Indeed the Turkish MoH published the country's first national pandemic influenza action plan in October 2005 and a circular was sent to health organizations about possible avian influenza case descriptions and precautions [3, 8] . On the other hand, the results of this study indicates that, the circulation of the avian influenza action plan was insufficient, and regional and national activities related the outbreak control only started after following the verification of H5N1 virus in poultry. As preventive human and animal health care, organizational preparations were incomplete. WHO states that there was no active surveillance in neighbouring provinces after a domestic animal outbreak was confirmed in Igdir in December 2005 [3] .