You don’t want to “keyword stuff” and cram your core keyword and every possible variation of it into your alt attribute. In fact, if it doesn’t fit naturally into the description, don’t include your target keyword here at all. Just be sure not to skip the alt attribute, and try to give a thorough, accurate description of the image (imagine you’re describing it to someone who can’t see it – that’s what it’s there for!).
Google expects pages to “be edited, reviewed, and updated on a regular basis” especially if they are for important issues like medical information, and states not all pages are held to such standards, but one can expect that Google wants information updated in a reasonable timescale. How reasonable this is, is dependant on the TOPIC and the PURPOSE of the web page RELATIVE to competing pages on the web.
QUOTE: “Google Webmaster Tools notice of detected doorway pages on xxxxxxxx – Dear site owner or webmaster of xxxxxxxx, We’ve detected that some of your site’s pages may be using techniques that are outside Google’s Webmaster Guidelines. Specifically, your site may have what we consider to be doorway pages – groups of “cookie cutter” or low-quality pages. Such pages are often of low value to users and are often optimized for single words or phrases in order to channel users to a single location. We believe that doorway pages typically create a frustrating user experience, and we encourage you to correct or remove any pages that violate our quality guidelines. Once you’ve made these changes, please submit your site for reconsideration in Google’s search results. If you have any questions about how to resolve this issue, please see our Webmaster Help Forum for support.” Google Search Quality Team
Website owners recognized the value of a high ranking and visibility in search engine results, creating an opportunity for both white hat and black hat SEO practitioners. According to industry analyst Danny Sullivan, the phrase "search engine optimization" probably came into use in 1997. Sullivan credits Bruce Clay as one of the first people to popularize the term. On May 2, 2007, Jason Gambert attempted to trademark the term SEO by convincing the Trademark Office in Arizona that SEO is a "process" involving manipulation of keywords and not a "marketing service."
Place strategic search phrases on pages. Integrate selected keywords into your website source code and existing content on designated pages. Make sure to apply a suggested guideline of one to three keywords/phrases per content page and add more pages to complete the list. Ensure that related words are used as a natural inclusion of your keywords. It helps the search engines quickly determine what the page is about. A natural approach to this works best. In the past, 100 to 300 words on a page was recommended. Many tests show that pages with 800 to 2,000 words can outperform shorter ones. In the end, the users, the marketplace, content and links will determine the popularity and ranking numbers.