An update on Google Health and Google PowerMeter

In the coming months, we’re going to retire two products that didn’t catch on the way we would have hoped, but did serve as influential models: Google Health (retiring January 1, 2012; data available for download through January 1, 2013) and Google PowerMeter (retiring September 16, 2011). Both were based on the idea that with more and better information, people can make smarter choices, whether in regard to managing personal health and wellness, or saving money and conserving energy at home. While they didn't scale as we had hoped, we believe they did highlight the importance of access to information in areas where it’s traditionally been difficult.

We’re making this announcement well in advance to give you plenty of time to download the information you might have stored in either product or to transfer it to another service, and we’re making it easy for you to do it in a variety of formats. More on how that works below.

More broadly, we remain committed as always to helping people around the world access and use information pertinent to them. We’ll continue to pursue this goal and to encourage government and industry to do the same.

Google Health
When we launched Google Health, our goal was to create a service that would give people access to their personal health and wellness information. We wanted to translate our successful consumer-centered approach from other domains to healthcare and have a real impact on the day-to-day health experiences of millions of our users.

Now, with a few years of experience, we’ve observed that Google Health is not having the broad impact that we hoped it would. There has been adoption among certain groups of users like tech-savvy patients and their caregivers, and more recently fitness and wellness enthusiasts. But we haven’t found a way to translate that limited usage into widespread adoption in the daily health routines of millions of people. That’s why we’ve made the difficult decision to discontinue the Google Health service. We’ll continue to operate the Google Health site as usual through January 1, 2012, and we’ll provide an ongoing way for people to download their health data for an additional year beyond that, through January 1, 2013. Any data that remains in Google Health after that point will be permanently deleted.

If you’re a Google Health user, we’ve made it easy for you to retrieve your data from Google Health any time before January 1, 2013. Just go to the site to download your information in any of several formats: you can print and save it, or transfer it to other services that support industry-standard data formats. Available formats include:

• Printable PDF including all the records in your Google Health profile
• Industry-standard Continuity of Care Record (CCR) XML that can be imported into other personal health tools such as Microsoft® HealthVault™
• Comma-separated value (CSV) files that can be imported into spreadsheets and database programs for ongoing tracking and graphing
• HTML and XML versions of the original “data notices” sent to your Google Health profile by linked data providers
• A unified ZIP archive that includes all files you’ve uploaded to your profile, plus all of the formats above

Over the coming weeks we’ll also be adding the ability to directly transfer your health data to other services that support the Direct Project protocol, an emerging open standard for efficient health data exchange. And while we’ll discontinue the Google Health service at the beginning of 2012, we’ll keep these download options available for one more year, through the start of 2013. This approach to download and transfer capability is part of Google’s strong commitment to data liberation principles: providing free and easy ways for users to maintain control of their data and move it out of Google’s services at any time.

In the end, while we weren’t able to create the impact we wanted with Google Health, we hope it has raised the visibility of the role of the empowered consumer in their own care. We continue to be strong believers in the role information plays in healthcare and in improving the way people manage their health, and we’re always working to improve our search quality for the millions of users who come to Google every day to get answers to their health and wellness queries.

Google PowerMeter
We first launched Google PowerMeter as a Google.org project to raise awareness about the importance of giving people access to data surrounding their energy usage. Studies show that having simple access to such information helps consumers reduce their energy use by up to 15%; of course, even broader access to this information could help reduce energy use worldwide.

Since our launch, there’s been more attention given to this notion of people easily accessing their energy data. The installation of smart meters and other home energy devices is picking up steam, and states like California and Texas are moving forward to finalize policies and programs in this area. Earlier this month, the White House announced a goal of giving all consumers access to their energy usage in computer-friendly formats as part of a national plan for modernizing the electricity grid.

We’re pleased that PowerMeter has helped demonstrate the importance of this access and created something of a model. However, our efforts have not scaled as quickly as we would like, so we are retiring the service. PowerMeter users will have access to the tool until September 16, 2011. We have made it easy for you to download your data: simply log in to your account and go to "Account Settings” to export to a CSV (Comma Separated Values) file. We will be contacting users directly with more information on this process.

Momentum is building toward making energy information more readily accessible, and it’s exciting to see others drive innovation and pursue opportunities in this important new market. We’re proud of what we’ve accomplished with PowerMeter and look forward to what will develop next in this space.

By helping people make more informed decisions through greater access to more information, we believe Google Health and PowerMeter have been trailblazers in their respective categories. Ultimately though, we want to satisfy the most pressing needs for the greatest number of people. In the case of these two products, our inability to scale has led us to focus our priorities elsewhere.

