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Dr. Joss Reimer MD MPH FRCPC Medical Officer of Health Winnipeg Regional Health Authority

Using Digital Media to Respond to an Outbreak of Syphilis in the Winnipeg Health Region. Dr. Joss Reimer MD MPH FRCPC Medical Officer of Health Winnipeg Regional Health Authority. PHPM CPD May 24 2015. Conflict of Interest. None. Objectives. Social Media and Winnipeg ’ s Syphilis Outbreak

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Dr. Joss Reimer MD MPH FRCPC Medical Officer of Health Winnipeg Regional Health Authority

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  1. Using Digital Media to Respond to an Outbreak of Syphilis in the Winnipeg Health Region Dr. Joss Reimer MD MPH FRCPC Medical Officer of Health Winnipeg Regional Health Authority PHPM CPD May 24 2015

  2. Conflict of Interest • None

  3. Objectives • Social Media and Winnipeg’s Syphilis Outbreak • Social Media Campaign • Communicating via Social Media        

  4. Current Outbreak Source: Syphilis Surveillance Database, Population and Public Health Program, Winnipeg Regional Health Authority March 2015

  5. Current Outbreak • >150 infectious cases • 93% male • 65% MSM only • 17% bisexual • Neighbourhoods & Age – widely spread • Anonymous hook-ups • Condom use – geared for HIV • 48% meeting on social media

  6. Network Diagram: Meeting Places

  7. Communicating via Social Networking Sites Goal: Privately messaging specific people about health information using SNS.

  8. Communicating via SNS How public health works with STIs: ClipArtGuy88 Kim Pierre Sandy

  9. Challenges Institutional People in leadership positions who don’t understand how SNS (or even the Internet?) work.

  10. Challenges The medium itself

  11. Challenges Privacy

  12. Communicating via SNS • Our guideline: • http://www.wrha.mb.ca/extranet/publichealth/files/services/healthy-sexuality/SocialNetworkingContacts2.pdf 3.6 As disclosure of the content of messages to unintended recipients is a risk through the use of these sites, public health practitioners must carefully consider the risks of breaching information against the public health benefits of notifying a contact. ... STBBI that carry a greater potential for morbidity and mortality (human immunodeficiency virus [HIV] and syphilis) are prioritized in the use of social networking to notify contacts.

  13. Dear Joss, My name is Craig and I am a Public Health Nurse for the Winnipeg Regional Health Authority at 496 Hargrave St. I recently received information about an urgent health matterand need to speak with you about it. Due to privacy legislation I cannot share any more information through Facebook because I can’t confirm your identity and this profile is the only information that I have. Please call me at 204-805-0282 so I can tell you more.You can call from 8:30am to 4:30pm, Monday to Friday. If I don’t answer when you call, please leave a message giving your profile name and telling me how best to reach you. My voicemail is password protected and I check it regularly. Your confidentiality is important to us and is protected by WRHA policies and provincial law. Thank you, Craig Ross R.N. Public Health Nurse 204-805-0282 – direct work number with confidential voice mail • For a hook-up website: • * I have reason to believe that you have come into contact with a STI. • Call me or come to my office at 496 Hargrave. • You don’t have to give any information (including your name) except your [profile name or email address]. • * If you don’t wish to contact me, I suggest visiting your family doctor or a health clinic for STI testing.

  14. Communicating via SNS • Conclusion and Lessons Learned • We’ve reached A LOT of contacts. • And encountered many challenges: • Technical • Knowledge • Privacy • The telephone is still the gold standard, but we need to adapt to technology and take risks responsibly.

  15. Thank you! Questions? Contact: jreimer4@wrha.mb.ca

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