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Social Media Use in Emergency Response to Natural Disasters: A Systematic Review With a Public Health Perspective

Published online by Cambridge University Press:  09 March 2020

Kamalich Muniz-Rodriguez
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Sylvia K. Ofori
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Lauren C. Bayliss
Affiliation:
Department of Communication Arts, College of Arts and Humanities, Georgia Southern University, Statesboro, Georgia
Jessica S. Schwind
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Kadiatou Diallo
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Manyun Liu
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Jingjing Yin
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
Gerardo Chowell
Affiliation:
Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, Georgia
Isaac Chun-Hai Fung*
Affiliation:
Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia
*
Correspondence and reprint requests to Isaac Chun-Hai Fung, P.O. Box 7989, Department of Biostatistics, Epidemiology and Environmental Health Sciences, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia30460 (e-mail: cfung@georgiasouthern.edu)
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Abstract

Social media research during natural disasters has been presented as a tool to guide response and relief efforts in the disciplines of geography and computer sciences. This systematic review highlights the public health implications of social media use in the response phase of the emergency, assessing (1) how social media can improve the dissemination of emergency warning and response information during and after a natural disaster, and (2) how social media can help identify physical, medical, functional, and emotional needs after a natural disaster. We surveyed the literature using 3 databases and included 44 research articles. We found that analyses of social media data were performed using a wide range of spatiotemporal scales. Social media platforms were identified as broadcasting tools presenting an opportunity for public health agencies to share emergency warnings. Social media was used as a tool to identify areas in need of relief operations or medical assistance by using self-reported location, with map development as a common method to visualize data. In retrospective analyses, social media analysis showed promise as an opportunity to reduce the time of response and to identify the individuals’ location. Further research for misinformation and rumor control using social media is needed.

Type
Systematic Review
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

The Centers for Disease Control and Prevention (CDC) defines a disaster as a disruption in society and lives of the population, causing material, human, or environmental losses.1 During natural disasters, emergency management organizations take actions to work and avoid risks caused by the event.2 The emergency management response to these events is divided into 4 phases: mitigation, preparedness, response, and recovery. Each of these phases targets a specific time point of the emergency where decisions are made to prepare for the event, respond to damage or danger, and help those affected to return to normality.2 In this review article, we are primarily interested in the application of social media resources during the response phase, which is a dynamic process that includes immediate actions to save lives, property, and environment for short-term recovery.3,4 During the response phase, effective coordination, information, and communication can ensure the safety of all affected individuals.4

In recent years, researchers proposed the use of social media for public health surveillance and during natural disasters.Reference Finch, Snook and Duke5,Reference Fung, Tse and Fu6 From 2005 to 2018, the use of social media in the United States increased from 16% to 88% among those aged 18-29 and from 9% to 78% in those aged 30-49.7 Social media platforms offer its users a tool to communicate emergency information, warnings, and updates using short messages, photos, and videos.Reference Finch, Snook and Duke5,Reference Kim, Bae and Hastak8 The opportunities provided by social media research, such as classification of information, identification of individuals in need, and affected areas, reflect the need for understanding the use of social media in an emergency response.Reference Adams, Raeside and Khan9Reference Ungvarsky12

The purpose of our review is to study the implications of social media use during natural disasters. We explored peer-reviewed publications since 2015 that focus on the public health implications of social media platforms. We seek to add to a systematic review, previously published by Finch et al.,Reference Finch, Snook and Duke5 that summarized the literature published up to January 30, 2015, on the implications for social media use during natural disasters and emergencies. Compared to previously published reviews on the topic,Reference Finch, Snook and Duke5,Reference Abedin, Babar and Abbasi13Reference Wang and Ye15 our review provides more recent literature on social media use during natural disasters, focusing on the utility public health practitioners can gain from including social media data analysis in the response phase to these events in hopes of facilitating decision-making during the response phase to a natural disaster. Our research objectives include assessing (1) how social media improved the dissemination and distribution of emergency warnings and response information during and after a natural disaster, and (2) how social media data analysis contributed to the identification of physical, medical, functional, and emotional needs after a natural disaster.

