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Needs Assessment for a Targeted Health Promotion Campaign

Published online by Cambridge University Press:  02 October 2018

Greta Tam*
Affiliation:
Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong
*
*Correspondence and reprint requests to Dr Greta Tam, Room 404, 4/F, School of Public Health and Primary Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong (e-mail: [email protected])

Abstract

Since the first human A/H7N9 infection in Hong Kong, there has been an ongoing threat of human-to-human transmission, potentially causing a pandemic. Because there is no vaccine for A/H7N9, the individual preventive measures become all the more important for reducing transmission. However, due to the ongoing threat of numerous avian influenza viruses, the public may suffer from pandemic-media-fatigue. This study was done to assess the need for a targeted A/H7N9 health promotion campaign. Steven and Gillam’s framework using epidemiological, comparative, and corporate approaches was used to assess the need for a targeted A/H7N9 health promotion campaign.

Local surveillance data showed that Hong Kong faces a double burden of increasing seasonal influenza activity and threat of an avian influenza pandemic. Experts warned of potential severity and difficulties in A/H7N9 control. In contrast, surveys showed that the Hong Kong public were suffering from pandemic-media-fatigue, lacked anxiety, had misconceptions, and were not vigilant in preventive practices. This was more evident in certain demographics. Content analysis showed that health promotion materials were not targeted or tailored in countries with human A/H7N9 cases. Targeted health promotion campaigns and framing the issue to increase public and media awareness are crucial in preventing the current pandemic-media-fatigue. (Disaster Med Public Health Preparedness. 2019;13:596-604)

