Another problem encountered during the avian influenza outbreak in Turkey was the fear of contamination risk among the health care providers who have no protective equipment against H5N1 when the outbreak started. It is as important to train the health personnel to be prepared for an outbreak as it is to stock protective equipment for them at the sites of preparation studies [14, 15, 18] . Interviewees believe that the delay in supplying protective equipment and the lack of orderly planning in the distribution of it caused concerns among health care providers about contamination risk, which affected their work output. Health personnel must be accepted as the primary group in prevention, and mortality and morbidity among them must be minimized to allow for efficient intervention by the maximum number of personnel during an avian influenza pandemic. Even if epidemiological evidence about the spread of the H5N1 virus from patients to health personnel is limited [19] , studies indicate that nurses who work in hospitals and public health workers touching the suspected avian influenza cases may experience fear and anxiety for their own and their families' health and can face ethical dilemmas when deciding between continuing their work and maintaining their families' health [20, 21] .