METHODS

Eligibility Criteria

This systematic review was conducted following PRISMA guidelines.Reference Moher, Liberati and Tetzlaff16 Our process included: identification of records in bibliographic databases, screening of titles and abstracts for relevance, full-text screening for eligibility, data extraction, and data analysis (Figure 1). Articles determined eligible for the study were original research published in peer-review journals. Human-made disasters (eg, chemical spills) were deemed out-of-scope. Research articles were related to natural disasters, emphasizing the use and analysis of data from social media platforms. Research articles needed to be available in full-text and written in either English or Spanish.

FIGURE 1 PRISMA flowchart for the systematic review for social media use during the response phase of emergency management: a public health perspective

Information Sources

Three bibliographic databases, PubMed, Web of Science and IEEE Xplore, were searched on September 18, 2018. The search strategy included articles published from January 1, 2015, to September 18, 2018, to update and add to the previously published systematic review by Finch et al.Reference Finch, Snook and Duke5 who summarized the literature on the use of social media during a natural disaster and emergency events up to January 30, 2015. Differing from Finch et al.,Reference Finch, Snook and Duke5 our search strategy includes a database targeted to computational sciences and different key words for searches that allowed the identification of research articles in wide number of investigation fields.

The key words for data retrieval were: “social media”, “natural disaster*”, “natural hazard*”, emergency*, and crisis*. The bibliographic records of 2126 articles were downloaded from the key word searches. The search strategy and key word combinations used are specified in the supplementary materials.

Study Selection

After removal of duplicates, 1077 articles were identified for screening. K.M.R. first screened the titles and abstracts for relevance. Articles mentioning the study of natural disasters and social media for emergency management were included for a second screening process. Titles and abstracts of 108 articles were screened in duplicate by K.M.R. and S.K.O. to determine if the full-text of the research publications should be downloaded for the data collection process. Following the screening, a total of 57 full-text articles were retrieved to extract the data items of interest. After assessing the eligibility of each full-text article, a total of 44 publications were included in this systematic review (Figure 1).

Data Collection

Two groups of co-authors, with 2 members each, were assigned articles for data extraction (Group 1: K.M.R. and M.L., Group 2: S.K.O. and K.D.). The reviewers determined if the article should be included based on the eligibility criteria. In the event the 2 co-authors did not agree on the inclusion of a research article, a decisive vote was cast by a third co-author (K.M.R. or S.K.O.). Thirteen articles excluded after full-text retrieval are listed in Supplemental Table S1, with reasons for exclusion. Due to the descriptive nature of the articles included for this review, a quality assessment for the publications was not performed.

RESULTS

A total of 44 articles were included in the systematic review. Of these, 19 answered the first research question, 31 answered the second research question, and 6 contributed to the analysis for both (Tables 1 and 2). The methods implemented in the articles included social network analysis (SNA), sentiment analysis, content analysis, semantic analysis, and mapping systems. SNA allows mapping and measuring relationships, and interactions between individuals in a community (Supplemental Figure S1).Reference Rodrigueza and Estuar17 Sentiment analysis classifies and quantifies the emotions in an analyzed text as negative, neutral, or positive.Reference Wu and Cui18 Content analysis transforms textual data into digital form to examine a topic of interest.Reference Liu, Mao and Wang19 Semantic analysis is a type of content analysis that infers the meaning of a message to recognize patterns or relationships.Reference Deng, Liu and Zhang20 Maps can be developed using social media posts’ geolocation to detect damage or situational awareness of those affected by disasters.Reference Resch, Uslander and Havas21Reference Avvenuti, Cimino and Cresci24

TABLE 1 Can Social Media Assist With Dissemination and Distribution of Emergency Warnings and Response Information During and After a Natural Disaster?

Abbreviations: C, content analysis; M, maps or locations; N, network analysis; S, sentiment analysis.

TABLE 2 How Can Social Media Data Analysis Contribute in the Identification of Physical, Medical, Functional, and Emotional Needs After a Natural Disaster?

Abbrevbiations: C, content analysis; M, maps or locations; N, network analysis; S, sentiment analysis.