Type
Concepts in Disaster Medicine
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. World Health Organization. Immunization, vaccines and biologicals: influenza. Published January 25, 2008. http://www.who.int/immunization/topics/influenza/en/. Accessed June 6, 2017.Google Scholar
2. Centre for Health Protection, Hong Kong. Flu Express 13(7). Published February 18, 2016. http://www.chp.gov.hk/files/pdf/fluexpress_web_week7_18_2_2016_eng.pdf. Accessed June 6, 2017.Google Scholar
3. World Health Organization Western Pacific Region. Influenza situation update 3. Published February 2015. http://www.wpro.who.int/emerging_diseases/influenza_biweekly_20150203.pdf. Accessed June 6, 2017.Google Scholar
4. Watanabe, T, Kiso, M, Fukuyama, S, et al. Characterization of H7N9 influenza A viruses isolated from humans. Nature. 2013;501(7468):551555.Google Scholar
5. World Health Organization. WHO consultation on priority public health interventions before and during an influenza pandemic. http://www.afro.who.int/index.php?option=com_docman&task=doc_download&gid=5116. Accessed June 6, 2017.Google Scholar
6. International Federation of Red Cross and Red Crescent Societies. Pandemic Preparedness and Response: role of voluntary organisations. Published March 16-18, 2004. http://www.ifrc.org/en/news-and-media/opinions-and-positions/speeches/2008/pandemic-preparedness-and-response-role-of-voluntary-organisations/. Accessed June 6, 2017.Google Scholar
7. Stevens, A, Gilliam, S. Health needs assessment: Needs assessment: from theory to practice. BMJ. 1998;316(7142):14481452.Google Scholar
8. Centers for Disease Control and Prevention. Avian influenza current situation summary. Published October 25, 2008. https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm. Accessed April 16, 2018.Google Scholar
9. Centre for Health Protection, Hong Kong. Flu Express 12(4). Published May 9, 2018. http://www.chp.gov.hk/files/pdf/fluexpress_web_week4_29_1_2015_eng.pdf. Accessed June 6, 2017.Google Scholar
10. Leung, Y, To, M, Lam, T, et al. Epidemiology of human influenza A(H7N9) infection in Hong Kong. J Microbiol Immunol Infect. 2017;50(2):183188.Google Scholar
11. Centre for Health Protection, Hong Kong. Communicable diseases watch 13(2). Published May 22, 2016. http://www.chp.gov.hk/files/pdf/cdw_compendium_2016.pdf. Accessed June 6, 2017.Google Scholar
12. Jennings, L. Influenza vaccines: an Asia-Pacific perspective. Influenza Other Respir Viruses. 2013;7:4451.Google Scholar
13. Wu, P, Fang, V, Liao, Q, et al. Responses to threat of influenza A(H7N9) and support for live poultry markets, Hong Kong, 2013. Emerg Infect Dis. 2014;20(5):882886.Google Scholar
14. Lau, J, Tsui, H, Lau, M, Yang, X. SARS transmission, risk factors, and prevention in Hong Kong. Emerg Infect Dis. 2004;10(4):587592.Google Scholar
15. Lau, J, Kim, J, Tsui, H, Griffiths, S. Anticipated and current preventive behaviors in response to an anticipated human-to-human H5N1 epidemic in the Hong Kong Chinese general population. BMC Infect Dis. 2007;7(1).Google Scholar
16. Liao, Q, Cowling, B, Lam, W, Fielding, R. Changing perception of avian influenza risk, Hong Kong, 2006–2010. Emerg Infect Dis. 2011;17(12):23792380.Google Scholar
17. Tones, K. Health education: evidence of effectiveness. Arch Dis Child. 1997;77(3):189191.Google Scholar
18. Lewis, G, Sheringham, J, Lopez Bernal, J, Crayford, T. Mastering Public Health. Hoboken, NJ: CRC Press; 2014.Google Scholar
19. Suggs, L, Mcintyre, C, Warburton, W, Henderson, S. Communicating health messages: a framework to increase the effectiveness of health communication globally. 2015. https://www.imperial.ac.uk/media/imperial-college/institute-of-global-health-innovation/public/Complex-health-messages.pdf. Accessed June 6, 2017.Google Scholar
20. Vaughan, E, Tinker, T. Effective health risk communication about pandemic influenza for vulnerable populations. Am J Public Health. 2009;99(S2):S324S332.Google Scholar
21. Food and Agriculture Organization of the United Nations. Addressing avian influenza A(H7N9) guidelines for risk communication messaging, vol. 3. Published September 2015. http://www.fao.org/3/a-i4969e.pdf. Accessed June 6, 2017.Google Scholar
22. Centre for Health Protection, Hong Kong. E-resources-avian influenza. Published April 20, 2018. http://www.chp.gov.hk/en/her_list/463/24/13.html. Accessed August 20, 2018.Google Scholar
23. Health Promotion Administration, Ministry of Health and Welfare, Taiwan. Health 99 education resource. http://health99.hpa.gov.tw/en/. Accessed June 6, 2017.Google Scholar
24. Public Health Agency of Canada. Avian influenza. Published July 15, 2016. http://www.phac-aspc.gc.ca/influenza/avian-eng.php. Accessed June 6, 2017.Google Scholar
25. Government of Canada. Avian influenza A (H7N9). Published August 10, 2018. https://www.canada.ca/en/public-health/services/diseases/avian-influenza-h7n9.html. Accessed August 20, 2018.Google Scholar
26. Ministry of Health Malaysia. Avian influenza A (H7N9). Published December 4, 2013. http://www.moh.gov.my/english.php/pages/view/170. Accessed June 6, 2017.Google Scholar
27. Liu, M, Chan, T, Wan, C, et al. Changing risk awareness and personal protection measures for low to high pathogenic avian influenza in live-poultry markets in Taiwan, 2007 to 2012. BMC Infect Dis. 2015;15(1):241.Google Scholar
