The overall intention to accept pre-pandemic vaccination (H5N1 vaccine) was only 28.4% for the first survey, which was conducted at WHO influenza pandemic alert phase 3. The level of intention to accept increased to 34.8% in the second survey, when the WHO alert phase was level 5. Responses from three departments in the hospital where both surveys were conducted are shown in table 2. No significant changes in the level of intention to accept pre-pandemic vaccination (H5N1 vaccine) was observed, despite the escalation to phase 5 because of the wide spread of H1N1 virus (swine flu).