Given the level of psychological distress noted in the current study, it is interesting to consider the distress that might result from other epizootics, such as foot and mouth disease or avian influenza, and how this, in turn, might compare to the levels of distress resulting from human epidemics, such as SARS and H5N1/pandemic influenza. As mentioned earlier, foot and mouth disease in Europe resulted in high distress and PTSD in farmers.