title: Swine flu in college: early campus response to outbreak control measures.
abstract: OBJECTIVE
  To describe student and faculty attitudes towards and adherence to nonpharmaceutical control measures during the first-known university outbreak of 2009 pandemic influenza A (H1N1).
  
  
  METHODS
  Preferred information sources, control measure adherence and likelihood of adherence during future out-breaks, and perceived illness risk, were explored through focus groups and patient interviews.
  
  
  RESULTS
  We conducted 7 focus groups (N=48) and 9 patient inter- views. Measures (eg, hand hygiene, self-isolation while ill) were initially heeded. Limited information regarding A(H1N1) pdm09, insufficient understanding of university decisions, and perceived university alert overuse led to reports that future outbreaks would be regarded less seriously.
  
  
  CONCLUSIONS
  Reported concern and commitment to recommendations decreased rapidly. Initial university messaging and response was critical in shaping participants' later perceptions.
authors.forename: Tarissa
authors.initials: T
authors.lastname: Mitchell
authors.forename: Mehran
authors.initials: M
authors.lastname: Massoudi
authors.forename: David L
authors.initials: DL
authors.lastname: Swerdlow
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Dee
authors.forename: L Hannah
authors.initials: LH
authors.lastname: Gould
authors.forename: Preeta K
authors.initials: PK
authors.lastname: Kutty
authors.forename: Marilyn S
authors.initials: MS
authors.lastname: Prime
authors.forename: Paul R
authors.initials: PR
authors.lastname: Silverman
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Fishbein
mesh_terms: D003691:Delaware / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control*; D005178:Faculty; D005260:Female; D017144:Focus Groups; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification*; D007251:Influenza, Human / Q000517:prevention & control*; D007407:Interviews as Topic; D008297:Male; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D013334:Students; D014495:Universities; D055815:Young Adult