Everything I Need To Know About Public Health Preparedness, I Learned From "Sharknado"
In the midst of a rare California hurricane, super tornadoes suck up sharks from the ocean and hurl them around the Los Angeles area. There is flooding, wind, debris, and sharks swimming in the streets.
While the movie was outrageous (as expected), this tweet from the Red Cross got me thinking about its surprisingly relevant public health preparedness messages:
#1: Always Be Prepared
Over and over, the lead character Fin (Ian Ziering) tells his kids "Semper Paratus". That is Latin for "always prepared". That is the key to preparedness- as evidenced by FEMA's slogan on Ready.gov- "Prepare. Plan. Stay Informed".
#2: Prepare For The Unexpected
Los Angeles is more well known for its earthquakes than its hurricanes. In fact, the article "Is there science behind 'Sharknado'?", tells us that a hurricane has never hit Los Angeles and we must go back to 1858 to find a hurricane that hit southern California. However, just because your town has never had a historic hurricane, tornado, or fire does not mean you should not prepare for one. Everyone should have an emergency plan in place. You never know!
#3: Evacuate And Get To Higher Ground
After waves and flying sharks shattered the windows of Fin's beach bar in Santa Monica, they hightailed it out of there and drove to higher ground! My only critique is that they drove through some very flooded streets. Remember, "Turn Around, Don't Drown" is a National Weather Service campaign to warn people about the dangers of walking or driving a vehicle through flood waters.
#4: Check On Friends And Family
Although April (Tara Reid) demanded that her ex-husband Fin leave her alone and that the storm was "just a little rain", he came anyway. And good thing that he did! Otherwise, she and daughter Claudia may have been eaten by the shark swimming in their pool or crushed when their house collapsed in the flooding.
#5: Shop For The Emergency Supply Kit Essentials
While FEMA offers a great list of kit essentials, it was fun to watch the Sharknado crew add a few more creative items like chainsaws and bombs. Whether or not you saw the movie, I highly recommend that you check out this GIF of Fin, a shark, and a chainsaw.
Tell Me What You Think:
What was your favorite scene from Sharknado?What other public health preparedness lessons did you learn?A Pop Health Book Review of “My Foreign Cities: A Memoir”
"In comparison to Stephen, most things would be there. If I wanted him, I had to hurry up" (page 36).
While there were numerous public health topics of interest in this book, I was most struck by the strength, resilience, and creativity that Elizabeth brought to her role as a caregiver. While the focus was on Stephen's health, we also learned how and when she needed to take care of herself. Many of her words have stayed with me, so I'm weaving her eloquent quotes into this review.
Throughout the book, I was surprised by how she could both focus on the present and think about her future. Even though she knew that future would not include Stephen at some point:
"Back then, this was my plan to get through Stephen's death: I'd have a life, a self, I wanted to continue after he was gone. But I couldn't invent that on the spot- it would have to already be there, which meant I'd need to live it while he was here too" (page 79).Because of this mindset, the reader gets to hear about the risks and adventures they took- both big and small. The big being the trips to Mexico, Hawaii, Scotland, and Ireland- the moves to San Francisco, Boston, and back to San Francisco again- going to graduate school- and getting married. The small being the clandestine escapes to the hospital roof for privacy during a long stay and their wonderful hikes around their homes in Denver and San Francisco. Elizabeth's writing is so vivid that you can see the scenery, feel the air on your face, and sometimes hear Stephen's labored breathing.
When Stephen struggles with a dangerous addiction to his pain medication, we are reminded that caregivers deal with all the side effects and dangers that surround an illness- not just the disease itself. Stephen managed to hide the addiction from Elizabeth for almost a year. Their relationship and communication were challenged as she tried various solutions to the problem- locking up the medications, alerting his physicians. Elizabeth talks about how his withdrawal symptoms and subtle disclosures were often lost on her because she always viewed things within the larger context of CF:"But that was the great thing, and the dangerous thing, about life-threatening illness- every other problem appeared like a sideshow when cast in its light" (page 108).When Elizabeth battles depression during Stephen's recovery from a double lung transplant, we are reminded that caregivers have their limits and that self-care is incredibly important:"And then I crashed. Not in the way that Stephen might have, with none of the magnitude or danger, but in the way of a healthy person, slipping slowly, with the strong sense that it couldn't be happening, I could fix it if I just tried hard enough. Maybe I crashed because I finally could, because Stephen was okay" (page 188).During her recovery from depression and later- as Stephen's condition worsens, the reader is introduced to Elizabeth's amazing support network. I can only hope that every caregiver has a group of friends/family like hers:"Back home, my friends converged to take care of me, like incredibly skilled dancers, hiding the work of it, moving so seamlessly that I barely noticed the details, I just felt, underneath me, a solid floor" (page 273).I would highly recommend this book to public health professionals, clinicians, patients, and caregivers. While some parts are heartbreaking, the theme of resilience dominates. We also get an inside view to patients and caregivers that should help us think about access to health care, quality of life, and the empowerment of patients.
