2021-2022 Universal Influenza Immunization Program (UIIP)

Posted Monday October 04, 2021

Posted By: Emily Ngo

Category: General

To: Flu vaccine providers; Travel Clinics; Walk-In Clinics; Family Medicine; Infectious Disease; Nurse Practitioners; Pediatrics
Date: October 1, 2021
From: Dr. Trevor Arnason, Associate Medical Officer of Health

Dear Colleagues,

Ottawa Public Health (OPH) expects to receive its first auto-shipment of influenza vaccines from the Provincial Universal Influenza Immunization Program (UIIP) in the week of September 27th

Thank you to those who completed the OPH survey, which indicated a majority of vaccine providers in Ottawa plan to continue to provide influenza vaccine to their patient population through their offices as in previous years. We will begin providing influenza vaccines to you the week of October 4th for individuals at high risk of influenza-related complications or who are more likely to require hospitalization:

  • All pregnant women
  • People who are residents of nursing homes or other chronic care facilities
  • People ≥ 65 years of age
  • All children 6 months to 4 years of age
  • Indigenous peoples
  • Adults or children 6 months of age and over with the following chronic health conditions:
    • Cardiac or pulmonary disorders
    • Diabetes mellitus or other metabolic disease
    • Cancer
    • Conditions or medication which compromise the immune system
    • Renal disease
    • Anemia or hemoglobinopathy
    • Neurologic or neurodevelopment conditions
    • Morbid obesity (body mass index of ≥40)
    • Children and adolescents (6 months to 18 years) undergoing treatment with acetylsalicylic acid for long periods
Vaccine products available this year:
Vaccine NameManufacturerNACI AbbreviationAge Indication
FluLaval® TetraGSKIIV4-SD≥ 6 months
Fluzone® QuadrivalentSanofi PasteurIIV4-SD≥ 6 months
Alfuria® TetraSeqirusIIV4-SD≥ 5 years
Flucelvax® QuadSeqirusIIV4-CC≥ 2 years
Fluzone® High-Dose QuadrivalentSanofi PasteurIIV4-HD≥ 65 years
Fluad®SeqirusIIV3-Adj≥ 65 years

Vaccine distribution:

Following the provincial vaccine distribution schedule, OPH will forward one vaccine auto-shipment to your clinic, after which you will be able to order additional doses.

Key dates for the 2021-2022 UIIP (these are based on estimated delivery schedule provided to us by the Ministry of Health):

Week of Sept 27: Vaccine distributed to hospitals and long term care facilities (LTCF) for high risk patients.
Week of Oct 4: Vaccine distributed to retirement homes, congregate settings, other vulnerable population settings, and to family physicians and primary care for high-risk patients. Pharmacies are also scheduled to receive vaccine from the province this week.
Week of Oct 18: Family physicians and Primary Care can reorder vaccine this week.

NOTE: In past years there have been delays in receiving vaccine from the Province. OPH will continue to update our website with the influenza vaccine order processing time.

Special Populations

Older Adults:
This year, a high-dose quadrivalent inactivated influenza vaccine (QIV-HD) Fluzone® High-Dose Quadrivalent and an adjuvanted trivalent inactivated vaccine (TIV-adj) Fluad® will be available for adults 65 years of age and older. Please note that NACI states that any of the available age-appropriate influenza vaccines should be used. There is no preferential recommendation for the use of QIV-HD versus TIV-adj vaccine for this age group.

Children aged two years and older:
The Province has informed us that pharmacists will now be able to administer influenza vaccine to patients 2 years old and older.

Flu Clinics led by Family Physicians/Primary Care:

High-risk patients may be vaccinated as soon as your clinic receives the vaccine. The Ministry of Health is asking all immunizers to delay hosting large vaccine clinics until the official launch of the UIIP which is anticipated in early November. OPH expects to be informed of the exact date shortly.

If you are planning outdoor or drive through immunization clinics due to COVID-19, please remember to ensure vaccine cold chain is maintained as freezing, even for short periods, will affect the vaccine potency and cause irreversible damage. For more information on alternative vaccine delivery options, please refer to the National Advisory Committee on Immunization (NACI): Guidance for Influenza Vaccine Delivery in the Presence of COVID-19.

OPH influenza vaccination collaboration with Primary Care:

OPH is planning to operate joint clinics with interested primary care providers again this year. OPH will organise the venue, supply the vaccines and ensure onsite logistics (patient greeting and screening, cleaning/disinfection and patient flow).

The primary care organization or family physician/nurse practitioner is responsible for delivering the immunization and notifying/booking their patients (as in an office setting). This is primarily intended for physicians/nurse practitioners who have vaccinated large numbers of patients in past years and face space limitations to allow for physical distancing and COVID-19 infection prevention and control. If you are interested in immunizing your patients at one of OPH’s 4 sites, please contact Kathryn McAndrew via email at covidimmunizers@ottawa.ca to express your interest.

Physician Resources:

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