According to the health care providers who participated in our study, a reference laboratory could not meet the demand for the animal samples and after the human cases arose, the Turkish MoA decided to cull all the poultry without searching for possible or confirmed cases. Because there were not enough agriculture personnel for the culling at Van, the Turkish MoA purchased support from private veterinary clinics. This shows us the size of crisis and the lack of preparedness such as reviewing organizational facilities and operational plans in pre-outbreak phase. As a result, the work of outer-organizational teams, which proceeded in their own region, was not integrated with that of other regional health teams that continued surveillance. The evaluation of animal health services at that period is limited in this study because we did not interview agriculture personnel. Future research should focus on the experiences of the animal health service personnel.