I would also recommend this book because Stephen was one of us. After college, he enrolled at the Harvard School of Public Health to pursue his interest in health care policy:
"Stephen was most concerned about how people without insurance would be managed, or worse, not taken into account at all. He felt indebted to the California state system that covered CF, and he wanted to give back" (page 103).I hope this book helps continue this legacy for Stephen. I hope the book ignites conversation about access to care, coverage for the uninsured, and support for chronic illness patients, transplant patients, and their families.
Instagram It! Using Instagram for Public Health
There is certainly a wide range of social media channels discussed on Pop Health. However, as I was browsing and chatting with Leah about this guest post, we discovered that Instagram had not yet been covered. I jumped at the opportunity to highlight some public health organizations using this channel. And with the revealing of Instagram Video, the timing just seemed perfect.
A quick search of Instagram revealed that a number of public health organizations are actively using this photo-sharing application.
Chicago Department of Public Health (By the way, congratulations to the Blackhawks!)American Public Health AssociationAustin, TX Department of Health and Human Services (what they did is really great, more to come!)The Red Pump Project (Hey, National HIV Testing Day is June 27!)American Cancer SocietyThe list continues…While there are quite a few public health organizations on Instagram, their usage differs. For example, Chicago Department of Public Health is sharing mostly promotional messages, such as

It may seem simple and a no-brainer, but these posts have received little engagement. A "like" here, a comment there, but no real involvement from other followers. In fact, Chicago Department of Public Health only has 195 followers. In a city of 2.7 million, their Instagram is having very little reach.
On the other hand, the Red Pump Project has 905 followers. They promote awareness and education for women and girls about HIV/AIDS using the red shoe as their symbol. Users can tag their pictures with #RockTheRedPump to show their support. Typical posts are from events, putting faces to their movement, and event promotion. Here are a few snapshots:


The images are more colorful and vibrant than those posted by the Chicago Department of Public Health. And some image descriptions have a call to action…asking followers to like and share, comment below, etc. The second picture has 47 likes and most have over 20 likes with comments.
On social media, using calls to action or cues inspires people to do just that. Regardless of the message or reason for using social media, engaging with your target audience is key and helps to expand your reach.
Now, the city of Austin tried something this past April during National Public Health Week. They tasked their audience, the citizens in the city to help them answer a question: What is public health? Instagram users were to snap a picture of what public health means to them in Austin with the unique tag #austinpublichealth.
Such a great idea! Think about it, a photo journey from your target audience about what public health means to them. You could almost use these as unfocused focus groups and see what your audience does with the resources you have provided.
Unfortunately, only 17 pictures were tagged with #austinpublichealth. Bummer.
Here’s what I think could have gone better:
So we’ve seen the good (The Red Pump Project), the bad (Stanley Cup winning Chicago…I’ve got to throw my hometown a bone!), and the different (#austinPublicHealth). The biggest take-away from this would be inviting engagement. Tell people what you want them to do, kindly. Share this post! Double-tap if you think #vaccines rock! Take interesting pictures. We see your event posters all over town and we’re just as blind to them online as we are in real life. Snap a shot of a child wearing a bike helmet and elbow pads instead of a flyer with Bike Safety Tips listed. Be a real person. People want to engage with other people, not ambiguous brands or images.Test NEW things. Don’t be afraid to try things out and don’t feel bad if they fall flat!
And since we are discussing trying new things, have you tried Instagram Video? How do you like it compared to Vine? I think the length is going to be great for public health professionals, much better than a 6 second loop. What sorts of videos would you like to see for #publichealth?
(P.S. Comment below and share this with your friends!)
Pinning Public Health: A Spotlight on Hamilton County Public Health
Today's post is written by Christy Cauley, M.Ed., an Electronic Communications Specialist, who is responsible for the department's social media strategy. Hamilton County Public Health (HamCoHealth) was established in 1919 to serve more than 460,000 Hamilton County residents living outside the cities of Cincinnati, Norwood, Sharonville and Springdale. With a staff of more than 80, including sanitarians, plumbers, health educators, nurses and epidemiologists, Hamilton County Public Health strives to prevent disease and injury, promote wellness, and protect people from environmental hazards.
I am very fortunate to work for a local public health department that understands the value of a strong social media presence. Hamilton County Public Health has a strong presence on Facebook, Twitter and YouTube and now we’re expanding our presence on Google+ and Pinterest. The latter’s image-centered format poses many challenges to public health entities. After all, who wants to look at pictures of syphilis?
That simply means we have to get creative. Rather than pinning a picture of syphilis, I’ll pin a picture of a cute stuffed amoeba that represents syphilis. The photo still links to an article that lets everyone know there is a syphilis epidemic in Cincinnati and what they can do about it, but they are spared the sometimes graphic images that are associated with public health.
We also have to consider our audience. Our Pinterest audience is quite different from other social media outlets. For starters, there is a much stronger female presence on Pinterest. In fact, the vast majority of our followers are women. That affects our pins and our boards – we have a Women’s Health board for example. Our pins have much more to do with family health and safety than our other social media pages. We tend to focus on health, nutrition and fitness, things that matter more to women than men. We have many pins on Pinterest that do not make it to our Facebook or Google+ pages because the audience just isn’t right for it.
