Widespread public misconception in the early phase of the H1N1 influenza epidemic.
OBJECTIVE
To investigate the community responses and preparedness for a possible epidemic of H1N1 influenza in Hong Kong shortly after an imported case was confirmed.


METHODS
A random sample of 550 Chinese adults in the Hong Kong general population was interviewed during May 7-9, 2009.


RESULTS
The public did not perceive a high likelihood of having a local H1N1 outbreak, nor did they regard H1N1 as a threatening disease. Frequent hand-washing (73.6%) and use of face-masks in case of flu symptoms (47.9%) were prevalent. The public approved of governmental policies including the quarantining of hotel guests, was not panicking and perceived a high self-efficacy of self-protection. However, misconceptions were prevalent and the public avoided visiting crowded places (9.3%), which many people wrongly believed was a government recommendation.


CONCLUSIONS
Although the public response demonstrated vigilance and preparedness there were signs of complacency. Clear communication, updated scientific information and transparency on government decision making are warranted. Data of the study provide a baseline for an ongoing surveillance program to help shape policy and provide information to the international community.
Lau
Joseph T F
JT
Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, 5/F., School of Public Health Prince of Wales Hospital, Shatin, NT, Hong Kong. jlau@cuhk.edu.hk
Griffiths
Sian
S
Choi
Kai Chow
KC
Tsui
Hi Yi
HY
D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D006235:Hand Disinfection; D007722:Health Knowledge, Attitudes, Practice; D006723:Hong Kong; D006801:Humans; D017053:Infection Control / Q000379:methods; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification*; D007251:Influenza, Human / Q000453:epidemiology* / Q000821:virology*; D008297:Male; D008397:Masks / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D055815:Young Adult