| List 1: Groups for whom influenza vaccination is particularly recommended |
|---|
| People at high risk of influenza-related complications or hospitalization |
| • All children 6–59 months of age |
| • Adults and children with the following chronic health conditionsa: |
| o Cardiac or pulmonary disorders (includes bronchopulmonary dysplasia, cystic fibrosis, and asthma) |
| o Diabetes mellitus and other metabolic diseases |
| o Cancer, immune compromising conditions (due to underlying disease, therapy, or both, such as solid organ transplant or hematopoietic stem cell transplant recipients) |
| o Renal disease |
| o Anemia or hemoglobinopathy |
| o Neurologic or neurodevelopment conditions (includes neuromuscular, neurovascular, neurodegenerative, neurodevelopmental conditions, and seizure disorders [and, for children, includes febrile seizures and isolated developmental delay], but excludes migraines and psychiatric conditions without neurological conditions) |
| o Morbid obesity (body mass index of 40 and over) |
| o Children six months to 18 years of age undergoing treatment for long periods with acetylsalicylic acid, because of the potential increase of Reye’s syndrome associated with influenza |
| • All pregnant women |
| • People of any age who are residents of nursing homes and other chronic care facilities |
| • Adults 65 years of age and older |
| • Indigenous peoples |
| People capable of transmitting influenza to those at high risk |
| • Health care and other care providers in facilities and community settings who, through their activities, are capable of transmitting influenza to those at high risk |
| • Household contacts, both adults and children, of individuals at high risk, whether or not the individual at high risk has been vaccinated: |
| o Household contacts of individuals at high risk |
| o Household contacts of infants less than six months of age, as these infants are at high risk but cannot receive influenza vaccine |
| o Members of a household expecting a newborn during the influenza season |
| • Those providing regular child care to children 0–59 months of age, whether in or out of the home |
| • Those who provide services within closed or relatively closed settings to people at high risk (e.g. crew on a ship) |
| Others |
| • People who provide essential community services |
| • People who are in direct contact with poultry infected with avian influenza during culling operations |
a Refer to Immunization of Persons with Chronic Diseases and Immunization of Immunocompromised Persons in Part 3 of the Canadian Immunization Guide for additional information about vaccination of people with chronic diseases (24)
Source: List reproduced from NACI Seasonal Influenza Vaccine Statement for 2021–2022 (5)