CAN SOCIAL MEDIA ANALYSIS IMPROVE THE DISSEMINATION AND DISTRIBUTION OF EMERGENCY WARNINGS AND RESPONSE INFORMATION DURING AND AFTER A NATURAL DISASTER?

Social media data analysis, through content, sentiment, and social network analyses, can be included in communication strategies for the dissemination and distribution of warnings and relief information. These methods allow the recognition of posting behavior and message characteristics that can help target a specific audience.Reference Kim, Bae and Hastak8,Reference Kim and Hastak25Reference Albris29 The outcomes can help identify common and less frequent topics that need to be emphasized during the response to events guiding the development of communication strategies and posting time.Reference Kim, Bae and Hastak8,Reference Wang and Zhuang10,Reference Sutton, League, Sellnow and Sellnow26,Reference Wang, Ye and Tsou30Reference Stephenson, Vaganay and Coon41

Application of Content Analysis for Natural Disasters

Effective communication requires identifying the target audience, selecting effective channels to deliver information, monitoring the outcomes of the message, and gathering feedback from the targeted audience.Reference Schiavo42 Several studies focused on the use of social media as a tool for delivering emergency warnings and disseminating information related to natural disaster response (Table 1). Content analysis was 1 of the techniques implemented to study information dissemination and early emergency warnings. This research technique can help detect that important topics that should be disseminated during the response to a natural disaster are being discussed by social media platforms users. Analysis of Twitter accounts during the Boulder, Colorado, floods showed that only 6% of the analyzed tweets were health-related posts regarding drinking water safety, floodwater exposure, cleaning, and hygiene, despite the existence of water advisory warning.Reference Sutton, League, Sellnow and Sellnow26 Authorities during the South Carolina floods of 2015 used Twitter to bring attention to reducing health threats, devastation to structures, resource distribution, appreciation, and fund-raising.Reference Brandt, Turner-McGrievy and Friedman32 However, social media engagement from official agencies using multiple platforms is required for an effective conversation and integration of communities.Reference Tang, Zhang and Xu27

Application of Social Network Analysis for Natural Disasters

SNA sought to understand and observe how the connections between individuals affect their relationships or behaviors and how information disseminates among the users of the platform.Reference Kim, Bae and Hastak8,Reference Kim and Hastak25,Reference Valente43 In 4 articles, SNA showed citizens were consistently the most active Twitter users during disasters of different natures.Reference Wang, Ye and Tsou30Reference Ramirez Plascencia and Ramirez Plascencia33 Twitter was identified as a broadcasting tool to disseminate information related to weather conditions, avoiding threats, providing warnings, information about policies, and correcting misinformation during several natural disasters.Reference Albris29,Reference Grasso and Crisci31,Reference Brandt, Turner-McGrievy and Friedman32,Reference Yi and Kuri34,Reference Kaufhold and Reuter35,Reference Huang and Xiao9,Reference Stephenson, Vaganay and Coon41 SNA of Weibo during the 2012 Yiliang earthquake allowed researchers to detect smaller networks focused on specific topics, such as personal information, caution and advice, casualties and damage, donations, and request for help.Reference Li, Zhang and Tian36 Similar results were reported during the 2013 floods in Germany where Facebook and Twitter were used to organize help, volunteers, and share updates.Reference Kaufhold and Reuter35

Research found that SNA can be included in communication efforts during the response to natural disasters. SNA can help communication specialists learn what features of social media can be included in messages, and the time they can reach a higher number of users. SNA for Hurricane Sandy revealed information could be disseminated more extensively by using the retweet function of Twitter, but most of the retweets happened an hour after sharing the original content, which exemplifies the need of using the correct channels for communication.Reference Wang and Zhuang10 Social media posting frequencies need to be considered for analyses. During Typhoon Haiyan and Storm Cindy tweets peaked on the day of the landfall.Reference Kim, Bae and Hastak8,Reference David, Ong and Legara37 Limited tweets were collected up to 48 h after landfall of the typhoon, and during Storm Cindy, Twitter interest disappeared 10 days after the event.Reference Kim, Bae and Hastak8,Reference David, Ong and Legara37 It was also observed that when other simultaneous national events occurred, interest in natural disasters decreased.Reference Kim and Hastak25