Growing our audience has been challenging on Pinterest. Few people outside the profession are really interested in public health until there is a reason to be interested – like an outbreak of West Nile Virus, for example. We take the usual steps – following others’ boards, liking, commenting and repinning when possible. But what we really want is interaction with our stakeholders on our own boards. We want to get our messages out and know that our audience is hearing them.
To help with that goal, we have “public” boards where we allow others to post to our boards (and we have been invited to do the same). This creates boards with people of similar interests who can share pins more easily. We are careful to include a disclaimer on these boards however, and we do monitor outside pins. Our public health and safety boards can only be pinned on by us, but our recipe and fitness boards are open for our followers to share their favorite pins and they do. We pin to a public board called Health Communication & Social Media from Raed Mansour, where social media and communications professionals can share their ideas. Before, our only interaction with these professionals was on Twitter.
Interestingly enough, the place where we receive the most interaction on Pinterest is one of the public boards we were invited to pin to – Cat World, a board by Joyce Egoodman. Yep, you read that right, Cat World. What does that have to do with public health, you ask? Not a lot, although we can connect pets to our emergency preparedness and heat safety topics quite easily. But, people who love cats are our stakeholders. Public health affects everyone, even our pets. And who doesn’t like cute cat pictures?
How it works is we will find the cutest cat picture on our following boards in the morning and repin it to Cat World with a message about public health or safety. That pin then gets repinned by anyone who likes the picture – not necessarily the message. In turn, our message gets disseminated all over Pinterest and it only took a few seconds of our time. Our Cat World pins get commented on, liked and repinned much more often than our other pins because that board has a wider audience (for now).
One of the Social Media for Public Health (#SM4PH) Twitter chat participants (@AmandaMPH) mentioned that there is a LOT of unhealthy dieting information on Pinterest and we have also found that to be the case. That’s one of the reasons it’s so important for health departments to have a presence on Pinterest, so we can put out accurate information that people can trust.
We’ve found that the image is as important as the message. As a result, we keep our messages short and sweet and we keep our pictures creative. For example, did you know Ryan Gosling is the poster boy for public health? There are hundreds, maybe even thousands of Ryan Gosling memes and many of them are public health centered. We try to utilize them on “Fun Friday” as much as possible.
Another small thing we do is change our board covers often. When new stakeholders visit our page, we want them to see a captivating image that makes them want to view the board, but we also want to make sure that the pin in question is toward the top of the board. I can’t tell you how many pages I’ve visited where I wanted to repin the board cover image, but once I clicked the board, it went on forever and the cover photo was nowhere to be found. We want our stakeholders to find things easily. It’s a small thing, but don’t underestimate its importance to the aesthetics of your page. And don’t neglect the description and category areas either.
We have also taken advantage of @PinGraphy, which allows us to schedule pins for certain times and days. When interaction matters so much and we do not have someone on social media on the weekends, this tool is invaluable. (We use HootSuite for scheduling our other social media sites.)
Getting our feet wet in Pinterest has been challenging. We have made a lot of changes to our boards since we started in response to feedback from users. We’re still learning, but we hope that Pinterest will be a valuable tool in spreading our messages about public health and safety issues in Hamilton County, Ohio and throughout the world.
Eat bread panera CEO in $4.50 per day: good for public health or just PR?
The problems of food insecurity and the Supplemental Nutrition Assistance Program (SNAP-formerly known as food stamps) are very opportune. September is hunger action month and the House just passed a bill that will reduce $39 billion of SNAP. Recognizing this, I wanted to discuss the Panera Bread CEO. Last week, Ron Shaich has embarked on a well publicized challenge feeding America SNAP. His goal was to make shopping for meals, with the daily average per person ($4.50) benefit of SNAP to get an idea of the challenges faced by those who struggle to put food on the table. Feeding America encourages participants in the challenge to share their experiences in order to raise awareness about "this critical nutrition program". Ron wrote about his experience on his LinkedIn Blog September 9-20, 2013.I think that your initial posts did a good job of outlining realistic goals:
(1) to help raise awareness of the issue [I'll stick with it - although all Pop health readers know that I hate the term "consciousness"] and (2) spark deeper talks about insecurity and possible solutions for food.Ron also highlighted an important warning: the experiences of the week's challenge are not intended to provide a true representation of food insecurity in America. He understands that the problem is much more complex. In the course of the week, he discussed how changed their shopping habits and eat during the challenge. For example, he visited a supermarket known for its low prices. Also changed it to typical fresh products such as yogurt to "fill" foods such as grains. It documented the physical and mental side effects of their diet altered such as fatigue, irritability and resentment. Some of their main carry of the challenge were: (1) a week is not enough to truly understand food insecurity, (2) food dominates your thoughts when it is not readily available, (3) greater empathy for those who are struggling and (4) the importance of eliminating the trial and preconceived notions about people who are food insecure or require help from the SNAP program.
