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lornabenson
Lorna Benson [MPR]

Lorna Benson reports on health care for Minnesota Public Radio. For much of the last few months, her news director asked her to focus full-time on pandemic flu; a colleague helpfully stepped in to cover other health-care stories. As a result, MPR’s coverage of H1N1 has been terrifically thorough. You can find Benson’s current and archived reports on MPR’s H1N1 page.

We invited Benson, who will also be presenting at FluPortal’s webinar on January 28th, to describe how she has been following the H1N1 story through its various twists:
__________________________________________________________________________________________________

Stories were straightforward and plentiful in the early weeks of H1N1’s fall flu wave. The outbreak severely strained the health care system, it threatened the lives of many young, healthy people and it caused logistical and ethical challenges for public health officials charged with distributing limited amounts of vaccine. We covered these situations and many, many more on a daily basis for months. But as the pandemic evolved our coverage evolved too.

During the first several weeks of the outbreak we reported on every Minnesota death that was conclusively linked to the virus. We focused on these early deaths because our listeners needed to know that H1N1 flu was disproportionately affecting children and young adults. But as the deaths continued and in a sense came to be expected, we dialed back on that part of our reporting. We shifted fatality information primarily to our newscasts, unless there was an unexpected surge in deaths that needed to be explained in a more in-depth report.

The vaccination campaign story was another aspect of our pandemic coverage that absorbed an enormous amount of our attention. For many weeks Minnesota had little more than a trickle of vaccine and demand for those doses appeared to be incredible. We devoted a lot of time to telling people where they could go to get vaccine.

But in the midst of the shortage, I also heard stories from some of my personal acquaintances and friends that they were able to easily get H1N1 vaccine, even though they were not in any high-priority group. I learned that several clinics had too much vaccine and had been quietly vaccinating anyone who wanted the doses. I found this particularly interesting because it was at odds with the information I was getting from state officials about the vaccine distribution process. So I reported on the discrepancy.

Shortly after our report aired several big local public health agencies announced that they were going to open up their vaccination clinics to everyone too, against the advice of the Health Department. They also had too much vaccine, and didn’t want the doses to sit on their shelves any longer than necessary. One county health official told me later that he decided to schedule a mass vaccination clinic, against Health Department advice, after hearing our report on the discrepancies in the vaccination campaign.

Eventually the urgency surrounding the outbreak and the vaccine campaign began to ease as fewer illnesses were reported and hospitals and clinics returned to normal operations. It wasn’t clear though if the virus would really disappear, or mount a comeback in a few weeks or months. So we asked some researchers who tracked flu in the Southern Hemisphere whether a third wave was likely.

For now it appears the H1N1 fall outbreak is over in Minnesota. That means we finally have the time to reflect on the pandemic and assess whether the response could have been better. In a recent report we looked at why public health officials relied so heavily on an already overburdened private health care system to give out H1N1 vaccine. For people in public health, the answers to these questions may be obvious. But they’re not for many of our listeners. Our reporting helped inform them about the state of their public health system.

We still keep tabs on the status of the outbreak. In fact we just experienced a slight uptick in influenza-like illnesses after the holidays. Is a third wave on its way? Who knows. We’ll just have to wait and see. But even if another wave doesn’t materialize there are still pandemic stories worth reporting. Of course the challenge is keeping listeners interested. We’re trying to do that now by asking the deeper questions that often fall by the wayside in the heat of covering a big story, but are worth revisiting once things have calmed down.
__________________________________________________________________________________________________

Update 22 January 2010: Listen to two of Benson’s more recent H1N1 reports below. Just click on the “play” arrow to start.

New Zealand offers clues to H1N1’s future

H1N1 reveals weak spots in nation’s preparedness

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fluportal-littleguy

FluPortal.org, a CPB-funded portal for H1N1 information, is hosting a webinar on

Thursday, January 28
11am PT / 2pm ET
Click here to register


Please join us for the latest H1N1 developments and best practices regarding health crisis coverage by public media, both on-air and online.

