Although at that point, the challenges of a potential Pandemic Influenza were not being considered, this risk is now also being addressed by the training. Avian Influenza has continued its march across Europe and remains a serious threat (Revill 2007; Shaikh 2007). In this survey, 91% of senior living (SL) and long term care (LTC) administrators felt ill-prepared to deal with public health emergencies and BT threats. Eighty percent of the respondents reported that their LTC communities did not have any training (either educational or exercise based) for their workforce in this area. Moreover, 81% were not aware of emergency.