SNA permits the recognition of changes in the information that social media users are sharing or seeking. Before a natural disaster takes place, social media users are more inclined to post messages related to information about the event and disaster relief.Reference Li, Zhang and Tian36,Reference David, Ong and Legara37 SNA also showed that, when no severe weather warning is active, social media activity is low.Reference Grasso and Crisci31 The results from these publications emphasize the usefulness of SNA to detect when platforms users are active, and when a warning or disaster response information can be shared to capture the attention of a broader number of users. SNA can help with the construction of messages tailored to answer the questions of affected individuals. These messages should include an imperative and declaratory style, which is essential for health promotion during disasters, and a hashtag to categorize messages under a topic.Reference Sutton, League, Sellnow and Sellnow26,Reference David, Ong and Legara37 Consistency in hashtag use can help with information dissemination and identification of those in need.Reference Grasso and Crisci31,Reference Cooper, Yeager and Burkle38 An essential part of the health communication cycle tailoring messages for the intended audience and adopting appropriate channels for delivery.Reference Schiavo42 SNA allowed the recognition of the preferences in social media platforms of individuals affected by natural disasters. During the 2015 Hurricane Patricia in Mexico, researchers observed emergency response agencies used Twitter to provide official messages, but citizens shared the tweets on Facebook where they went viral.Reference Ramirez Plascencia and Ramirez Plascencia33

Identification of the target population is essential for successful message dissemination.Reference Schiavo42 One way of sharing information with a large number of users is by identifying social media influencers. Influencers are opinion leaders with accounts that have large numbers of followers, messages, and likes, that have the power to influence followers.Reference Juliadi and Ardani44 Social media data analysis was used to identify influencers in the affected area before and after events.Reference Cooper, Yeager and Burkle38 Four articles identified individuals as the most prominent users of social media;Reference Wang, Ye and Tsou30Reference Ramirez Plascencia and Ramirez Plascencia33 3 identified news or media, nonprofit organizations, and government agencies as key accounts for information dissemination during natural disasters.Reference Wang and Zhuang10,Reference Kim and Hastak25,Reference Pohl, Bouchachia and Hellwagner40 These influential accounts can be used as a channel to share relevant information and emergency warnings to the affected population considering the trends of information changes in social media. However, identifying these accounts before the event takes place can present a challenge for emergency management officials, and a time-consuming one if they are identified during the response to a natural disaster.

HOW CAN SOCIAL MEDIA DATA ANALYSIS CONTRIBUTE IN THE IDENTIFICATION OF PHYSICAL, MEDICAL, FUNCTIONAL, AND EMOTIONAL NEEDS AFTER A NATURAL DISASTER?

Social media data analysis, through content, sentiment, and social network analyses, can help emergency responders plan relief efforts by detecting those in need of medical, functional, and emotional assistance.Reference Kiatpanont, Tanlamai and Chongstitvatana11,Reference Wu and Cui18,Reference Deng, Liu and Zhang20,Reference Tang, Zhang and Xu27,Reference Albris29,Reference Brandt, Turner-McGrievy and Friedman32,Reference David, Ong and Legara37,Reference Nath, Priya and Rene Robin45Reference Andrews, Gibson and Domdouzis56 The advantage that these methods offer for grouping information shared by social media users can help prioritize areas in need of response and identify the specific problems the affected population is experiencing.Reference Kiatpanont, Tanlamai and Chongstitvatana11,Reference Deng, Liu and Zhang20,Reference Tang, Zhang and Xu27,Reference Albris29,Reference Wang, Ye and Tsou30,Reference Brandt, Turner-McGrievy and Friedman32,Reference David, Ong and Legara37,Reference Pohl, Bouchachia and Hellwagner40,Reference Nath, Priya and Rene Robin45Reference Ragini, Anand and Bhaskar55 Social media posts tagged with geolocations are useful to develop maps that can reduce the response time to events.Reference Resch, Uslander and Havas21Reference Avvenuti, Cresci, Del Vigna and Tesconi23,Reference Pohl, Bouchachia and Hellwagner40,Reference Andrews, Gibson and Domdouzis56Reference Wang and Taylor62 However, challenges remain to be overcome for successful analysis, such as identification of relevant data, developing correct categories for analysis, and inherent limitations after a natural disaster that restrict internet access.Reference Kiatpanont, Tanlamai and Chongstitvatana11,Reference Yuan and Liu47Reference Zou, Lam and Cai52