Public media stations and programs, community information groups, and bloggers have all made use of FluPortal’s resources and tools. The site is paving the way for future public media responses to crises, both health-related and otherwise. Our blog is a great way to stay informed, with coverage ideas, web tools, and guest features from public media and public health professionals.

Thursday’s presenters:

+ Josh Andrews, FluPortal team: What’s new on FluPortal.org

+ Joe Neel, NPR Health Editor: An update on swine flu in the US and upcoming NPR coverage plans

+ Lorna Benson, Minnesota Public Radio Healthcare Correspondent: A look at local and regional coverage of the pandemic

+ Andrew Wilson, Flu.gov former New Media Strategist: Using social media to get health crisis information to the public

+ Your questions and comments

The webinar is free of charge. Anyone working in public media, public health, or community outreach is invited to attend.

FluPortal is led by PRX in collaboration with NPR.

Questions? Ideas? Contact us.

PRX NPR CPB
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Haiti earthquake
[Unitied Nations / cc (usable on your site) / Flickr]

The earthquake in Haiti last week was a sudden, devastating blow to a nation already under considerable strain. Relief efforts launched immediately to save lives and deliver care and supplies to the survivors.

The needs and concerns of the Haiti relief efforts are obviously quite different from the issues faced by communities with large numbers of H1N1 cases. While our efforts on this website — curating web tools, tips for using social media, and aggregating resources for reporters — are done with an eye to covering the H1N1 pandemic, one of the goals of the FluPortal project is to advance public media infrastructures and capabilities for crisis response more generally.

Over the last week, we have seen an impressive number of Haiti-related online and social media initiatives that provide some valuable lessons public media can take away as we continue the conversation of preparedness and how local stations and content producers can play a valuable role during a crisis situation. Here are a few of the trends and highlights.

  • Twitter — In the hours after the earthquake, Twitter reminded us of its power to provide information channels when most other means of communication are down. Many news organizations are using the new Twitter Lists functionality to curate feeds originating from within the affected areas of Haiti. Examples include NPR, the New York Times, and CNN. And a quick search of Twitter returns the latest tweets using using the hashtag #haiti. Media outlets with an existing presence on Twitter were able to utilize the platform to enhance their coverage.
  • Flickr — Some of the first images we saw of the destruction caused by the earthquake were found on Flickr. Additionally, Flickr’s API is being used to provide a photo search engine for missing persons. And, as we have highlighted here on FluPortal.org, the photo sharing service can be a great source for Creative Commons licensed images to use on your station’s website.
  • Mobile giving — In the first week since the earthquake, over $20 million has been given via text message donations. Mobile donation opportunities via SMS short codes have received extensive media promotion, and the numbers of donations continue to increase. Consumers embracing this type of giving has obvious implications for future crisis response planning (not to mention the business models of non-profits everywhere).
  • Crisis Camps — The realm of public media makers continue to expand as tech savvy volunteers come together to build social media tools to meet the specific needs of a crisis situation. Over the weekend, Crisis Camps were held in a number of cities and they produced valuable initiatives that have the potential to make a real difference in Haiti in the days and weeks ahead.
  • Ushahidi — The crisis visualization platform launched a Haiti website that allows individuals (both within and outside of Haiti) to report emergency incidents and crisis information via web and SMS. The goal is to connect response teams and aid worker with those in immediate need.
  • Google Response Page — Google is providing a number of tools that utilize the power of their existing applications and infrastructure. Individuals can donate to Haiti relief efforts via Google Checkout, make free calls to Haiti using Google Voice, and view updated satellite imagery of Haiti via Google Earth. In addition, they have launched a People Finder widget to assist those searching for loved ones in Haiti.

There are themes here that public media outlets can consider in their general crisis planning. Information — the ability to gather and move accurate news and information within and outside of a crisis zone.  Technology — what kinds of tools are at your disposal (online, mobile, social media)  that can be utilized in emergencies? And inclusiveness — people outside a crisis want to help those affected. How can we facilitate and channel that goodwill, both financially and in active, constructive ways?

