Background The use of social big data is an important emerging concern in public health. Internet search volumes are useful data that can sensitively detect trends of the public’s attention during a pandemic outbreak situation. Objective Our study aimed to analyze the public’s interest in COVID-19 proliferation, identify the correlation between the proliferation of COVID-19 and interest in immunity and products that have been reported to confer an enhancement of immunity, and suggest measures for interventions that should be implemented from a health and medical point of view. Methods To assess the level of public interest in infectious diseases during the initial days of the COVID-19 outbreak, we extracted Google search data from January 20, 2020, onward and compared them to data from March 15, 2020, which was approximately 2 months after the COVID-19 outbreak began. In order to determine whether the public became interested in the immune system, we selected coronavirus , immune , and vitamin as our final search terms. Results The increase in the cumulative number of confirmed COVID-19 cases that occurred after January 20, 2020, had a strong positive correlation with the search volumes for the terms coronavirus ( R =0.786; P <.001), immune ( R =0.745; P <.001), and vitamin ( R =0.778; P <.001), and the correlations between variables were all mutually statistically significant. Moreover, these correlations were confirmed on a country basis when we restricted our analyses to the United States, the United Kingdom, Italy, and Korea. Our findings revealed that increases in search volumes for the terms coronavirus and immune preceded the actual occurrences of confirmed cases. Conclusions Our study shows that during the initial phase of the COVID-19 crisis, the public’s desire and actions of strengthening their own immune systems were enhanced. Further, in the early stage of a pandemic, social media platforms have a high potential for informing the public about potentially helpful measures to prevent the spread of an infectious disease and provide relevant information about immunity, thereby increasing the public’s knowledge.
【저자키워드】 COVID-19, Immunity, social media, Intervention, Infectious disease, immune system, immune, big data, Digital health, trends, Vitamin, Internet, Google Trends, social big data, infodemiology, infoveillance, social listening, public interest, web-based health information, correlation, 【초록키워드】 public health, coronavirus, pandemic, Infectious diseases, social media, knowledge, Infectious disease, immune system, Italy, immune, Spread, Health, COVID-19 outbreak, outbreak, Vitamin, United States, public interest, information, United Kingdom, early stage, Analysis, Google, proliferation, Google search, vitamin as, Volume, COVID-19 crisis, Increases, confirmed cases, positive correlation, social media platforms, measure, Final, correlations, cumulative, enhancement, variable, confirmed COVID-19 case, The United States, objective, country, Prevent, social media platform, initial, Occurrence, Result, selected, identify, detect, occurred, reported, determine, increase in, statistically significant, increases in, 【제목키워드】 public interest, trend, Google, Stage, Public, interest,