As always, we welcome your feedback; please share your thoughts and opinions with us at health-feedback@google.com or powermeter-feedback@google.com. We won’t be able to respond to every email, but we promise we’ll listen.

Update 7/15/11: We've now added the ability to directly transfer your health data out of Google Health via the Direct Project protocol.

Posted by Aaron Brown, Senior Product Manager, Google Health and Bill Weihl, Green Energy Czar

Using search patterns to track dengue fever

(Cross-posted on the Google.org Blog)

What does baseball have in common with gazebos? We’re not sure, except that people search on Google for both terms in similar patterns. Last week we introduced Google Correlate, an experimental tool enabling researchers to model real-world behavior using search trends. We’ve heard from many researchers who want to mine this data for new discoveries about economics and public health—much like we designed Google Flu Trends to give an early warning about flu outbreaks. We hope they’re able to make useful discoveries with Google Correlate.

While building Google Correlate, we used it to create an early warning system for another important disease. Google Dengue Trends in Bolivia, Brazil, India, Indonesia and Singapore provides an additional surveillance tool for a disease that affects about 100 million people each year. Dengue is a virus spread through mosquito bites that creates symptoms including high fever, severe headache and pain, rash and mild bleeding. There is no vaccine or treatment, so public health efforts are largely focused on helping people take steps to prevent being infected with the disease.

Singapore has an impressively timely surveillance system for dengue, but in many countries it can take weeks or months for dengue case data to be collected, analyzed and made available. During the dengue outbreak at last year’s Commonwealth Games, we discussed the need for timely dengue information. With help from Professor John Brownstein and Emily Chan from HealthMap, a program at Children’s Hospital Boston and Harvard Medical School, we were able to create our system. Using the dengue case count data provided by Ministries of Health and the World Health Organization, we’re able to build a model that offers near real-time estimates of dengue activity based on the popularity of certain search terms. Google Dengue Trends is automatically updated every day, thereby providing an early indicator of dengue activity.

The methodology for this system is the same as that for Google Flu Trends and is outlined in a newly published article in PLoS Neglected Tropical Diseases.

We hope the early warning provided by Google Dengue Trends helps health officials and the public prepare for potential dengue outbreaks. For those who live in places where dengue is present, remember to follow the advice of health officials to prevent infection by wearing mosquito repellent and emptying any containers that lure mosquito larvae by gathering standing water.

Posted by Vikram Sahai, Software Engineer

Update from the Google Health Team

As we exhibit at the Health Information and Management Systems Society (HIMSS) trade show this year in Atlanta, we want to share with you some of our latest thinking. Google Health has been on the market for a little over two years, and in that time we have seen a growing understanding of the value of consumers being able to own, use, manage and share their medical data online with whomever they choose. While companies like ours work to build technologies like Google Health to make this a reality, we've also seen growing support from the U.S. Government. President Obama has included incentives for doctors to adopt electronic health records (EHRs) in the the American Recovery and Re-Investment Act of 2009 (AARA), and in recent months there have also been a series of Health IT provisions around "Meaningful Use" and EHR Certification all of which should help empower consumers with access to their own information. (Read our recent op-ed for more info about this topic.)

At Google, we understand that changes in the health care industry take time and persistence, including health IT. We have been steadily analyzing feedback from our user surveys and field studies to help make Google Health more useful and relevant to a broad set of consumers on a daily basis. People have been telling us they want more tools to personalize, customize and track their own medical information. These are directions we're certainly exploring, and if you stop by our booth this week at HIMSS you can see a demo of what we're working on.

While we work to refine the Google Health product, we also continue to pursue integration agreements with providers to make it even easier for people to access their own medical information. We've learned over these past two years that getting a current and past medication history assembled and ready in case of emergencies is one of the strongest value propositions for using an online Personal Health Record (PHR). So today at HIMSS, we're announcing an integration with Surescripts, the leading electronic prescribing network in the United States, to help accelerate the availability of prescription drug history to our users. The Surescripts network connects doctors who prescribe medication to all of the nation’s major pharmacy chains, leading health insurance plans and pharmacy benefits managers (PBMs), as well as more than 10,000 independent pharmacies nationwide. Surescripts provides access to prescription benefit and history information on behalf of health insurance plans representing 65 percent of patients in the U.S.

