Universal Influenza Immunization Program (UIIP)

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.

Recommended Influenza Vaccine Recipients

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.

The publicly funded influenza vaccines available through the 2016/17 UIIP are listed in the table below:

  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^
Neomycin Thimerosal

Egg protein^
Egg protein^
Chicken protein
Egg protein^
Chicken protein
Egg protein^

Egg protein^
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:
28 days

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.

Important Notes:

Vaccines for Specific Age Groups:

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 Agriflu® and Fluviral® can be used as the TIV to immunize individuals under 18 years of age.

Influenza Vaccine Ordering

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.

Important Notes:

Program Specific Information for the Various UIIP Participants

Additional Resources and Information


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For More Information

Please e-mail or call Service Ontario, INFOline at 1 877-844-1944