After the declaration of avian influenza outbreak by the Turkish MoH, people's reactions to the disaster and patient applications increased to health care centers. The fear and panic were experienced among health care providers. This situation was explained by a health officer from YYU hospital: "When cases arrived in Van According to the health care providers' experiences, to deal with an outbreak, the health system must be strengthened, health services should be coordinated, surveillance system and the notification for communicable diseases must be operated efficiently, human and animal health care should be integrated.