In regards to differences in risk between racially or culturally diverse groups, one participant commented that people or cultures that have frequent proximate interaction with each other were at risk of contracting the disease during pandemic. While another suggested that in countries where there are higher levels of respect for traditional medicines over western medicines, people may also be at risk. Amongst the international students it was suggested that the risk of contracting pandemic influenza is higher for people in their 'home towns' because of differences in their health care system, population density, personal hygiene practices and environmental quality.