My thoughts: Challenge and blog posts did not reveal anything unexpected; However it is worth read your messages by Reader comments. I'm always impressed with social media can apply for engagement and dialogue on public health issues. While some readers were very supportive and applauded Ron for his efforts, others were quite critic-highlighting important limitations of your company. For example, its simplicity. Readers pointed out that it is not only of food insecurity. It is the stress of home, food, work and transportation be unstable at the same time. Also noted how easy that was for jumping in your car to visit a less expensive grocery store. Families that are limited by transportation and geography do not have that option. For me, this simplicity stood out in the juxtaposition of Ron SNAP challenge with many of the pictures that used to accompany your blog entries. For example, the day #4 see Ron Cook your cheap food in a beautiful kitchen. In the NPV days # see Ron to eat in their superbly equipped office and kitchen of the building. Readers/commentators did a great job (better than Ron in my opinion) of the community and sociedad-nivel contribute to food insecurity. They discussed the implications of the current minimum wage. Discussed the families stuck "in the Middle"-not be suitable for SNAP, but do not make enough money for their families to eat. They discussed the underemployed - working multiple part-time jobs for low wages without benefits. They spoke of how our country's culture has changed - quotes examples of past generations when the employees were appreciated. They discussed the high cost of food and the lack of healthy options for people living on a strict budget. I was especially touched by the first comment in your post day #5. The comment comes from a former worker of Panera, who left after four years because of the low wages that it rendered her unable to keep up. She writes that "many of the employees of the shops that worked are food insecurity, as well as I". While recognizing the philanthropic efforts of Panera, Ron asked "why not looking in your own kitchens for people who help also?" I have also taken note of the selection of communication channels of rum. He used their existing LinkedIn blog. I hope to track down reliable data on the demographics of the users of LinkedIn (e.g., education and income levels) so you have a better sense of your target audience. According to a Pew Internet study, only 20% of adults online use LinkedIn (from August 2012). So it made me wonder: who could stay out of the conversation due to the location of the blog? [* If any reader can share a source of reliable data on demographic data from LinkedIn users, that would be great!]As Ron aims to deeper conversations about food insecurity and sparkle solutions, time will tell if his company's stock will change as a result of this challenge SNAP. I hope that they will build on existing efforts (such as Panera Cares) to help address food insecurity in the community, society and policy levels.
What do you think?
Pop Health Hits 100! Revisiting 5 Favorite Posts.
En honor a golpear el hito de los 100 puestos de salud Pop, quer?a tomar el tiempo para mirar atr?s, gracias a mis lectores (cara a cara!) y revisar algunos de mis posts favoritos. Seleccioné puestos generan por la mayor?a de los lectores (1), (2) los comentarios m?s solicitan, (3) me conect? con colegas, o (4) fueron realmente divertido escribir y promover!También estoy celebrando este hito con mi primer post video!
1. "la intimidaci?n: es la tecnolog?a nos ayuda o hacernos da?o?" [5 de octubre, 2010)
2. "amigos no dejan a amigos conducir borracho: Cu?ndo es demasiado pronto para encontrar el momento para la ense?anza en la muerte de Ryan Dunn?" [23 de junio de 2011]
3. "Facebook a?ade la donaci?n de ?rganos a l?nea de tiempo: nos gustar?a?" [01 de mayo de 2012]
4. ""Opci?n médica"de Angelina Jolie domina el Internet" [14 de mayo de 2013]
5. "C?mo y por qué deber?amos nosotros"Pin"salud p?blica?" [18 de junio de 2013.
What Public Health Can Learn About Branding From "Parks and Recreation": Fluoride, TDAZZLE, and H2Flow
En el episodio del 21 de noviembre de 2013 de parques y recreaci?n llamado "Fluoruro", la banda una vez m?s aborda un problema importante de salud p?blica. Puesto que recientemente se han combinado los pueblos de Pawnee y Eagleton, el Concejo Municipal se embarca en una votaci?n con respecto a la fusi?n de reservorios de agua en las ciudades. El embalse de Eagleton contiene fluoruro y una fusi?n significar?a residentes Pawnee beber?a agua con fl?or por primera vez en su historia.
El fluoruro Pro contingente (liderado por la concejala Leslie Knope) r?pidamente aprende que el fluoruro, a pesar de todos sus beneficios de salud p?blica, enfrenta un problema de imagen seria! Compa?eros miembros del Consejo asustan al p?blico mediante la descripci?n de fluoruro como todo, desde un producto qu?mico peligroso para una herramienta de control mental utilizado por los comunistas. Cuando concejal Jeremy Jamm propone una ley de agua limpia Pawnee que prohibir?a a agregar nada al abastecimiento de agua (para siempre), de Leslie parques y recreaci?n administrador Tom Haverford propone una soluci?n:
"Jamm ya arruinado fluoruro. Todos est?n asustados de él. ?Qué tal si lo llamamos algo m?s? Re calificamos.""?Qué est?s diciendo? Necesitamos a sexo-fluoruro?"
"Tienes que darle a la gente algo que te emociona".
El resultado: TDAZZLE. Leslie y Tom lo describen como "no un qu?mico; es una experiencia de medios sociales basados en acu?ticos oral". Su presentaci?n en TDAZZLE involucra a los residentes con video, redes sociales y un gratis regalar.
Cuando Jamm pelea #TDAZZLE con una idea que en realidad llenar?a el agua potable con el az?car, volver a ellos marca otra vez.
