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As the threat of H1N1 influenza recedes, we take a look at how the health care system responded to the first pandemic since 1968 including lessons learned and likely legacies. Among the latter is the view that mandatory seasonal flu vaccinations will likely become the new normal for an increasing number of hospitals. In related stories in this issue we explore the problems caused for IPs trying to keeping other infections at bay as well as issues that must be resolved on respiratory protection of health care workers.