U.S. Surgeon General engagement report
@Surgeon_General - 1.2M followers on X
Measured over 6 original posts from a 30-day window, last computed on October 25, 2026.
Engagement
Early reading. We have captured 6 original posts for this account, below the 8 we require before treating a median as settled. The numbers above describe what we have seen so far, not a finished profile of the account.
A typical post picks up 30 interactions against 1.2M followers, an engagement rate of 0.003%. Posts are seen about 7.5K times each, and 0.408% of those impressions turn into an interaction. That is about 0.644% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.3 posts a day over the last 30 days, though only 20% of days saw any activity at all. Most posts go out around 20:00 UTC, and Tuesday is the busiest day of the week. Of the 6 posts sampled, 100% carry an image or video and 33% are part of a thread. The account's strongest tracked post pulled 509 interactions, about 17x its own typical post. Only 6 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.
Measured over 6 original posts from a 30-day window, last computed on October 25, 2026.
Where this sits in the catalog
At 0.003%, U.S. Surgeon General sits below the 10th percentile of the 204,956 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.024%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.143% |
| 75th percentile | 0.678% |
| 90th percentile | 2.55% |
| 99th percentile | 82.4% |
This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built
Posting timing
This account posts most often around 20:00 UTC, and Tuesday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 100% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 0% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 100% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 0% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
- Its average post runs 510 characters, which falls in the over 280 characters band. Across the catalog, posts over 280 characters run 15% above the same accounts' other posts.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Jul 30, 202617x their median
Donate blood. Save a life. The need is extremely real and the time to act is now. https://t.co/hvuAMEFWGi — 301.907.9677 https://t.co/UcH02KEPr7 — 202.393.5725 https://t.co/M4DhgtjqAk — 1.800.733.2767 https://t.co/luu2TNfiT3 https://t.co/h8txgCjdIX
- Sep 17, 202613x their median
We’re not just looking at how food affects our children. @SecKennedy: “We’re examining how screen use affects children including sleep, physical activity, social interactions, and development.” 📵 https://t.co/fkXn21GAuV
- Jul 7, 20267.8x their median
Yesterday, Dr. Stephanie Haridopolos, Director of National Health Communications for the Office of the Surgeon General, delivered remarks at the Great American State Fair on one of the most pressing challenges facing young people today: harmful screen use. She encouraged children and families across America to get off screens, get outdoors, and Live Real Life. Thank you, @Freedom250, for providing a stage to help Make America Healthy Again 🇺🇸
- Sep 29, 20269.9x their median
Under the leadership of @SecKennedy, HHS will always stand in support of children and families. Today, @ACF_Adams and @Dr_Haridopolos announced that expectant parents are now eligible to receive federally-funded services that teach parenting skills, strengthen mental health, and address substance use disorder in hopes of preventing unnecessary entry into foster care. These prevention services are now available for moms and dads whose baby is determined to be a "candidate for foster care." Providing support to a struggling parent before a baby is born strengthens families and reduces the risk of a child welfare involvement in the future.
- Aug 6, 20267.2x their median
Thanks to the selfless and patriotic Americans who answered the call during the national blood supply shortage, the blood supply is now back in the green. Thank you for stepping forward to help save lives and Make America Healthy Again. Help keep the momentum going. Become a blood donor today by contacting one of the organizations below: AABB: https://t.co/W2l7bPppwk; 301.907.6977 America’s Blood Centers: https://t.co/7n9xp2v9lX; 202.393.5725 American Red Cross: https://t.co/xc062LVVXk; https://t.co/R0blgPz1sD CROSS (1.800.733.2767)
- Aug 6, 20265.3x their median
Dr. Stephanie Haridopolos, Director of National Communications for the Office of the Surgeon General, is dedicated to helping families give their children the healthiest possible start in life. During World Breastfeeding Week, the Office of the Surgeon General recognizes the important health benefits breastfeeding can offer both infants and mothers. By ensuring families have access to reliable information, supportive resources, and evidence-based guidance, we can help every child get a strong, healthy start from day one. Learn more and find trusted resources at https://t.co/OLH7UqvUq7
- Aug 6, 20265.1x their median
Sixty percent of mothers do not breastfeed for as long as they intend. Lactation and latching difficulties, concerns about infant nutrition, an early return to work, and limited support can make breastfeeding difficult to start and even harder to continue. Mothers need knowledgeable care, adequate leave, workplace protections, and practical support at home to make breastfeeding possible. This World Breastfeeding Week, we recognize the barriers mothers face and our shared responsibility to remove them.
- Sep 1, 20265.0x their median
Happening Now: Live Real Life Symposium https://t.co/aZoVNXCa49
- Aug 5, 20264.9x their median
Welcome to World Breastfeeding Week, observed August 1–7 and first celebrated in 1992. The Office of the Surgeon General has long recognized breastfeeding as a public health priority. Breastfeeding offers important health benefits for both babies and mothers and can bring moments of closeness and joy. But it also asks a great deal of mothers. Knowledgeable care, protected time, workplace flexibility, and support at home can reduce those demands. This week, as we celebrate breastfeeding, we will highlight its health benefits, acknowledge the effort it requires from mothers, and call attention to the support we owe them.
- Jul 20, 20264.7x their median
“It’s just been an amazing honor and capstone of my career to have the trust and confidence of President Trump to appoint me to this position.” Dr. Stephanie Haridopolos, Director of National Communications for the Office of the Surgeon General, sat down with @LaraLeaTrump this past weekend on @MyViewFNC to discuss a life dedicated to serving others—as both a physician and a public servant.
Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.
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Reading these numbers
A typical post picks up 30 interactions against 1.2M followers, an engagement rate of 0.003%. Posts are seen about 7.5K times each, and 0.408% of those impressions turn into an interaction. That is about 0.644% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 0.3 posts a day over the last 30 days, though only 20% of days saw any activity at all. Most posts go out around 20:00 UTC, and Tuesday is the busiest day of the week. Of the 6 posts sampled, 100% carry an image or video and 33% are part of a thread. The account's strongest tracked post pulled 509 interactions, about 17x its own typical post. Only 6 original posts have been captured so far, fewer than the 8 posts we want behind a median before treating it as settled. Read the figures above as an early measurement of this account, not as a finished profile of it.
- What is U.S. Surgeon General's engagement rate on X?
- U.S. Surgeon General (@Surgeon_General) has an engagement rate of 0.003%, based on the median interactions across 6 original posts from the last 30 days against 1,159,190 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.003%, U.S. Surgeon General sits below the 10th percentile of the 204,956 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
- Does @Surgeon_General have real engagement?
- There is not yet enough sample to rank this account against others of its size.
- When does @Surgeon_General post?
- Most posts go out around 20:00 UTC, and Tuesday is its busiest day, at roughly 0.3 posts per day across the measured window.