Recognizing that hospital and ambulatory data is critical to our consumers, we're also announcing a future integration with the University of Pittsburgh Medical Center (UPMC) that will give patients the ability to add health information to an EHR maintained by doctors using their own Google Health PHR. UPMC is working on this integration with Google Health, Carnegie Mellon University and their technology partner dbMotion. Finally, we're announcing the launch of three more integration partners: Citizen Memorial Healthcare (CMH), a rural healthcare network providing care to residents in southwest Missouri, Iatric Systems, an integration consultant, which can facilitate Google Health integrations for hospitals and healthcare systems, and the Withings WiFi Body Scale, which allows Google Health users to seamlessly update their weight and other data to their online profiles.

We hope to see you this week at HIMSS. Come by our booth, see our demo and say hello.

Posted by Alfred Spector, Vice President of Research & Special Projects

We’re Going (RED) for World AIDS Day

HIV/AIDS has cut a swath of destruction across the globe—infecting more than 60 million people, leaving 14 million orphans in sub-Saharan Africa alone. But a global movement to stop the spread of HIV/AIDS, along with scientific breakthroughs in treatment, have reversed the momentum in recent years. For those living with HIV in Africa, just two pills at 40 cents a day can bring a recovery so miraculous it’s known as the Lazarus Effect. Watch the transformation of lives in this video:



Thanks to the efforts of The Global Fund and other organizations around the globe, the number of people in low and middle-income countries receiving these medicines has increased ten-fold over 5 years. But fewer than half of those in need of treatment have access. And the number of new HIV infections continues to outstrip the numbers on treatment: for every two people starting treatment, five become infected with the virus.

Taking action has never been easier. Our World AIDS Day page offers plenty of options:

• Learn more about the global effort to prevent the spread of HIV/AIDS at UNAIDS, International AIDS Society or LIVING PROOF.
• Find volunteer opportunities in your area at All for Good.
• Advocate for action with the ONE Campaign.
• Give (RED) for friends and family this holiday season.
• Unite with others at the Global Network of People Living with HIV.

Show your support in other ways, too. On Twitter, from approx. 4 am EST (for 24 hours), include #red to turn your tweets the color red; if you like, follow @joinred. Select the iGoogle World AIDS Day theme on your personal iGoogle homepage. And on Tuesday night (December 1) starting at 8pm EST, watch a live Alicia Keys concert on YouTube benefiting Keep a Child Alive.

Update at 3:20PM: Added info about the iGoogle World AIDS Day theme, another way to show your support.

Posted by Jacquelline Fuller, Advocacy Director, Google.org

Finding flu vaccine information in one easy place

This year, it's especially important to have clear information on what you can do to prepare for the flu season. With this in mind, we are happy to share a new feature for the U.S. which allows you to more easily find locations near you for getting both the seasonal and H1N1 flu vaccine. After expanding Google Flu Trends to a total of 20 countries and 38 languages, allowing more people to see near real-time estimates of flu activity, we began brainstorming with the U.S. Department for Health and Human Services (HHS), their flu.gov collaborators and the American Lung Association on the flu shot finder and other ways Google can be helpful to people this flu season.

You can check out the flu shot finder at www.google.com/flushot. The same tool will also be available shortly on www.flu.gov and the American Lung Association websites. It's important to note that this project is just beginning and we have not yet received information about flu shot clinics for many locations. In addition, many locations that are shown are currently out of stock. We launched this service now in order to help disseminate information about locations where vaccines are available, and also to make more vaccine providers aware of the project so that they can contribute.


Especially given slower than expected vaccine production, we think it's important to bring together flu shot information in a coherent manner. We've been working with HHS, the Centers for Disease Control and Prevention (CDC) and state and local health agencies to gather information on flu vaccine locations across the country, particularly for the H1N1 flu vaccine (both the nasal-spray vaccine and the shot). At the moment we have data for locations of flu vaccine directly from 20 states and counting. We are also continuing to add information from chain pharmacies and other providers in all 50 states; today, you'll find results from chains such as Walgreens, CVS and PDX participants, such as Kmart, Duane Reade, WinnDixie and Giant Eagle.

Of course you should still call flu vaccine providers ahead of time to find out more about availability and eligibility for the two vaccines.

We hope to continue providing you with relevant information to help keep you and your loved ones healthy.

Update on 11/19: We just added the flu shot finder as a search feature on Google.com. Now, if you search for terms like [flu], [flu shot], [h1n1 shot] or [flu vaccine], information will appear at the top of your search results, including flu tips from flu.gov as well as the flu shot finder box with an expanding map that displays locations where you can receive seasonal and/or H1N1 flu shots.

Posted by Roni Zeiger, M.D., Product Manager and Jennifer Haroon, Product Marketing Manager