Recognition of Relevant Social Media Data During Natural Disasters as a Tool to Identify Physical, Medical, Functional, and Emotional Needs

Extracted social media data can be overwhelming for emergency responders to analyze in a fast and effective manner, particularly because so many posts may be irrelevant. Twenty-eight articles analyzed relevant information on social media and how it helped to identify the needs of the affected communities (Table 2). An analysis of Hurricane Matthew and Twitter data identified that only 15.04% of the analyzed posts were related to the disaster, and 4.33% were related to damage during the event.Reference Yuan and Liu47 When focusing on social media posting behavior and the area where the event took place, research generally indicated an inverse relationship between distance from hurricanes and storms to areas at risk and relevant tweets to the events.Reference de Albuquerque, Herfort and Brenning48,Reference Kryvasheyeu, Chen and Obradovich49 However, for earthquakes, an opposite Twitter behavior was observed, with a higher number of social media posts generated in areas where the earthquake was felt with less intensity or not felt at all.Reference Comunello, Parisi and Lauciani50,Reference Zahra, Ostermann and Purves51

Analysis of these data may be further clouded by the fact that, during natural disasters, posting behavior can deviate from baseline behavior, leading to fewer posts originating in geographical areas usually identified with a high volume of social media posts.Reference Zou, Lam and Cai52 To help decrease the number of unrelated social media data used in situation analysis, researchers suggested interviewing the responders and creating specific categories to achieve their goals.Reference Kiatpanont, Tanlamai and Chongstitvatana11 Including categories of interest for the agencies responding to natural disaster events allowed researchers to reduce Twitter data for the Thailand floods of 2011 to 30% of the original sample size.Reference Kiatpanont, Tanlamai and Chongstitvatana11

Content and Sentiment Analysis as a Tool to Identify Physical, Medical, Functional, and Emotional Needs After Natural Disasters

Content analysis during a disaster of social media posts categorized information as damage reports, injuries, transportation conditions, power outages, evacuations, and concerns for rescue during severe weather events, typhoons, earthquakes, and wildfires.Reference Deng, Liu and Zhang20,Reference Wang, Ye and Tsou30,Reference David, Ong and Legara37 Social media researchers have developed methodologies to use online data to identify the physical, medical, functional, and emotional needs after a disaster by comparing the content of messages shared during the preparedness phase and after the event has taken place.Reference Yuan and Liu47,Reference Kryvasheyeu, Chen and Obradovich49 During the Nepal earthquake 2015, Twitter data analysis revealed that deaths and killing were the most mentioned categories 15 h after the earthquake.Reference Andrews, Gibson and Domdouzis56 Facebook, YouTube, and Twitter facilitated communication efforts by connecting those in need of help with responders, sharing photos, and sharing ideas to save water during natural disasters.Reference Tang, Zhang and Xu27,Reference Albris29,Reference Tim, Pan and Ractham53 To identify geographical areas affected by Hurricane Matthew, damage-related tweets served as a better predictor than disaster-related tweets.Reference Yuan and Liu47 During Hurricane Sandy in 2012, a positive correlation was observed between the per-capita number of tweets and disaster-inflicted monetary damage calculated from insurance claims after landfall with a Pearson correlation coefficient of 0.6.Reference Kryvasheyeu, Chen and Obradovich49