El resultado: H2Flow. Tom alienta a los residentes de Pawnee pensar en H2Flow como una aplicaci?n para los dientes. El flujo m?s que tomas en, chispa m?s puntos conseguir?s. Si tienes suficientes puntos de chispa, entonces est?s en su camino a su primera placa de Aqua. Si tienes suficientes divisas Aqua, a bienvenida al Club H2Flow de platino.
Por el momento el episodio termina, la re-branding ha tenido éxito. Todos los residentes de Pawnee tendr? H2Flow (a.k.a. fluoruro) en su agua potable.
Mientras que este episodio y las campa?as de cambio de marca est?n por encima y rid?culo, que ofrecen algunas lecciones importantes para la salud p?blica:
(1) ciencia, hechos y la raz?n no son siempre suficientes para cambiar los comportamientos y las actitudes del p?blico.
Si lo fueran, todo el mundo podr?a dejar de fumar y Vac?nese contra la gripe. Leslie y Tom reconocieron esto y echaron su presentaci?n seco de qu?mica/estad?sticas.
(2) cuestiones de lengua
Uno de los mayores desaf?os para la imagen del fl?or en Pawnee fue su asociaci?n con el término "qu?mico". Los productos qu?micos son considerados peligrosos y t?xicos - as? que ?por qué querr?a les en el agua potable? Leslie y Tom tuvieron que cambiar la forma en que se describ?a fluoruro.
(3) ser creativo
Integrar los principios de publicidad para que la gente a bordo con las iniciativas de salud p?blica. Atraen al p?blico utilizando las tendencias y alinear el "producto" con lo que el quiere o valores p?blicos. Leslie y Tom utilizan nombres pegadizos, redes sociales y juegos para conectar con los residentes.
(4) sigue intentando
Problemas/intervenciones de salud p?blica a menudo necesitan ser re enmarcado para hacer correcciones de medio curso y mantenerse al d?a con las tendencias/datos/retos. Cuando TDAZZLE fue derrotado por ems de Jamm"bebida", Leslie y Tom r?pidamente nuevamente con la marca H2Flow.
Esta batalla "imagen" est? jugando cada d?a en todo el pa?s y afecta a muchos problemas de salud p?blica (por ejemplo, vacunas). La batalla de fluoruro incluso jug? este a?o en Portland, Oregon. En un inteligente Scientific American art?culo sobre el fluoruro votar en Portland, el escritor Kyle Hill destaca la importancia del lenguaje, comunicaci?n y estructura:
"La votaci?n de ayer fue un fallo de comunicaci?n de la ciencia, y cae a los funcionarios de salud p?blica para rectificar, para recuperar la palabra"qu?mica". Tal vez vuelva a enmarcar la conversaci?n en términos de fluorizaci?n agua o salud dental como regulaci?n, no s?lo adem?s, podr?a ayudar. Hasta cuestiones pol?ticas en serio son informados por respuestas cient?ficas, miedo y libertad beats hechos."Parques de recreaci?n & Fans: ?Qué otras lecciones para la salud p?blica encontr? en el episodio??Qué ejemplos puedes compartir que ponen de relieve una cuesti?n/intervenci?n de salud p?blica que ha sido exitosamente marca re o re enmarcado en los ?ltimos a?os??C?mo mejor podemos capacitamos a profesionales de la salud p?blica en las estrategias de comunicaci?n/publicidad de salud que son tan cruciales para el éxito de su trabajo?#NotDeadYet: Slate unleashes a discussion on impressive line of life, medicine and public health

Slate last Thursday, a daily web magazine, started a series on life expectancy. I recommend you take the time to read the articles, covering everything from notable public health advances for improving maternal and infant health outcomes. I was very happy to see many public health organizations to share these articles with his followers.
While the content was enough to get me, I was particularly intrigued by the dialog online that was caused by this series. Last week, my Twitter feed has been filled with members who are involved in the discussion using the hashtag #NotDeadYet. In the first series, "why aren't you dead yet?", Laura Helmuth explores why life expectancy has doubled in the last 150 years. At the end of the post, Laura asked readers to submit their stories of survival #NotDeadYet slate twitter or email accounts. A selection of submitted stories ran today to finish the series of the week in the hope of life. With so many newspapers and blogs (including mine) strongly depending on the comments section to start the discussion, I was intrigued by the idea of starting a thread Twitter hashtag support. Impressed by the rate of high participation in my own food, I approached Laura Helmuth for more information about its dialogue with readers. She was very kind to respond to my questions during so I guess that it has been a very busy with the series week!
She shared that slate received more than 200 e-mails from people who share their stories (some of them very elaborate). They also received over 800 responses on Twitter. In terms of content of the history:
A quarter of the e-mails referred to the parto-mujeres who would have died giving to light and people who would have died when they were born. Many Twitter messages were also about birth, including many men who tweeted who would now be widowed without children if not for modern medicine. Slate also heard a lot of people who survived a trapping Appendix. Many people were saved from unpleasant infections with antibiotics. And some had horrible accidents that were patched up in surgery. Many people have had heart surgery. Many people attributed their antidepressants to keep them alive. A surprising number said that they were treated with antivenoms for snake bite.