28. Kuo, P, Huang, J, Liu, M. Avian influenza risk perception and preventive behavior among traditional market workers and shoppers in Taiwan: practical implications for prevention. PLoS One. 2011;6(9):e24157.Google Scholar
29. Charania, N, Martin, I, Liberda, E, et al. Bird harvesting practices and knowledge, risk perceptions, and attitudes regarding avian influenza among Canadian First Nations subsistence hunters: implications for influenza pandemic plans. BMC Public Health. 2014;14(1):1113.Google Scholar
30. Chan, E, Cheng, C, Tam, G, et al. Knowledge, attitudes, and practices of Hong Kong population towards human A/H7N9 influenza pandemic preparedness, China, 2014. BMC Public Health. 2015;15(1):943.Google Scholar
31. Liao, Q, Cowling, B, Wu, P, et al. Population behavior patterns in responses to the risk of influenza A (H7N9) in Hong Kong, December 2013-February 2014. Int J Behav Med. 2015;22(5):672682.Google Scholar
32. Peiris, J, Cowling, B, Wu, J, et al. Interventions to reduce zoonotic and pandemic risks from avian influenza in Asia. Lancet Infect Dis. 2016;16(2):252258.Google Scholar
33. To, K, Chan, J, Yuen, K. Viral lung infections: epidemiology, virology, clinical features, and management of avian influenza A (H7N9). Curr Opin Pulm Med. 2014;20(3):225232.Google Scholar
34. Centre for Health Protection, Hong Kong. CHP Symposium 2014 Programme and Abstract. Published October 24, 2014. http://www.chp.gov.hk/files/pdf/chpsymposium.pdf. Accessed June 6, 2017.Google Scholar
35. Hospital Authority, Hong Kong. CICO’s biweekly update; 4(19). Published December 31, 2014. http://www.ha.org.hk/haho/ho/cico/cicobiweeklyvol4no19.pdf. Accessed June 6, 2017.Google Scholar
36. World Health Organization. WHO Director-General addresses the Sixty-sixth World Health Assembly. Published May 20, 2013. http://www.who.int/dg/speeches/2013/world_health_assembly_20130520/en/. Accessed June 6, 2017.Google Scholar
37. The Canadian Press. Vaccine development for H7N9 flu problematic. Published April 12, 2013. http://www.cbc.ca/news/health/vaccine-development-for-h7n9-flu-problematic-1.1370919. Accessed June 6, 2017.Google Scholar
38. Zhou, L, Ren, R, Yang, L, et al. Sudden increase in human infection with avian influenza A(H7N9) virus in China, September–December 2016. Western Pac Surveill Response J. 2017;8(1):614.Google Scholar
39. Government of Hong Kong. Prevention of avian influenza (press releases). Published December 3, 2013. http://www.info.gov.hk/gia/general/201312/03/P201312030566.htm. Accessed June 6, 2017.Google Scholar
40. Fan, M, Huang, B, Wang, A, et al. Human influenza A(H7N9) virus infection associated with poultry farm, Northeastern China. Emerg Infect Dis. 2014;20(11):19021905.Google Scholar
41. World Health Organization. China – WHO joint mission on human infection with avian influenza A(H7N9) virus 18 – 24 April 2013 mission report. Published April 18-24, 2013. http://www.who.int/influenza/human_animal_interface/influenza_h7n9/ChinaH7N9JointMissionReport2013u.pdf. Accessed June 6, 2017.Google Scholar
42. Liao, Q, Wu, P, Lam, W, et al. Public risk perception and attitudes towards live poultry markets before and after their closure due to influenza A(H7N9), Hong Kong, January-February 2014. J Public Health. 2015;38(1):3443.Google Scholar
43. Ohio Department of Agriculture. Ohio taking proactive effort to remain free of deadly avian flu as other states struggle with effects of virus (press release). Published June 2, 2015. http://www.agri.ohio.gov/divs/ai/docs/06.02.15%20ODA%20Cancels%20bird%20shows%20across%20Ohio%20to%20Prevent%20Avian%20Flu.pdf. Accessed April 16, 2018.Google Scholar
44. Monto, A, Gravenstein, S, Elliott, M, et al. Clinical signs and symptoms predicting influenza infection. Arch Intern Med. 2000;160(21):3243.Google Scholar
45. Li, X, Yang, Y, Sun, Y, et al. Risk distribution of human infections with avian influenza H7N9 and H5N1 virus in China. Sci Rep. 2015;5(1):18610.Google Scholar
46. Dong, L, Bo, H, Bai, T, et al. A combination of serological assays to detect human antibodies to the avian influenza A H7N9 virus. PLoS One. 2014;9(4):e95612.Google Scholar
47. Grilli, R, Freementale, N, Minozzi, S. Mass media interventions: effects on health services utilization. Cochrane Database Syst Rev. 2002;1:CD000389.Google Scholar
48. Cowling, B, Ng, D, Ip, D, et al. Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong. J Infect Dis. 2010;202(6):867876.Google Scholar
49. Lau, JT, Yang, X, Pang, E, et al. SARS-related perceptions in Hong Kong. Emerg Infect Dis. 2005;11(3):417424.Google Scholar
50. Lau, J, Tsui, H, Kim, J, et al. Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza. Infection. 2010;38(4):275283.Google Scholar
51. Centre for Health Protection, Hong Kong. Risk Communication Advisory Group (RCAG) background paper on risk communication. Published October 2004. http://www.chp.gov.hk/files/pdf/RCAG_info_paper_3%20_rev_.pdf. Accessed June 6, 2017.Google Scholar
52. Tchuenche, J, Dube, N, Bhunu, C, et al. The impact of media coverage on the transmission dynamics of human influenza. BMC Public Health. 2011;11(Suppl 1):S5.Google Scholar
53. McDonnell, WM, Nelson, DS, Schunk, JE. Should we fear “flu fear” itself? Effects of H1N1 influenza fear on ED use. Am J Emerg Med. 2012;30(2):275282.Google Scholar
54. Centers for Disease Control and Prevention. Evaluating communication campaigns. Published April 2, 2018. https://blogs.cdc.gov/publichealthmatters/2018/04/evaluating-campaigns/. Accessed May 9, 2018.Google Scholar