In addition to structural and environmental damages, natural disasters also created a change in the emotional state of the individuals expressed through social media.Reference Wu and Cui18,Reference Albris29,Reference David, Ong and Legara37,Reference Zou, Lam and Cai52,Reference Gul, Shah and Ahad54,Reference Ragini, Anand and Bhaskar55,63 Sentiment analysis methods studied individuals’ feelings, emotions, expressions, and trends about a particular topic or natural disaster.Reference Ungvarsky12 For example, sentiment analysis detected negative terms in Twitter content like “death” when focusing on a food category and “crisis” when analyzing medical emergencies.Reference Ragini, Anand and Bhaskar55 Analyzing the sentiment of social media messages helped to identify the areas in need, but the identification of where response efforts should be deployed first was a challenge. To evaluate the changes in the sentiment of Weibo users after the Ya’an earthquake in 2013, researchers implemented a 4-quadrant distribution to help with faster identification of areas in need to plan and deliver an adequate response, where areas with a high negative sentiment needed to be addressed immediately.Reference Bai and Yu46

Mapping Tools for Social Media Data to Identify Physical, Medical, Functional, and Emotional Needs After Natural Disasters

Several teams used social media data analysis in innovative approaches by constructing maps for damage identification, actions needed, reports of deaths, earthquake detection, mobility detection, and inundation maps.Reference Resch, Uslander and Havas21Reference Avvenuti, Cresci, Del Vigna and Tesconi23,Reference Pohl, Bouchachia and Hellwagner40,Reference Andrews, Gibson and Domdouzis56Reference Wang and Taylor62 Mapping social media information can help government agencies or emergency responders to attain a spatiotemporal view to offer an efficient response.Reference Xu, Zhang and Sugumaran57 Maps using social media data included spatial variables that can also help visualize the collected data at different geographical levels.Reference Resch, Uslander and Havas21Reference Avvenuti, Cresci, Del Vigna and Tesconi23,Reference Pohl, Bouchachia and Hellwagner40,Reference Xu, Zhang and Sugumaran57Reference Li, Wang and Emrich61

Mapping strategies using social media data have gone beyond identifying a specific location. Researchers have successfully developed mapping systems as a situational awareness and damage reports tool after earthquakes and flooding events.Reference Avvenuti, Cresci, Del Vigna and Tesconi23 Researchers harnessed social media images to identify affected areas, estimate depth of the flood, and damages during the event.Reference Cervone, Sava and Huang22,Reference Fohringer, Dransch and Kreibich60,Reference Li, Wang and Emrich61 While investigating Twitter data to build rapid flooding maps during the 2015 South Carolina floods, researchers were able to identify flooded areas previously unknown in official reports.Reference Li, Wang and Emrich61 Mapping social media data was helpful for emergency responders to decrease the time needed for a response, such as in the case of the Chennai floods where Twitter data analysis allowed the calculation of faster routes to connect those in need with those offering help.Reference Nath, Priya and Rene Robin45

Despite the advances reached by developing mapping methods using social media data analyses, several challenges were reported by researchers when testing their frameworks. Overestimation of damage in areas affected by earthquakes and low accuracy for earthquake detection for events with a Richter magnitude of 3.5 or lower were reported.Reference Resch, Uslander and Havas21,Reference Avvenuti, Cresci, Del Vigna and Tesconi23,Reference Avvenuti, Cresci and La Polla59 The reviewed articles also presented challenges when analyzing flooding events. When using images from Twitter, Flickr, and other spatial data, depth of inundation was overestimated, and the presence of clouds on images affected the results in overestimation or underestimation of structural damage,Reference Cervone, Sava and Huang22,Reference Fohringer, Dransch and Kreibich60 suggesting the need for methods that overcome the limitations caused by our environment.

DISCUSSION

Summary of Findings

We reviewed the research landscape for the usefulness of social media in public health during the emergency response to natural disasters. Our analysis examined social media analysis methods that can help with information dissemination, early warning dissemination, and identification of needs after a natural disaster. After our screening process (Figure 1), a total of 44 articles were included according to our selection criteria. Multiple studies analyzed information dissemination and the dynamics of the online communication process during the response phase of a natural disaster. Effective disaster response and recovery process were highly dependent on effective communication strategies, timely delivery of warnings, and sharing reports of the situation.64 Several research articles provided evidence of the use of social media as a broadcasting tool or 1-way communication channel.Reference Kim, Bae and Hastak8,Reference Sutton, League, Sellnow and Sellnow26,Reference Wang, Ye and Tsou30Reference Ramirez Plascencia and Ramirez Plascencia33,Reference Cooper, Yeager and Burkle38,Reference Huang and Xiao39,Reference Stephenson, Vaganay and Coon41

