Widespread public misconception in the early phase of the H1N1 influenza epidemic

Journal of Infection

Volumn 59, Issue 2, 2009, Pages 122-127

  Lau, Joseph T F ^a   Griffiths, Sian ^a   Choi, Kai Chow ^a   Tsui, Hi Yi ^a  

^a and Hong Kong Branch of CAS Center for Excellence in Animal Evolution and Genetics   (Hong Kong)

Author keywords

General public; Hong Kong (China); Human swine flu (H1N1 Influenza A); Mental health and psychology; Pandemic; Perceptions; Preventive measures

Indexed keywords

ADULT; ALERTNESS; ARTICLE; CHINESE; CROWDING; DECISION MAKING; EPIDEMIC; FACE MASK; FEMALE; FLU LIKE SYNDROME; HAND WASHING; HEALTH CARE POLICY; HONG KONG; HUMAN; INFECTION CONTROL; INFLUENZA; INFLUENZA VIRUS A H1N1; INTERVIEW; MAJOR CLINICAL STUDY; MALE; SELF CONCEPT; VERBAL COMMUNICATION;

ADULT; DISEASE OUTBREAKS; FEMALE; HANDWASHING; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HONG KONG; HUMANS; INFECTION CONTROL; INFLUENZA A VIRUS, H1N1 SUBTYPE; INFLUENZA, HUMAN; MALE; MASKS; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; YOUNG ADULT;

EID: 68249113721     PISSN: 01634453     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jinf.2009.06.004     Document Type: Article

References (29)

1. World Health Organization. Influenza A(H1N1) - update 31. Available at: (2009 May 17). [accessed 17.05.09]
2. Fraser C., Donnelly C.A., Cauchemez S., Hanage W.P., Van Kerkhove M.D., Hollingsworth T.D., et al. Pandemic potential of a strain of Influenza A (H1N1): early findings [monograph on the internet]. Science (2009 May 14). Available at:
3. Centre for Health Protection, Department of Health, Hong Kong SAR. SFH on human swine flu (updated. Available at: (2009 May 16). [accessed 16.05.09]
4. World Health Organization. Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003. Based on data as of the 31 December 2003. Available at:. [accessed 22.05.09]
5. Wong W.C.W., Chan K.C., Tang H.W., and Lam M.W.H. The cycle fear: a qualitative study of SARS and its impacts on kindergarten parents one year after the outbreak. Hong Kong Pract 29 (2007) 146-155
6. Kapp C. WHO lowers figures on SARS infections. Lancet 362 (2003) 1207
7. Severe Acute Respiratory Syndrome (SARS) Expert Committee, Hong Kong SAR Government. SARS in Hong Kong: from experience to action. 2003. Hong Kong.
8. Lau J.T., Yang X., Tsui H.Y., and Kim J.H. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health 57 (2003) 864-870
9. Leung G.M., Quah S., Ho L.M., Ho S.Y., Hedley A.J., and Lee H.P. A tale of two cities: community psychobehavioral surveillance and related impact on outbreak control in Hong Kong and Singapore during the severe acute respiratory syndrome epidemic. Infect Control Hosp Epidemiol 25 (2004) 1033-1041
10. Leung G.M., Lam T.H., Ho L.M., Ho S.Y., Chan B.H., Wong I.O., et al. The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health 57 (2003) 857-863
11. Leung G.M., Ho L.M., Chan S.K., Ho S.Y., Bacon-Shone J., Choy R.Y., et al. Longitudinal assessment of community psychobehavioral responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clin Infect Dis 40 (2005) 1713-1720
12. Tang C.S., and Wong C.Y. Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong. Prev Med 39 (2004) 1187-1193
13. Lau J.T.F., Yang X., Tsui H.Y., and Kim J.H. Impacts of SARS on health-seeking behaviours in general population in Hong Kong. Prev Med 41 (2005) 454-462
14. Lau J.T.F., Tsui H.Y., Lau M., and Yang X. SARS transmission, risk factors, and prevention in Hong Kong. Emerg Infect Dis 10 (2004) 587-592
15. Lau J.T.F., Yang X., Pang E., Tsui H.Y., Wong E., and Wing Y.K. SARS-related perceptions in Hong Kong. Emerg Infect Dis 11 (2005) 417-424
16. Lau J.T.F., Yang X.L., Tsui H.Y., Pang E., and Wing Y.K. Positive mental health-related impacts of the SARS epidemic on the general public in Hong Kong and their associations with other negative impacts. J Infect 53 (2006) 114-124
17. Lau J.T.F., Yang X., Tsui H.Y., Pang E., and Kim J.H. SARS preventive and risk behaviours of Hong Kong air travellers. Epidemiol Infect 132 (2004) 727-736
18. Lau J.T.F., Yang X., Tsui H.Y., and Pang E. SARS-related preventive and risk behaviours practiced by Hong Kong-mainland China cross-border travelers during the outbreak of the SARS epidemic in Hong Kong. J Epidemiol Community Health 58 (2004) 988-996
19. Lau J.T.F., Tsui H.Y., Kim J.H., and Griffiths S. Perceptions about status and modes of H5N1 transmission and associations with immediate behavioral responses in the Hong Kong general population. Prev Med 43 (2006) 406-410
20. Lau JTF, Griffiths S, Chan P, Tsui HY. SARS and avian flu: a serial of 6 surveillance surveys of anticipated behavioral and psychological responses to avian influenza pandemic in humans among the Hong Kong general public (SF-04). Oral presentation at the 40th APACPH Annual Conference, November 7-9, 2008, Kuala Lumpur, Malaysia.
21. Lau J.T.F., Kim J.H., Tsui H.Y., and Griffiths S. Anticipated and current preventive behaviors in response to an anticipated human-to-human H5N1 epidemic in the Hong Kong Chinese general population. BMC Infect Dis 7 (2007) 18
22. Lau J.T.F., Kim J.H., Tsui H.Y., and Griffiths S. Perceptions related to human avian influenza and their associations with anticipated psychological and behavioral responses at the onset of outbreak in the Hong Kong Chinese general population. Am J Infect Control 35 (2007) 38-49
23. Lee S., and Tsang A. A population-based study of depression and three kinds of frequent pain conditions and depression in Hong Kong. Pain Med 10 (2009) 155-163
24. Lau JTF, Griffiths S, Chan P, Tsui HY, Kim JH. A serial surveillance survey of anticipated behavioral and psychological responses to avian influenza pandemic in humans among the Hong Kong general public (OS19-6). Oral presentation at the 10th International Congress of Behavioral Medicine, August 27-30, 2008, Tokyo, Japan.
25. Naylor C.D., Chantler C., and Griffiths S. Learning from SARS in Hong Kong and Toronto. JAMA 291 (2004) 2483-2487
26. South China Morning Post. Visitor arrivals drop 9pc amid flu scare. Available at: (2009 May 17). [accessed 17.05.09]
27. Cowling B.J., Fung R.O., Cheng C.K., Fang V.J., Chan K.H., Seto W.H., et al. Preliminary findings of a randomized trial of non-pharmaceutical interventions to prevent influenza transmission in households. PLoS ONE 3 (2008) e2101
28. NHS. Swine flu Q&A. Available at: (2009 May 17). [accessed 17.05.09]
29. Tang C.S., and Wong C.Y. An outbreak of the severe acute respiratory syndrome: predictors of health behaviors and effect of community prevention measures in Hong Kong, China. Am J Public Health 93 (2003) 1887-1888