Eventually there will be pandemic influenza again. The problem is, we have no way of knowing when, or even if this particular strain of avian flu is the one that's going to be the pandemic strain. What we will really need is a rebuilding of the public health system in the US, which will cost far more than what has been allocated. If I were to see a strain of flu in a patient, who would get my call? what would their response be? and who is going to make sure that other first responders don't die from this?