ORIGINAL ARTICLE

Year : 2015  |  Volume : 7  |  Issue : 7  |  Page : 306-309

Youtube as a source of information on Ebola virus disease

Ranjan Pathak¹, Dilli Ram Poudel¹, Paras Karmacharya¹, Amrit Pathak², Madan Raj Aryal¹, Maryam Mahmood¹, Anthony A Donato^1
1 Department of Medicine, Reading Health System, West Reading, Pennsylvania, USA
² Department of Medicine, Tribhuwan University Teaching Hospital, Kathmandu, Nepal

Correspondence Address:
Dr. Ranjan Pathak
Reading Health System, 6th Ave and Spruce St, West Reading, Pennsylvania-19611
USA

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/1947-2714.161244

Background: The current West Africa epidemic of Ebola virus disease (EVD), which began from Guinea in December 2013, has been the longest and deadliest Ebola outbreak to date. With the propagation of the internet, public health officials must now compete with other official and unofficial sources of information to get their message out. Aims: This study aimed at critically appraising videos available on one popular internet video site (YouTube) as a source of information for Ebola virus disease (EVD). Materials and Methods: Videos were searched in YouTube (http://www.youtube.com) using the keyword "Ebola outbreak" from inception to November 1, 2014 with the default "relevance" filter. Only videos in English language under 10 min duration within first 10 pages of search were included. Duplicates were removed and the rest were classified as useful or misleading by two independent reviewers. Video sources were categorized by source. Inter-observer agreement was evaluated with kappa coefficient. Continuous and categorical variables were analyzed using the Student t-test and Chi-squared test, respectively. Results: One hundred and eighteen out of 198 videos were evaluated. Thirty-one (26.27%) videos were classified as misleading and 87 (73.73%) videos were classified as useful. The kappa coefficient of agreement regarding the usefulness of the videos was 0.68 (P < 0.001). Independent users were more likely to post misleading videos (93.55% vs 29.89%, OR = 34.02, 95% CI = 7.55-153.12, P < 0.001) whereas news agencies were most likely to post useful videos (65.52% vs 3.23%, OR = 57.00, 95% CI = 7.40-438.74, P < 0.001). Conclusions: This study demonstrates that majority of the internet videos about Ebola on YouTube were characterized as useful. Although YouTube seems to generally be a useful source of information on the current outbreak, increased efforts to disseminate scientifically correct information is desired to prevent unnecessary panic among the among the general population.

Keywords: Ebola, information, YouTube, videos

Introduction

Materials and Methods

Figure 1: Flow chart showing systematic video search and selection process Click here to view

Results

Table 1: Detailed characteristics of the misleading and useful youtube videos analyzed Click here to view

Discussion

Conclusion

References

1.	Briand S, Bertherat E, Cox P, Formenty P, Kieny MP, Myhre JK, et al. The international Ebola emergency. N Engl J Med 2014;371:1180-3.
2.	Gostin LO, Lucey D, Phelan A. The ebola epidemic: A global health emergency. JAMA 2014;312:1095-6.
3.	Gonsalves G, Staley P. Panic, paranoia, and public health - the aids epidemic's lessons for Ebola. N Engl J Med 2014;371:2348-9.
4.	Pandey A, Patni N, Singh M, Sood A, Singh G. YouTube as a source of information on the H1N1 influenza pandemic. Am J Prev Med 2010;38:e1-3.
5.	Keelan J, Pavri-Garcia V, Tomlinson G, Wilson K. YouTube as a source of information on immunization: A content analysis. JAMA 2007;298:2482-4.   [PUBMED]

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Anderson,Yassar Alamri EPMA Journal. 2017; 8(3): 273 [Pubmed] | [DOI] 58 Zika Virus on YouTube: An Analysis of English-language Video Content by Source Corey H. Basch,Isaac Chun-Hai Fung,Rodney N. Hammond,Elizabeth B. Blankenship,Zion Tsz Ho Tse,King-Wa Fu,Patrick Ip,Charles E. Basch Journal of Preventive Medicine and Public Health. 2017; 50(2): 133 [Pubmed] | [DOI] 59 Alzheimer’s Disease in Social Media: Content Analysis of YouTube Videos Weizhou Tang,Kate Olscamp,Seul Ki Choi,Daniela B Friedman Interactive Journal of Medical Research. 2017; 6(2): e19 [Pubmed] | [DOI] 60 Ebola virus disease and social media: A systematic review Isaac Chun-Hai Fung,Carmen Hope Duke,Kathryn Cameron Finch,Kassandra Renee Snook,Pei-Ling Tseng,Ana Cristina Hernandez,Manoj Gambhir,King-Wa Fu,Zion Tsz Ho Tse American Journal of Infection Control. 2016; [Pubmed] | [DOI] 61 Social Mediaæs Initial Reaction to Information and Misinformation on Ebola, August 2014: Facts and Rumors Isaac Chun-Hai Fung,King-Wa Fu,Chung-Hong Chan,Benedict Shing Bun Chan,Chi-Ngai Cheung,Thomas Abraham,Zion Tsz Ho Tse Public Health Reports. 2016; 131(3): 461 [Pubmed] | [DOI]