Now, just over a year after this new strain of influenza appeared in Mexico and the southern United States, we are able to look back and consider the effectiveness of British Columbia’s response, both in silo and in partnership at the provincial and national levels. [...] This decision was made before the World Health Organization officially declared H1N1 a pandemic on June 11, 2009, and gave B. C. – and our partners across the country – the opportunity to be proactive in responding and managing this pandemic virus thus mitigating its impact with regards to social disruption, illness or death. [...] When you consider that approximately 40% of British Columbians have already been immunized, and that a substantial proportion of the population (an estimated 20-25%) is likely to have been infected during the outbreak, that means a significant percentage of the population now has immunity to this virus. [...] Evan Adams and the First Nations Health Council, other First Nations stakeholders, and the medical health officers across the province, resulted in the well-implemented, comprehensive B. C. First Nations H1N1 Action Plan. [...] HEALTH CARE SYSTEM A strong relationship and partnership with the BC Medical Association (BCMA) and the BC College of Physicians and Surgeons was critical to a coordinated and cooperative response.