Sub-optimal hand sanitiser usage in a hospital entrance during an influenza pandemic, New Zealand, August 2009

Murray, Rachel; Chandler, Clay; Clarkson, Y.; Wilson, Nick; Baker, Michael G; Cunningham, Ruth

doi:10.2807/ese.14.37.19331-en

Cited by 13 publications

(13 citation statements)

References 5 publications

(5 reference statements)

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“…Age-related differences were also found, with older people reporting more trust, consistent with other studies [11]. Given that perceived risk varies by demographic factors for crime [61], roads [62], cancer [63] and infection [26,64], with more complex gender interactions seen on closer scrutiny [65] our findings are unsurprising.…”

Section: Discussionsupporting

confidence: 87%

The Influence of Social-Cognitive Factors on Personal Hygiene Practices to Protect Against Influenzas: Using Modelling to Compare Avian A/H5N1 and 2009 Pandemic A/H1N1 Influenzas in Hong Kong

et al. 2010

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BackgroundUnderstanding population responses to influenza helps optimize public health interventions. Relevant theoretical frameworks remain nascent.PurposeTo model associations between trust in information, perceived hygiene effectiveness, knowledge about the causes of influenza, perceived susceptibility and worry, and personal hygiene practices (PHPs) associated with influenza.MethodsCross-sectional household telephone surveys on avian influenza A/H5N1 (2006) and pandemic influenza A/H1N1 (2009) gathered comparable data on trust in formal and informal sources of influenza information, influenza-related knowledge, perceived hygiene effectiveness, worry, perceived susceptibility, and PHPs. Exploratory factor analysis confirmed domain content while confirmatory factor analysis was used to evaluate the extracted factors. The hypothesized model, compiled from different theoretical frameworks, was optimized with structural equation modelling using the A/H5N1 data. The optimized model was then tested against the A/H1N1 dataset.ResultsThe model was robust across datasets though corresponding path weights differed. Trust in formal information was positively associated with perceived hygiene effectiveness which was positively associated with PHPs in both datasets. Trust in formal information was positively associated with influenza worry in A/H5N1 data, and with knowledge of influenza cause in A/H1N1 data, both variables being positively associated with PHPs. Trust in informal information was positively associated with influenza worry in both datasets. Independent of information trust, perceived influenza susceptibility associated with influenza worry. Worry associated with PHPs in A/H5N1 data only.ConclusionsKnowledge of influenza cause and perceived PHP effectiveness were associated with PHPs. Improving trust in formal information should increase PHPs. Worry was significantly associated with PHPs in A/H5N1.

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Section: Discussionsupporting

confidence: 87%

The Influence of Social-Cognitive Factors on Personal Hygiene Practices to Protect Against Influenzas: Using Modelling to Compare Avian A/H5N1 and 2009 Pandemic A/H1N1 Influenzas in Hong Kong

et al. 2010

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“…Given this background, we aimed to describe the public use of respiratory hygiene behaviours during this pandemic and to test out the feasibility of an observational method. This work accompanied a separate observational study of hand hygiene by the public at the same time 10 …”

Section: Introductionmentioning

confidence: 99%

Respiratory hygiene practices by the public during the 2009 influenza pandemic: an observational study

Barry

Manning

Lee

et al. 2011

Influenza Resp Viruses

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Please cite this paper as: Barry et al. (2011) Respiratory hygiene practices by the public during the 2009 influenza pandemic: an observational study. Influenza and Other Respiratory Viruses 5(5), 317–320. Aims To describe the public use of respiratory hygiene behaviours during the 2009 influenza pandemic and to test the feasibility of an observational method. Methods Respiratory behaviour was systematically observed at three public settings during August 2009 in the capital city of New Zealand (Wellington). Data on each coughing or sneezing event were collected. Results A total of 384 respiratory events were observed, at a rate of 0·8 cough/sneeze per observed‐person‐hour. Around a quarter of respiratory events (27·3%) were uncovered, and there was infrequent use of the responses recommended by health authorities (i.e., covering with a tissue or handkerchief at 3·4% and covering with elbow or arm at 1·3%). Respiratory event rates were higher in all settings that were ‘high flow’ (for people movement) compared to ‘low flow’ settings. Uncovered events were more common among people at the hospital entrance versus the hospital café [risk ratio (RR) = 7·8, 95% confidence interval (CI): 1·1–52·6] and when a person was located within 1 m of others (RR = 1·5, 95% CI: 1·1–1·9).Observing respiratory hygiene was found to be feasible in all of the selected public locations. There was good agreement between observing pairs about whether or not respiratory events occurred (inter‐observer correlation = 0·81) and for uncovered versus covered events (total Cohen’s kappa score = 0·70). Conclusions It was feasible to document respiratory hygiene behaviour in public urban settings during a influenza pandemic. Respiratory hygiene advice was not being adequately followed by this population towards the end of the first wave of the pandemic.

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“…Seven systems focused on behavioural factors (knowledge, attitudes, practices) influencing infectious disease risk. These factors included sexual behaviour [42,43], tobacco use [44], food handling [45], hand washing by healthcare staff in hospitals [46], hand sanitiser use by hospital visitors [47,48], and registration of skin piercing practitioners [49]. Two systems focused on identifying infected people who might pose an infectious disease risk to others, including hospitalised patients [36] and pregnant women [50-52].…”

Section: Resultsmentioning

confidence: 99%

A surveillance sector review applied to infectious diseases at a country level

2010

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BackgroundThe new International Health Regulations (IHR) require World Health Organization (WHO) member states to assess their core capacity for surveillance. Such reviews also have the potential to identify important surveillance gaps, improve the organisation of disparate surveillance systems and to focus attention on upstream hazards, determinants and interventions.MethodsWe developed a surveillance sector review method for evaluating all of the surveillance systems and related activities across a sector, in this case those concerned with infectious diseases in New Zealand. The first stage was a systematic description of these surveillance systems using a newly developed framework and classification system. Key informant interviews were conducted to validate the available information on the systems identified.ResultsWe identified 91 surveillance systems and related activities in the 12 coherent categories of infectious diseases examined. The majority (n = 40 or 44%) of these were disease surveillance systems. They covered all categories, particularly for more severe outcomes including those resulting in death or hospitalisations. Except for some notifiable diseases and influenza, surveillance of less severe, but important infectious diseases occurring in the community was largely absent. There were 31 systems (34%) for surveillance of upstream infectious disease hazards, including risk and protective factors. This area tended to have many potential gaps and lack integration, partly because such systems were operated by a range of different agencies, often outside the health sector. There were fewer surveillance systems for determinants, including population size and characteristics (n = 9), and interventions (n = 11).ConclusionsIt was possible to create and populate a workable framework for describing all the infectious diseases surveillance systems and related activities in a single developed country and to identify potential surveillance sector gaps. This is the first stage in a review process that will lead to identification of priorities for surveillance sector development.

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Sub-optimal hand sanitiser usage in a hospital entrance during an influenza pandemic, New Zealand, August 2009

Cited by 13 publications

References 5 publications

The Influence of Social-Cognitive Factors on Personal Hygiene Practices to Protect Against Influenzas: Using Modelling to Compare Avian A/H5N1 and 2009 Pandemic A/H1N1 Influenzas in Hong Kong

The Influence of Social-Cognitive Factors on Personal Hygiene Practices to Protect Against Influenzas: Using Modelling to Compare Avian A/H5N1 and 2009 Pandemic A/H1N1 Influenzas in Hong Kong

Respiratory hygiene practices by the public during the 2009 influenza pandemic: an observational study

A surveillance sector review applied to infectious diseases at a country level

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