Older Adult Influenza
Knowledge Transfer Series


An online environment designed to promote, educate and share information about the burden of seasonal influenza in an older adult population for health care professionals in Canada.

Seasonal Influenza Immunization: Strategies for Older Adults

This Self-Learning program has been certified by the College of Family Physicians of Canada for up to 1 Mainpro+ Credit.

This program addresses national issues in influenza immunization in Canada for adults age 65 years and older, with the aim of supporting optimal decision-making in clinical practice for general practitioners.

Planning Committee

  • Shelly McNeil, MD, FRCPC
  • Paul Van Buynder, MBBS, MPH, FAFPHM
  • John Axler, MD, FCFP, CCFP
  • Phyllis Bedder, MD
  • Sol Stern, MD, MSc, BSc, MCFP

International Contributors

  • William Schaffner, MD
  • Paul Van Buynder, MBBS, MPH, FAFPHM
  • Shelly McNeil, MD, FRCPC

Learning Objectives

Upon completion of this program, participants will be able to:

  • Describe burden of influenza in adults aged 65 and older.
  • List the vaccine options available for seasonal influenza immunization of adults aged 65 and older.
  • Differentiate vaccine products approved for seasonal influenza in adults aged 65 and older.
  • Effectively counsel older adult patients about the importance of seasonal influenza vaccination.

Video Resources

Subject experts discuss key questions in seasonal influenza and immunization. Main topics include considerations and challenges for vaccination in the older adult population, what to say to skeptical patients, and answers to other commonly asked questions.


National and international influenza immunization guidelines, facts and tools available for practical application.

Statement on Seasonal Influenza Vaccine for 2017–2018.

The National Advisory Committee on Immunization (NACI) provides continuous public health advice and scientific information to the Public Health Agency of Canada (PHAC) regarding immunization.


FluWatch is a system in Canada that continuously monitors the spread of flu and similar illnesses.

Vaccines 411.

This website provides a list of clinics across Canada that offer immunizations, in addition to information regarding different available vaccinations.


International and Canadian research outlining health related information on influenza in the older adult population and its associated comorbidites. Various topics, historical data and longitudinal studies are examined, providing the latest in evidence and protocols.

Efficacy and immunogenicity of high-dose influenza vaccine in older adults by age, comorbidities, and frailty.

DiazGranados CA, Dunning AJ, Robertson CA, Talbot HK, Landolfi V, Greenberg DP.


A randomized trial demonstrated that a high-dose inactivated influenza vaccine (IIV-HD) was 24.2% more efficacious than a standard-dose vaccine (IIV-SD) against laboratory-confirmed influenza illness in adults ≥65 years.

Comparison of the safety and immunogenicity of an MF59®-adjuvanted with a non-adjuvanted seasonal influenza vaccine in elderly subjects.

Adjuvanted influenza vaccines can overcome the poor antibody response of conventional non-adjuvanted vaccines in the elderly.

Should clinical case definitions of influenza in hospitalized older adults include fever?

Clinical decision rules using the presence of cough and fever may be helpful when screening for influenza or empiric antiviral treatment when rapid influenza testing is not available; however, lower fever thresholds may be considered for elderly subjects.

Slide Decks

Presentation and learning materials for education for Canadian-based primary care around the burden of seasonal influenza in an older adult population.

Seasonal Influenza Immunization: Strategies for Older Adults

This program addresses issues in Canada pertaining to influenza immunization for adults age 65 years and older. The intended audience includes physicians, nurses, pharmacists and other immunizers, public health and clinical program managers and senior policy advisors in healthcare facilities, regional, provincial/state and national health organizations.

Presentation slides

Developed by mdBriefCase, supported by an unrestricted educational grant from Seqirus :