Changing the behavior sense such as routine washing hand, and covering the sneezes or coughs, can reduce the risk of disease transmission such as H1N1 virus transmission. Especially within a household and public environment generally.

Latest published in the Journal of Infection Disease said how important understanding factors of risk and prevention from spreading of influenza among households members by change the behavior.

As most households member sit and/or watching television together, sleeping in the same room, and other togetherness activity or close contact, if they behavior unconcerned related virus spread method, then, the virus transmission will wild spread unnoticed.

The study team, Anne Marie France, MD, MPH, from the Epidemic Intelligence Service, Office of Workforce and Career Development, and the New york City Department of Health and Mental Hygiene, and colleagues, said, “The timing and magnitude of this outbreak presented a unique opportunity to characterize dynamics of transmission of the pH1N1 [pandemic H1N1] virus.”

Although this study had several limitation such as have bias or misclassification possibility caused influeza-like illness (ILI) used to denote infection, Ruth Lynfield, MD, from the Minnesota Department of Health, St. Paul, said as editorial in that published study, “France and colleagues have elegantly shown us that a few simple, common sense changes in behavior can be important in controlling influenza transmission in households. Additional studies evaluating modifiable behaviors that can prevent and control spread of influenza would help refine public health recommendation.”

However, the investigator noted that sharing cups, utensils, towels and other personal items did not result in a marked increase in secondary infections.

The study itself launched as immediate intervention when larges American outbreak of H1N1 occur which 100 of 2700 students at the Queens high school came to the school nurse with similar complaints such as fever, headache, sore throat, dizziness, and shortness of breath, in April 2009.
33% suspected with H1N1 advised to stay for home at least 7 days and avoid or keep less contact with others member.

Dr. France, said, “Understanding the risk and prevention factors that determine household transmission is very important to containing influenza, particularly if the strain of influenza is severe, and it is determined that attempting to contain it is critical to the national management of pandemic.”

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