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That Friday in 2009 began like any other day for the North Shore-LIJ Laboratories, the core diagnostics facility for the North Shore-Long Island Jewish Health System, one of the largest hospital networks in the New York metropolitan area.

The day before, however, some 150 students at New York's St. Francis Preparatory School in Queens began showing the symptoms of a respiratory illness suspected to be H1N1 influenza, or swine flu, prompting public health officials to launch an investigation into a possible outbreak.

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