The following provides information about the Ontario Ministry of Health and Long-Term Care’s (the ministry’s) Universal Influenza Immunization Program (UIIP) for 2016/2017 influenza season. The official launch of the 2016/2017 UIIP will occur in late October, 2016. As in previous years, the priority is to immunize high risk groups as soon as the influenza vaccine is available, anticipated early October. Influenza immunization for the general population through community-based influenza immunization clinics can begin on or after the UIIP launch date.
The following individuals are eligible and recommended for the publicly funded influenza vaccine in Ontario (provided that they have no contraindications to the vaccine):
In addition, the ministry strongly recommends that swine and poultry industry workers receive influenza immunization as early as possible.
|Agriflu® / Fluviral®||Influvac®||Fluad®||FluLaval Tetra® / Fluzone Quadrivalent®||Flumist® Quadrivalent|
|Influenza Vaccine Formulation||Trivalent inactivated vaccine (TIV)||Trivalent inactivated vaccine (TIV)||Trivalent inactivated vaccine (adjuvanted) (TIV-adjuvanted)||Quadrivalent inactivated vaccine (QIV)||Quadrivalent live attenuated vaccine (Q-LAIV)|
|Dosage||0.5mL||0.5mL||0.5mL||0.5mL||0.2mL (0.1mL in each nostril)|
|Route of Administration||Intramuscular Injection||Intramuscular Injection||Intramuscular Injection||Intramuscular Injection||Intranasal spray|
(see "Vaccines for Specific Age Groups" below)
|6 months and older*||18 years and older||65 years and older who reside in long-term care homes||6 months through 17 years||2 through 17 years**|
|Potential Allergens||Agriflu: Egg protein^
|Package Description||Multi-dose vial||Single dose syringe||Single dose syringe||Multi-dose vial±||Single dose sprayer|
|Once punctured, discard vial after||28 days||n/a||n/a||FluLaval:
expiry date indicated on vial
|Package Dimensions (length x width x height)||3cm x 3cm x 7cm||18.8cm x 15.2cm x 1.7cm||10.8cm x 10.2cm x 4.4cm||3cm x 3cm x 6cm||10.6cm x 17.6cm x 2.9cm|
* Unless specifically requested, the TIVs are primarily targeted to adults 18 years of age and older.
** NACI has removed the preferential recommendation for the use of Q-LAIV in children 2 to under 6 years of age
^ NACI has concluded that egg allergic individuals may be vaccinated against influenza using live attenuated influenza vaccine(see ADDENDUM – LAIV Use in Egg Allergic Individuals-Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2016-2017.
± Nominal supply of thimerosal free, single-dose prefilled syringe of Fluzone Quadrivalent vaccine is available for children aged 6 months to 17 years that have known thimerosal allergies.
|Age Group||Recommended Vaccine||Alternative Vaccine|
|6 through 23 months||QIV||TIV§ (if requested or if QIV is not available)|
|2 through 17 years||QIV or Q-LAIV||TIV§ (if requested or if QIV or Q-LAIV is not available)|
|18 years and older||TIV||None|
|65 years and older who reside in long-term care homes (LTCHs)||TIV-adjuvanted||TIV (if requested or if TIV-adjuvanted is not available)|
§ Only AgrifluÂ® and FluviralÂ® can be used as the TIV to immunize individuals under 18 years of age.
|Health Care Providers||Location||Order vaccine from|
|All providers with the exception of pharmacies|| outside Toronto
(not within the "M" area code)
|Local public health unit by using the Influenza Vaccine Order Form for the UIIP|
|All providers with the exception of pharmacies|| within Toronto
(within the "M" area code)
|Ontario Government Pharmaceutical and Medical Supply Service (OGPMSS) by faxing the Influenza Vaccine Order Form for the UIIP to 416-327-0818|
Pharmacies approved for participation in the UIIP
|Across Ontario||Refer to Pharmacies with Trained Pharmacists section below for details on vaccine ordering
The TIV products (Agriflu®, Influvac®, and Fluviral®) and QIV products (FluLaval Tetra® and Fluzone® Quadrivalent®) will be distributed based on availability (with the exception of FluMist, requests for specific TIV products or QIV products are not permitted). Each TIV product and each QIV product are considered equivalent with respect to their approved indications for use. Please consult your local public health unit to determine vaccine availability for your clinic.
Influenza vaccine is received in Ontario intermittently throughout late September and October, and distributed throughout influenza season. As in previous years, vaccine distribution for the 2016/2017 influenza season will begin around late September to late October for the immunization of high priority groups . Community-based influenza immunization clinics for the general population will begin when the UIIP is officially launched in late October:
All required fields of the Influenza Vaccine Order Form for the UIIP must be completed to ensure orders are filled.
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Please e-mail firstname.lastname@example.org or call Service Ontario, INFOline at 1 877-844-1944