

(Facebook, Instagram, LinkedIn, Yelp)

Slide8

Uses of Social Media in TB control

Contact investigationsIdentifying additional contactsVerifying work/school/congregate exposure sites

Outbreak and genotype cluster investigations

Identifying/confirming epidemiologic links

Finding lost

patientsIdentifying new locating informationMonitoring adherence to isolation Photos of the patient in public during isolation

Trieu, 2014

Slide9

What information can you get from using Social Media?

Identify how TB patients might be connectedAre they friends with other cases?Identify additional contactsFind additional case information:

Where do they spend time?

Where do they work?

Field safety issues

Slide10

Slide11

Slide12

Snow White

Tigger

Mickey Mouse

Belle

Jiminy Cricket

Donald Duck

Slide13

Slide14

Slide15

How to use the information found

Social media is more of an information gathering tool that can help guide certain questionsUse info gathered from social media sites to confirm what the case/contact said during an earlier interviewIt

is

recommended that you

not

reveal that social media is the source of your information

Slide16

How to use the information found: Interviews

LocationsVacationsPartiesSocial gatheringsFamily gatherings

Hobbies

Photos

Are there photos of the case with children?

Are there any photos that show the case out in public when they were supposed to be isolated? Comments from friendsAnything said about how much weight a case has lost could be helpful in establishing or confirming an infectious period

Slide17

What to do when you can’t find them on Social Media?

Try searching for other family members or known friendsIf the name is unique, try a basic Google searchIf you have a phone number or email, use this information to search for them on Facebook

Sometimes you will be unsuccessful

Slide18

Case Study 1 – Establishing Epi Links

Outbreak in a large extended familyForeign-born adult index case7 children mostly US-born, all related to index caseAge ranges of children 1 – 12 years oldA new case identified

US-born adult

Not a family member

Does not match outbreak demographics

On Humira for RAGenotype matches the outbreak

Slide19

Case Study 1 – Results

A Facebook search of both cases Both the index and new case had an adolescent childBoth children played soccer in the same leagueThis information was used in the reinterview

of the new case

The reinterview revealed that the new case drove the index case’s child to soccer practice

Epi-link established

Time and resources were saved by not having to look further for a link

Slide20

Case Study 2 – Identifying contacts

Index caseUS-born teenagerSmear/culture positive, cavitary TBHousehold CI – all positive

School CI

had

a high positivity rate

Repeatedly stated they had no friends other than the family

Slide21

Case Study 2 – Results

The index case’s Facebook was viewed Facebook revealed several additional contacts, including childrenPictures showed they belonged to a gymnastics team2 additional cases

were found and treated

Slide22

Ethical Considerations

Protect patient confidentiality The potential is there to link the patient to TBDon’t mix business with personalConsider having a generic profileRestrict use of social media for public health purposes onlyDevelop local policy for the use of social media

If no local policy is available, seek supervisory support before using social media for work

Slide23

Tips for Avoiding Ethical Lapses

Do not post, tweet, blog, or otherwise disclose protected, sensitive, or confidential informationAccess only publicly available information; do not attempt to gain access to non-public social media content

Do not friend patients or their contacts

Do not accept friend invitations from patients

Do not ask

to follow a private Twitter or Instagram accountDo not subscribe to patients’ YouTube accountsDo not connect on LinkedIn

Slide24

Conclusions

Social media is widely used and can be a helpful tool for routine TB controlLocating patients who need follow-up Enhancing contact, outbreak, and genotype cluster investigations

It is not a substitute for a good contact investigation

Privacy and confidentiality issues must be addressed when developing protocols on how to use social media

Consult with your organization’s administrators

Trieu, 2014

Slide25

Acknowledgements

TBCBAnne Cass Corrine StuartMaureen O’Rourke-Futey

NYC

Trieu, Lisa. 'Beyond Liking, Friending And

Poking‘. 2014 NTCA Presentation

References