Four informants were health personnel in primary health care centers; three general practitioners and one midwife, who have active roles in surveillance in Van and Dogubeyazit. One of the general practitioners made the initial diagnosis of the avian case at a primary health care center in Van. Two general practitioners were staff of the primary health care center in Dogubeyazit. One of the doctors were the chief of the primary health care center and worked as a coordinator of avian influenza outbreak intervention and the other one was assigned to the avian influenza surveillance.