Laura noted that this thread especially poignant hashtag because "people were taking a moment to share their most fearsome stories and express gratitude that are alive". He also said that "it is a great reminder that for many of the people that we know that he would be dead if it weren't for the treatments sometimes take for granted". A big thank you to Laura for sharing these responses and reactions!After assembling this post, I have two messages: one about the content and one on the strategy that slate used to communicate this story. (1) it is important to look back and the inventory and public health medical advances we take for granted. Last year I wrote about the wonderful documentary Frontline "The vaccine war". When he speaks of fears of vaccination and decreased rates of childhood vaccination, the documentary said that this new generation of parents is too young to know the devastating effects of the vaccine-preventable diseases with vaccines like polio. One of those interviewed used a term that I really like-"Memories of the community". As memories of these diseases community disappears, we can be complacent. We're seeing the devastating results of this complacency with outbreaks of these diseases (e.g. outbreak of measles in Texas just a few weeks). (2) in public health should take note and learn from the strategies they used to participate to readers of slate. We are always looking for ways to start the conversation further than the articles that we publish or we teach classes or webinars or twitterchats provided to us. Some observations: the hashtag thread allowed them to take the discussion beyond the comments section on Twitter. Hashtags can be located, what new entrants quickly could be acquired which originally do not follow or read the magazine. The hashtag #NotDeadYet was innovative and "catchy" no boring as #PublicHealthAdvances. Readers also had an incentive to share their stories, from the slate was selecting the top 50 to close the series. I would love to listen to my readers!Have you read the series of life expectancy of slate? Do reactions to share? have tried similar strategies to engage readers with content that you distribute? Success stories or lessons learned to share?
Pop health reviews posts
Since we will be writing less frequently in maternity leave, it will be integrating some wonderful comments posts on the blog.
Thanks to everyone who has offered their time to contribute to health Pop in the coming months!
Apart from the communication: social media can help pay their health bills!
A few weeks ago filled the "3 Top Pop health trends" in 2013. Topping the list was the intersection between public health and social communication media. I've written about the use of social media for all in public health promotion to emergency response monitoring. So I was intrigued to see a recent history that highlighted another innovation: allowing patients to use the media to pay for health services.
The program "Payment-with-A-Tweet" was released by Telecure as a way to market their telehealth services. California residents is communicated with an urgent care provider 15 minutes of your call. The doctors are made available to callers by telephone or video as a way to reduce access barriers to care.
The program "Payment-with-A-Tweet" waive the $25 fee consultation if patients share their experiences on Facebook or Twitter. According to reports of the press on the programme, the idea flourished after officials Telecure noticed that the patients were discussing their experiences in social media. Creating a formal program of allows Telecure (1) take advantage of marketing in social media and (2) provide them short in cash with an alternative way to pay for care.
CEO of Telecure mHealth said news that the objectives of the programme is now to "stimulate the awareness and growth".
I would be interested in seeing how Telecure is evaluating this program and hope to see some follow-up press or documents of the strengths and challenges of this research strategy.
Some thoughts that come to mind for me:
Tweet or not to Tweet? How do patients concerns about privacy contribute to his decision to participate in this program? Many patients may not wish to share with their social networks that have been to consult a doctor (no matter the diagnosis) - which is a barrier to take advantage of this program?It is heavily utilized social media among their populations objective (patients in remote locations and in patients treated). Look like those patterns of user? Tweets/facebook articles on negative experiences being handled? Negative messages still are being promoted along with positive messages? How are monitoring Telecure jobs for problems customer service officials that may have occurred? do Tweets/facebook messages to be promoted to the public? For example, searching for multiple hashtags on twitter after seeing coverage of the media (for example, #telecure, #paywithatweet) but was not able to find any results which included reviews of their services. If they are using social networks to market services, you will want tickets to the patient to be easy to find.What you think? Are used social media to pay an effective strategy for involving these and other populations? what other questions/considerations of assessment should be considered in addition to those I've mentioned?
A Pop Health Book Review of "Deadly Outbreaks"
I kept being reminded of House as I read Dr. Alexandra Levitt's new book, "Deadly Outbreaks". She profiles seven cases where real life medical detectives (aka: field epidemiologists) solve mysteries involving exotic viruses, unexplained deaths, and occupational safety (just to name a few!)
As I thought about the relevance of "Deadly Outbreaks" to Pop Health, I kept coming back to the role of communication between these medical detectives and the public. This communication is heavily impacted by the media (which can help or hurt an investigation!) I was fascinated to read about this relationship in the cases presented (from 1976-2007) and think about how it will evolve in the future along with our health communication channels.
Several cases offered particularly striking lessons in health communication:
Lesson 1: The Role of Communication in Promoting Fear or StigmaChapter #4: Obsession or Inspiration
This case (1976) chronicled the discovery of what would later be named "Legionnaires Disease". With U.S. citizens already worried about a possible influenza epidemic (due to a suspicious death earlier in the year), the medical detectives had to contend with media coverage that fueled public fear:
"The U.S. public, bombarded by daily news stories, was disturbed and frightened by the outbreak in Philadelphia, even though swine flu was quickly ruled out as a possible cause."