Moving forward, FluPortal will continue to monitor the Haiti response situation and engage those involved to continue the discussion about public media and crisis response.

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flufighters
Screenshot of some of the Flu Fighter characters [Facebook]

Children’s Hospital Boston and Health and Human Services have developed together a Facebook application called “I’m a Flu Fighter!

The app is part of a project designed “to empower individuals to promote positive health behaviors amongst their friends and family through the use of social networks.”

It has several elements: you can pick a flu-fighter character for your profile, advertise your vaccination status, and “challenge” your FB friends to “join you in the fight against flu.” It also includes info on flu vaccines.

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imbloggingthis
[pmagalhaes / cc (usable on your site) /
Flickr]

Would you like some tips on finding unusual leads and content for your H1N1 reporting? Then check out our new guide to tracking down smart “user-generated content” (UGC) on social-media sites. The guide will steer you to finding blog posts, photographs, video, and audio that you can use directly in your stories or to chase story ideas and sources.

To give you an example of the kind of things you can find, here are some FluPortal posts that have featured UGC found on social-media sites:
H1N1 PSA Videos for Your Website
Photos You Can Use: Swine-Flu Street Art
Reporting on Cultural Responses to H1N1
H1N1 Prevention: Creative Videos
Photos You Can Use: More H1N1 Graffiti

The guide also serves as a general template for using social media in your reporting on any subject.

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Last fall, we took a look at how news organizations were approaching the question what to call the new influenza pandemic — “swine flu” or “H1N1”? Nine months into the outbreak, it’s time to revisit this debate, and this time we’re taking it to the streets — the virtual streets of Google search terms. Using Google Insights for Search, we can see how “H1N1” and “swine flu” have been trending over the last year.

And by a clear margin, swine flu is the winner and champion. Last April, when the outbreak first appeared in Mexico and the United States, “swine flu” dominated the public consciousness, news reports, and our Google searches. The huge volume of these early searches gives “swine flu” a substantial victory in total number of searches over time.

But by the chart below, you can see that “H1N1” picked up the pace and essentially pulled even once the initial wave of “swine flu” searches died down. And in recent months, as the second wave of the pandemic lessened, “H1N1″ is occasionally the more popular search term.

There are also geographic differences in the popularity of the two search terms. Below are maps for “swine flu” in red and “H1N1″ in blue. The darker the color, the more common the search. Between April 09 and January 2010, West Virgina, Utah and Maine produced the most searches for “swine flu”. During the same period, the upper Midwest led the way with the most “H1N1” searches.

SWINEFLUsearchmapH1N1searchmap

Another interesting set of data to look at is the differences in related search terms. “Swine flu” searches have been more often associated to finding information about the symptoms. “H1N1″ searches, on the other hand, are more likely to be about vaccine information.

SwineFlusearchtermsH1N1 Search Terms

This kind of search data can provide an interesting window into both the rhetorical trends of media and how we talk about the pandemic. Perhaps we tend to use “H1N1” in more medical and scientific contexts –- the research, the pandemic data, and the vaccine. In contrast, “swine flu” may have been the choice in describing the illness, its traits, and the experiences of those who caught the flu.

You can do your own search term analysis at Google Insights for Search.

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proclamation6002
Wordle created from Obama’s proclamation

If you were in any doubt that this week is National Influenza Vaccine Week, President Obama has issued a proclamation to that effect:

This week presents a window of opportunity for us to prevent a possible third wave of H1N1 flu in the United States. [...]

NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim the week of January 10-16, 2010, as National Influenza Vaccination Week. I encourage all Americans to observe this week by getting the H1N1 flu vaccine if they have not yet done so, and by asking their families, friends, and co-workers to do the same.

The full text is here.

