Background: Reviews from The Cochrane Library, published in the Cochrane Database of Systematic Reviews are often reported by newspaper and broadcast journalists, and bloggers. Press releases highlighting selected new and updated Reviews are an important part of the publication process and marketing strategy for The Cochrane Library. Objectives: The objective of Wiley Blackwell s publicity strategy is to raise the international profile of The Cochrane Library through professional and consumer media, and to increase usage. Methods: A number of new and updated reviews are selected for publicity activity from each issue of The Cochrane Database of Systematic Reviews. During 2009 the selection took place each quarter, and since January 2010 this has become a more frequent process to coincide with the change monthly publication. By analysing the resulting coverage, including a regional breakdown of where different reviews are reported, we can provide an interesting snapshot of the issues of interest to the international community. We also look for a corresponding increase in usage for the articles that are most widely reported. Results: Usage of The Cochrane Library on Wiley InterScience continues to increase month on month. A portion of this successful usage development is a result of Wiley Blackwell publicity strategy. Increasingly our press releases are highlighted and reported via social media, including blogs and Twitter. An up-to-date analysis of international coverage, including the most publicised Reviews of 2009 will be presented when complete. Conclusions: Media coverage of new and updated Cochrane reviews raises the international profile of The Cochrane Library in both professional and consumer media, and increases usage of Cochrane Reviews. In the future we need to be aware of the differences in reporting in different media and regions, including the continuing increase in the use of social media tools to promote Cochrane Reviews.