In the avian influenza outbreak, the studies by health organizations were defined by two features as suggested by the interviewees: it was perceived as a new and unknown disease; and it was encountered as a regional, national and international crisis by the health authorities. The preparedness of animal and human health organizations for outbreak-human resource, management, surveillance approach and notification systems-affected inter organizational coordination during the outbreak. The comments related to follow up show us that there is an inconsistency between the pandemic influenza action plan and avian influenza surveillance approach. Although a circular of Turkish MoH was announced on October 2005 including a flow chart to evaluate the suspected cases, the exclusion of primary health care centers and hospitals in the sentinel surveillance and the lack of regional preparedness might have caused health care workers to miss some cases in the referral and reporting procedures. The cost of the culling animals was partially paid to the owners to compensate their economic loss. But in practice the official records couldn't be made exactly, therefore most of poultry owners could not receive the compensations and they had been subject to high rates of financial loss. The situation was expressed by the general practitioner from the primary health care center in Dogubeyazit:"Now about 90-100 thousand chickens were slaughtered. Five Turkish liras were to be paid for each but only 30% of this price was paid because 70% of them were taken without any official record so people couldn't claim their rights."