"The public was primed and ready to believe that something big and scary was about to arrive, and it had."
Chapter #7: A Normal Spring
This case (1993) followed the trail of a virus affecting people in New Mexico (later discovered to affect people in the four corners (New Mexico, Arizona, Colorado, and Utah). This case was interesting because it presented the challenge of managing the intersection of media coverage and local culture (Navajo people were disproportionately impacted by the condition). "The Navajos were also unhappy at being linked to the disease in Four Corners. The newspapers not only printed the names of dead relatives, but also referred to the disease as the "Navajo flu," stigmatizing an entire people."Lesson 2: The Role of Communication in Promoting Health and Safety
Chapter #5: Deadly Desserts
This case (1994) which involved a Salmonella outbreak, highlighted a successful public awareness campaign! After Salmonella was linked to their products, the Schwan Company conducted a recall and asked customers to discard or return all uneaten products that may be affected. "Schwan's even sent their trucks door-to-door to retrieve ice cream from each household.""Schwan's public awareness campaign- advising its customers not to eat its ice cream -was unprecedented and has been praised and studied as a model of good corporate citizenship."
Lesson 3: What's In A Name? The Importance of LanguageChapter #4: Obsession or InspirationThe newspapers called it "Legionnaires Disease" first. This popular name would later become official (and was approved by the American Legion)."It was named Legionella pneumophila ("lung-loving"), in honor of the American Legionnaires. Although many affected groups do not want the stigma of having an organism or a disease named after them, the leaders of the American Legion decided that the name would honor their fallen colleagues."It is customary to name a newly isolated animal-borne pathogen after a geographic feature around the place it was discovered. Therefore, names such as the "Four Corners virus", "San Juan virus", and "Muerto Canyon" were proposed. "...the Navajo community was uncomfortable with names that would tie them to the new disease..."In response to this concern, scientists settled on a neutral name for the pathogen: Sin Nombre, the No Name Virus.I highly recommend this book. While I highlighted some of the health communication lessons here, there are lessons for a variety of public health disciplines. It is a great resource for public health students: Dr. Levitt does a wonderful job of defining key public health terms (e.g., case control study) and providing lots of practical examples. It is a great resource for current public health practitioners who should re-visit lessons from past outbreaks as we tackle the challenges of disease surveillance, domestic/international outbreaks, and the disturbing anti-vaccine movement. This book gives us a good idea of the diverse skill set needed by today's public health workers....and I believe communication skills are at the top of the list. We need scientists who can do the work and also negotiate the media and the challenges of communicating risk to the public. As online news and social media become ubiquitous, I'm curious to see how public health handles the challenges of the 24-hour news cycle where health myths or facts can be spread in the blink of an eye.What Do You Think? Would love to hear from others who have read the book!
Disclaimer: I was invited to review "Deadly Outbreaks" by the Council of State and Territorial Epidemiologists (CSTE) and provided with a copy of the book.
3 main trends Pop health in 2013
Ending 2013 it has given me a great opportunity to reflect on what I've been writing over the past year. Looking back over 35 posts +, here are the trends that caught my attention:
1. social Media & public health: continues the intersection of these two themes that intrigue us in the field of public health and the implementation of social media is being explored in everything from preparation to education for health.
Favorite pop 2013 health:
Facebook is revolutionizing the search of an organ donor, but is it right? (27 de septiembre, 2013) #RoyalBaby offers the unique opportunity to public health to advocate for Maternal Child Health (July 23, 2013) Instagram is &! Using Instagram to public health (June 26, 2013) how and why should we "Pin" public health? (June 18, 2013)Emergency response to the attacks of the Boston Marathon: looking for social networking information, resources, and connections (16 April 2013) use Twitter to track disease: weighing the benefits and challenges (March 05, 2013) Downton Abbey: a spectator tears mountain leads to a discussion on incredible line on maternal health (29 January 2013)2. celebrities & public health: this is not a new issue by any means. For decades, celebrities have been advocates of health or the topic of discussion for a number of public health problems. However, I like it a tendency to highlight in 2013 for two reasons. (1) with the help of social media, celebrities are weighing on constantly about health topics and current events in real time. These views can come quickly and casually through Twitter or Facebook... already do not speak exclusively through advertisers and press releases press. (2) public health is focusing on the evaluation of the impact of celebrities on health issues. * I hope we see more of this in 2014!
Favorite pop 2013 health:
3. Crowdsourcing & public health: while I have not written anything as much as I'd like, I've been fascinated by the creative use of crowdsourcing in 2013 that has helped advance dialogue for public health. [For those unfamiliar with the term, "crowdsourcing" is the Act of obtaining ideas, content, etc. for contributions from a large group of people as users of Twitter!] Specifically, I'd like to recognize the slate for the use of this strategy in the history of #NotDeadYet a link below and, more recently, in its analysis of data from the death of weapon. I think that in public health we can learn much from strategies of crowdsourcing that Slate has used readers.