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In yesterday’s CDC press briefing, Ann Schuchat, Director of CDC’s National Center for Immunizations and Respiratory Diseases, gave a post-holiday roundup of the latest H1N1 developments.

Here’s the short course: The vaccine is now available to pretty much everyone who wants it all across the country. So far, the US hasn’t decided to return/donate/sell any of its vaccine supply as some European countries are doing. Instead, it’s focusing on the upcoming (10-16 January) National Influenza Vaccine Week (NIVW). NIVW is another big push to encourage Americans to get H1N1 and seasonal-flu shots. It has its own schedule of activities, informational materials, a media toolkit, and web tools like ecards and badges.

Why continue pushing the H1N1 vaccine when, as Schuchat announced, “we’re seeing drops in laboratory confirmed hospitalizations and deaths”? Because there’s also “activity increasing in a few other indicators.” She clarified:

We still have more activity than we usually have this time of year, though it’s certainly much below where it was several weeks ago. All the virus that we’re seeing right now is the H1N1 virus. We haven’t yet seen the emergence of seasonal flu strains in any numbers at all. We saw a slight uptick in the last week’s reporting in the influenza-like illness visits to the doctors or emergency departments. That can sometimes happen right around Christmas, so we don’t know if that will persist. We also saw an uptick in pneumonia or influenza deaths in this past week. And that isn’t something that we necessarily see around the Christmas holiday.

Minnesota was one state that reported increased influenza-like illness last week.

What CDC is afraid of, of course, is a third wave of H1N1. To drive the point home, Schuchat showed this graph of pandemic mortality in 1957:

1957mortalitygraph
[CDC / usable on your site]

She went on to say:

This is really a reminder of why we are saying that we need to remain vigilant. [...] [I]f you look at this graph, the bottom part of that curve, you know, the — there’s the camel hump and then it comes down to that valley. Well, that’s where we are right now in that valley. We don’t know what’s going to happen over the next several weeks or months. But in 1957, this essentially gave the all clear whistle in that December/January time period. They had vaccine, but they didn’t encourage its use and yet they did go on to see that increase in mortality.

National Influenza Vaccine Week launches on Sunday. You can check here for NIVW activities in your area.

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Several notable public figures have received an H1N1 vaccine recently: President Obama, WHO Director General Margaret Chan, and HHS Secretary Kathleen Sebelius all rolled up their sleeves towards the end of December. Sebelius got hers just before promoting the vaccine during four college-football bowl games. You can see her (embeddable) ad here. This is a slightly longer version of it that includes Sebelius smiling while receiving the injection:


[HHS]

While the US government continues to push the vaccine actively, the recent news from Canada and a number of European countries is the surplus vaccine supply. Even some developing countries slated to receive donated vaccine from WHO appear to be reassessing the quantity they need.

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girlh1n1vaccine
[courosa / cc (usable on your site) / Flickr]

Two polls released just before the holidays give some new figures on H1N1 vaccination rates in the US: one by the Harvard School of Public Health (HSPH) and one by the National H1N1 Flu Survey (NHFS). The HSPH poll was conducted on 16-17 December, 2009. The NHFS poll was conducted on 6-12 December, 2009.

The HSPH results include the following:

  • “Three-quarters (74%) of parents who tried to get the vaccine for their children were able to do so. This means that – in total – nearly 4 in 10 parents (38%) got the vaccine for their children.”
  • “Overall, six in 10 parents have gotten or expect to get their children vaccinated, but more than a third do not.”
  • “[L]ess than a quarter (22%) of adults prioritized to receive the H1N1 flu vaccine have received it so far.”
  • “More than half (57%) of all adults who tried to get the vaccine were able to get it. In total, 41% of all adults report that they have gotten the H1N1 vaccine (14%) or intend to get it (27%).”
  • The NHFS results include these numbers:

  • “An estimated 46 million people (15.3% of the population) had been vaccinated against 2009 H1N1 flu. This represents 28 million adults (13%) and 18 million children (24%).”
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