Clark Freifeld, co-creator of HealthMap.org, discusses the potential of his Google Map mashup of publically-available RSS feeds (and tools like it) for improving the early reporting of infections diseases around the world. More information at http://ow.ly/oYll . Contact: Suzanne Rainey / srainey@ForumOne.com .

1. Aggregation of online media reports for global infectious disease intelligence Clark Freifeld Research Software Developer Harvard Medical School Children’s Hospital Informatics Program Harvard-MIT Division of Health Sciences and Technology

2. Early reporting of SARS Nov 2002 Mar 2003 Progression of outbreak Electronic Surveillance Cases of atypical pneumonia Foshan Nov 16th Infected Chinese Doctor Hong Kong hotel Feb 21st 305 Cases of acute resp Guangdong Province Feb 11th Pharma report Guangdong Province November 27 Media reports Guangdong Province Feb 10 Astute physician on ProMED Feb 10 Initial WHO Report Feb 25 Official WHO Report March 10

4. Source of outbreak news verified by WHO Adapted from Heymann 2001

6. www.healthmap.org

8. HealthMap Article Processing EXTRACTION 8 Feeds;>10,000 sites Every hour; 24/7 TEXT MINING 1500 disease patterns 4000 location patterns BAYES FILTERING >5 million phrases 90-94% accuracy DUPLICATE ID Text Matching Similarity Score

13. Emerging Disease Surveillance Current Lyme disease (Brownstein et. al. Env Health Perspectives) 2020 2050 2080 West Nile virus (Brownstein et. al. Emerging Infectious Diseases)

23. www.healthmap.org

25. Multi-lingual Surveillance

29. Case Study: Legionnaire’s in Spain June 30th Google (ES) Alert Alert #1 July 2nd ProMED-mail Alert Alert #2 July 4th Google (EN) Alert Alert #3

32. Public Health Resource

33. Various implementations International Society for Infectious Disease Liberty Science Museum, NYC HHS Command Center

34. Tool for general population