In the United States during the swine flu (H1N1) epidemic in 2009, the federal government took the lead but allowed flexibility to localities as they treated outbreaks.

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During the 2009 H1N1 pandemic, the U.S. federal government provided guidelines and resources but allowed states and local health departments the flexibility to respond to the situation as they saw fit, tailoring their response to local conditions and needs.

In the United States During the Swine Flu (H1N1) Epidemic