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. 2020 Oct 5;76(15):1777–1794. doi: 10.1016/j.jacc.2020.08.028

Table 4.

Current Guidelines on Influenza Vaccine Administration

Institution General Population High-Risk Population(s)
World Health Organization (WHO) Seasonal influenza vaccination is recommended for people of all ages to help prevent the spread of disease and associated complications (139) Priority groups include children between the ages of 6 and 59 months, elderly, health care workers, and individuals with chronic medical conditions. Pregnant women are considered the highest-priority group and should receive seasonal inoculation when trying to conceive and during pregnancy (139)
Centers for Disease Control and Prevention (CDC) – Advisory Committee on Immunization Practices (ACIP) Routine annual influenza vaccination for all persons age ≥6 months who do not have contraindications (48) Early inoculation at the beginning of the season, using a quadrivalent formulation like quadrivalent inactivated influenza vaccine or quadrivalent recombinant influenza vaccine, is recommended for people with asthma, HF, and diabetes (48)
European Centre for Disease Prevention and Control All Europeans who are recommended to get the influenza vaccine should be vaccinated, with emphasis on high-risk groups (140) Strongly recommends seasonal influenza immunization for all groups considered high-risk, which include older adults (usually ≥65 yrs), persons with chronic health conditions (≥6 months of age), persons with conditions that may aggravate a respiratory illness, persons with immunocompromise or immune-suppression, pregnant persons, and health care workers (140)
National Advisory Committee on Immunization (NACI) – Canada Early inoculation at the beginning of the fall season for all persons older than 6 months (46) Special emphasis on the importance of vaccination in high-risk populations (46)
American Heart Association (AHA)/American College of Cardiology (ACC) Strongly recommends the influenza vaccination in all patients with CVD (4,141)
European Society of Cardiology (ESC) Annual influenza vaccination for patients with established CVD, especially the elderly (class IB recommendation) (142)
American Diabetes Association (ADA) Annual vaccination against influenza is recommended for all people ≥6 months of age, especially those with diabetes (143)
Diabetes Canada Annual inoculation against the influenza virus in all patients with diabetes (144)
American College of Physicians (ACP) As per ACIP’s recommendations As per ACIP’s recommendations
College of Family Physicians of Canada (CFPC) As per NACI’s recommendations (145) As per NACI’s recommendations (145)

CVD = cardiovascular disease, HF = heart failure.

Information obtained from public statements on the corresponding institutions websites.

Information obtained from publicly available and approved guidelines.