Favorite pop 2013 health:
2014: I anticipate that each of these three themes will continue to grow and appear in many Pop health posts in 2014. I hope that we see more and more evaluation studies of media communication social/celebrity/crowdsourcing and its impact on public health initiatives. I hope that these studies are widely disseminated and made accessible to many of us — even if we lack broad access to look at magazines reviewed the. If you see this type of study, pass them along. I hope to expand my posts "Research notes" in the next year and I would love to highlight such studies on the blog.
What do you think?
What other trends 2013 on health of public social media did you see your job? do trends new/expansion that will be in 2014.?What can you teach "Chronic resilience" professional public health? An interview with the Danish author Horn

Last month I had the pleasure of receiving an advanced review copy of "resilience: 10 Sanity-Saving strategies for women to deal with the stress of chronic diseases". How to read the book, I took note of many issues that are relevant for public health professionals. Therefore, it is a pleasure to have Danish Horn expand reviews these issues for readers of health Pop.
If you want to connect with Danish, you can visit their website or Twitter.
Leah: In public health, talk a lot about the "culture" of our society can promote or damage health. Several places in his book, talks about the connection between our social values and our health. For example:
Page 33: "our culture is part of the reason that we try to be all things to all people." You have sat through a business meeting while someone is Sniffling and sneezing and others to its cold exposed to? At that time they are valuing achievement, money or aspects of their health and that of others in the room. "
How can extend beyond the individual level strategies? How we can identify and we live our values of health in the neighborhood, the community and the levels of organization?
Danish: Only takes one person to start a conversation that can become the catalyst for major changes. He begins to talk to the people in your work and in your community to get an idea of what is currently valued. (Written and unwritten) policies in our offices and our fellowship articles will say much about what value collectively. If you find inconsistency or confusion in their conversations, open a dialogue with the leaders of your organization or community to discuss what you want to choose collectively to value. From here you may think together ways to influence change. They can be small changes such as create a block of healthy lifestyle of the party where people share nutritious dishes and exchange good recipes for you or larger changes sick pay (that is not mandatory in all States... yet). Never be afraid to speak. A big issue in chronic resilience are controlling what you can control and talking in their control.
Leah: In Chapter #6, you write "is up to you to decide how public to make your health." Several of the women interviewed for his book have blogs that document his journey of health in a very public way. Researchers in public health Ressler et al (2012) have identified many benefits the patient blogging (e.g., patients report a decrease in feelings of isolation).
Benefits have as a consequence the writing about your health? What challenges have you found the process of publicly sharing your story?
Danish: Writing helps me process what is happening from a different perspective. I am all about learning from our challenges, for each post I write is a search for a lesson or a message to me to my diagnosis points. I feel frustration about the progression of the disease and begin to write a rant, but it seems to me that of course ended with a message about my ideals or acceptance. Reformulate my health in this way has been very empowering.
Not met with many challenges with my trip in public health. Commentators have been a great support. That said, I'm picky about what I want to share, and keep some things private. I know other people have faced challenges and someone who should be prepared blogs publicly about their health, they are people that share resources, treatment recommendations, panacea solutions and pleas to have faith in a deity may or may not believe in. While these all come from a memorable place feel intrusive. Also, you may want to give a notice to close relatives and friends before publishing something particularly revealing, emotional or otherwise, which are not shared with them privately first.
There are a number of ways to take advantage of writing about his health. So publicly on a blog can create a sense of community and support, but if it feels very invasive, it can join the support forums anonymously, create a private blog or journal of pen and paper, old-school style.
Leah: In the chapter #7 ("empower yourself with the investigation"), was happy to see the emphasis on helping patients to assess the validity and safety of medical information on the Internet. This is a great challenge in public health. Our messages based on evidence and guidelines often competircon in line with anecdotal evidence and scientific studies.
Why did you decide to devote a portion of his book to this debate? Why is it so important for patients to discuss what are in line with your medical team?
Danish: Before I became to discern about what I read on the Internet about my diagnosis, I was completely stressed out. I have read way too too many random supplies to properly resolve what they should believe. I also note that was looking for how it would be worse (side effects, complications and progression of disease) rather than seek how could support my Heath. Fortunately, I realized my stress most came concern created by endless searching the Internet, and decided to take a different approach.
I have found some sources of trust of doctors and nutritionists to study and apply. I decided to concentrate on my personal symptoms, medications and prognosis instead of what other people who even did not personally know that they had experienced. I also started a more open dialogue with doctors about the diet I wanted to try and some of the studies they had read. When we investigate and experiment with our health without informing our doctors have conflicting approaches that can create drug interactions or other harmful complications. The doctors are there to support us. If you are uncomfortable talking to yours, is time to find one that you trust enough to be completely open and honest with. Everyone should have a doctor who will work with us to find treatment solutions with which we are comfortable.
Leah: A big thank you to Danish to make time for health Pop! "Chronic resilience" is a great read for those with a personal or professional connection to a chronic disease. For the doctors of public health, professionals and researchers working in the field of chronic disease: I think that you will get a unique view of firsthand (1) the mental, physical and emotional challenges affecting this population, (2) the incredible resistance showing those with chronic diseases on a daily basis (what can we learn from them??) and (3) specific strategies that can be used to help patients with chronic diseases. As Danish and I discussed earlier, these strategies have the potential to expand on an individual level to provide support to communities.