A limited number of publications researched misinformation and rumor control on social media during natural disasters.Reference Tang, Zhang and Xu27,Reference Scott and Errett28,Reference Brandt, Turner-McGrievy and Friedman32 Rumors and misinformation in social media can spread fast and reach a broad range of users in different locations, directly affecting decision-making and actions taken by citizens and responders.Reference Tang, Zhang and Xu27 If emergency management agencies can detect social media messages with false or unverified information, the dissemination of these posts can be controlled by sharing timely updates related to the event and the progress of the response.Reference Tang, Zhang and Xu27,Reference Lee and Oh65 However, identifying this information would require a highly active presence and engagement of emergency management agencies across all social media platforms, time to verify the information, and open and honest communication.Reference Scott and Errett28,Reference Albris29,Reference Valente43 Several articles found that, while experiencing an event, such as a natural disaster, individuals turn their attention to official sources; given the attributes of social media, posts carrying the correct information can reach a high number of users and can help decrease risk or feelings of despair.Reference David, Ong and Legara37,Reference Stephenson, Vaganay and Coon41,Reference Bai and Yu46,Reference Gul, Shah and Ahad54,Reference Ragini, Anand and Bhaskar55 Strategies to increase the number of followers must be implemented, targeting users’ demographic profiles.Reference Brandt, Turner-McGrievy and Friedman32,Reference Harris, Mueller and Snider66

An important finding of our literature review is the need to use social media as a 2-way communication tool and not just for disseminating information. Social media sites offer a platform for commenting on posts that help develop interactions between the affected population and emergency management agencies. In return, these organizations can gain information for situational awareness and policy development during a disaster situation.Reference Tang, Zhang and Xu27,Reference Scott and Errett28,Reference Tim, Pan and Ractham53 Our literature review presents how social media has a place during the response phase of a natural disaster.

Strengths and Limitations

Our review made use of 3 different key words combination on 3 different databases that publish health-related content and digital technology research. Our selection of “social media” as a key word allowed us to collect information from multiple platforms and not just the specific social media sites with global exposure. Our search was limited to only peer-reviewed research articles published in English or Spanish, excluding other types of publications. Therefore, it is possible some research articles were missed and not included in the literature review.

Strengths from the reviewed literature include the analysis of large samples of social media data, analysis from multiple natural disasters, and numerous locations. Several research articles used SNA to determine the relationship between the social media account and those who follow them.Reference Kim, Bae and Hastak8,Reference Wang and Zhuang10,Reference Kim and Hastak25,Reference Scott and Errett28Reference Brandt, Turner-McGrievy and Friedman32,Reference Yi and Kuri34Reference Cooper, Yeager and Burkle38 Various authors included retweets in their investigation or did a separate analysis of retweets for their research, which differs from previously published literature.Reference Finch, Snook and Duke5,Reference Kim, Bae and Hastak8,Reference Wang and Zhuang10,Reference Kim and Hastak25Reference Scott and Errett28,Reference Wang, Ye and Tsou30Reference Brandt, Turner-McGrievy and Friedman32,Reference Kaufhold and Reuter35,Reference David, Ong and Legara37,Reference Cooper, Yeager and Burkle38,Reference Stephenson, Vaganay and Coon41,Reference Kryvasheyeu, Chen and Obradovich49,Reference Comunello, Parisi and Lauciani50 One of the limitations of the broader landscape of the literature, as identified in this review is the focus on Twitter data in the majority of the articles. It is essential to consider the demographic factors of social media users in the geographical area of interest. Social media use can differ by region and preferences of the population, limiting the retrieval of the desired information.Reference Zahra, Ostermann and Purves51 Thus, the results obtained using social data might not represent the general population affected by the event. Also, results obtained by the researchers are specific to the event of interest and the geographical region analyzed.Reference Albris29,Reference Cooper, Yeager and Burkle38

