Getting H1N1 health messages into the hands of international travelers

Beginning in April 2009, the Centers for Disease Control and Prevention's Division of Global Migration and Quarantine activated its Communications Team to respond to H1N1 influenza pandemic with health communication messages. The Team directed a widely disseminated communication effort to reach international travelers. Messages were directed to travelers on the risk of H1N1 influenza, influenza signs and symptoms, and how to protect their health. Messages were distributed via hard copy as informational materials, and posters were displayed at airports, seaports, and land border crossings; travel guidance documents were posted on the CDC website; and talking points were provided to CDC media officers.

Many challenging factors contributed to the launch of an effective communication campaign. Key challenges included the high volume of travelers, including those crossing the southern U.S. border with Mexico, and the need to quickly disseminate messages to the public. In addition, the complexity and variability of recommended guidance required continual updates to health messaging materials. Logistics for material distribution and the coordination of human resources to distribute materials and display posters resulted in substantial delays, diminishing the messaging campaign's immediate effectiveness. Incorporating the evolving scientific knowledge into health communication materials highlighted the need for methods that permitted quick adjustments and rapid dissemination.

The challenges uncovered during the H1N1 response led to critical lessons learned regarding the need for effective pathways for distribution and translation. CDC's Communications Team developed message templates that will enhance the efficiency and effectiveness of future emergency response communication initiatives at U.S. ports of entry.