Table 1.

Key recommendations.

Key recommendations
Strong and coordinated messaging to practitioners and the general public is required to counteract potential vaccination fatigue.	The reduction of influenza infections during the COVID-19 pandemic were a consequence of NPIs and resurgence is highly likely
	Respiratory virus co-infection is associated with increased morbidity and mortality
	Co-administration of COVID-19 booster and flu shots is safe and efficacious
	Very low levels of flu circulation during the last two flu season may have reduced the levels of population immunity against flu viruses with likely increase in case numbers in the coming season as seen in the SH
	Harmonisation, coordination, and integration of purchase and delivery models are needed to improve logistic simplicity and increase assess points for vaccination
Operational aspects and co-administration	Operational aspects of COVID-19 booster and seasonal flu vaccinations must be brought into alignment as much as possible
	Facilitation of co-administration through advance planning should be encouraged to ensure that vaccines are available in clinics attended by people eligible for both vaccines.
	Facilitating co-administration by improving compatibility of IT systems, will help ensure availability of critical patient data across sites.
	Determining the future role of the vaccination hub concept: should those continue? If so, how do they best integrate into the existing programs and distributed delivery models? The answers to these questions will likely differ between jurisdictions and health care environments, thus lessons must be learnt from the last two years and any reform should be implemented in a way that uptake of both vaccines is facilitated