The majority of the reviewed articles reported retrospective analyses of the data. Only 1 publication tested their proposed frameworks in a response practice training exercise for a natural disaster.Reference Pohl, Bouchachia and Hellwagner40 Another limitation identified is the restricted number of geolocated social media posts. Due to the privacy settings of a majority of social media users, their geolocated data cannot be retrieved.Reference Liang, Shen and Fu67 To overcome this limitation, researchers opted for inferring the location by matching terms that appeared in their self-reported social media profiles to geocoordinates, but this methodology introduces uncertainty to the analysis.Reference Andrews, Gibson and Domdouzis56

Social media was identified as a broadcasting tool or a 1-way communication channel by several authors.Reference Kim, Bae and Hastak8,Reference Sutton, League, Sellnow and Sellnow26,Reference Wang, Ye and Tsou30Reference Ramirez Plascencia and Ramirez Plascencia33,Reference Cooper, Yeager and Burkle38,Reference Huang and Xiao39,Reference Stephenson, Vaganay and Coon41 Owners of social media profiles can take advantage of the comments or mention features of social media platforms to engage with the population who experienced the disaster event and offer advice and help. However, opening a 2-way communication channel will require active use from profile owners to constantly verify posts or messages, which can require the recruitment of a team member designated for social media work.

Finally, the use of key words to extract social media data can limit the data collection process if the term used is different from the one used by the local population.Reference Kim, Bae and Hastak8

Public Health Implications

Social media helps with timely dissemination of information; individual users and official media accounts are among those with the highest reach in social media platforms, such as Twitter and Facebook.Reference Fu, White and Chan68 These identified characteristics present an opportunity for emergency management agencies. Individuals look to share information from official sources, and by maintaining a highly active account, warnings and official information can be shared by the users. Social media sites offer the option of sharing videos or photos of the areas affected by the natural disaster allowing those witnessing the event from other countries to gather information, organize help, and volunteer efforts. Official emergency management agencies can also take advantage of this feature. Several research studies express the need for opening a 2-way dialogue between social media users and official agencies to identify specific needs of those affected by the disaster.Reference Wang and Zhuang10,Reference Deng, Liu and Zhang20,Reference Kim and Hastak25Reference Albris29,Reference Yi and Kuri34Reference Li, Zhang and Tian36,Reference Tim, Pan and Ractham53

A benefit public health officials can acquire using social media data analysis is the retrieval of up-to-date information about airport viability.Reference Huang and Xiao39 The same approach can be implemented for hospitals and government offices, providing a tool for public health surveillance. Similarly, unplanned school closures during natural disasters can be identified by monitoring social media platform Twitter.Reference Jackson, Mullican, Tse and Yin69 Also, the development of websites and smartphone applications can offer a faster response to affected areas. These applications have the potential to complement current community assessment tools for an early start in the planning process.

CONCLUSIONS AND FUTURE RESEARCH

Social media can be used as a tool during emergency responses to a natural disaster. It can be implemented in communication strategies for information and emergency warnings dissemination and to start a 2-way dialogue between responders and those affected by the emergency event. Social media analysis can serve as a tool to recognize emotions of those affected by disasters, their needs, and damage caused by the event. Social media data have also been used for event detection, mapping, and volunteer organization. Our findings present how social media content depends on the intensity of the event and the studied area. Due to the limited resources after a natural disaster, those who were most affected by the event might not have the resources to share social media content. However, government emergency management agencies should maintain active accounts on popular social media platforms to ensure that every user is reached. Furthermore, accessibility to social media data is limited by both privacy concerns and financial costs, resulting in limited academic research and the validation of methods to multiple platforms that can help the response to natural disasters. Future research should focus on social media use as a nontraditional form of public health surveillance during the response phase of a natural disaster, for its impact on disease and community resources.

Supplementary material

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Figure 0

FIGURE 1 PRISMA flowchart for the systematic review for social media use during the response phase of emergency management: a public health perspective

Figure 1

TABLE 1 Can Social Media Assist With Dissemination and Distribution of Emergency Warnings and Response Information During and After a Natural Disaster?

Figure 2

TABLE 2 How Can Social Media Data Analysis Contribute in the Identification of Physical, Medical, Functional, and Emotional Needs After a Natural Disaster?

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