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Table 1. Recommended recipients for influenza vaccine

People at high risk of influenza-related complications

  • Adults and children with chronic cardiac or pulmonary disorders that are severe enough to require regular medical follow-up or hospital care (including bronchopulmonary dysplasia, cystic fibrosis, and asthma)
  • People of any age who are residents of nursing homes and other chronic care facilities
  • People age >= 65 years
  • Adults and children with chronic conditions, such as diabetes mellitus and other metabolic diseases, cancer, immunodeficiency, immuno-suppression (due to underlying disease and/or therapy), renal disease, anemia, and hemoglobinopathy
  • Adults and children who have any condition that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk of aspiration
  • Healthy children aged 6 to 23 months
  • Children and adolescents (aged 6 months to 18 years) with conditions treated for long periods with acetylsalicylic acid
  • People at high risk of influenza complications (as outlined above) embarking on travel to destinations where influenza is likely to be circulating

People capable of transmitting influenza to those at high risk of influenza-related complications

  • Health care and other service providers in facilities and community settings who, through their activities, are potentially capable of transmitting influenza to those at high risk for influenza complications
  • Those who provide services within closed or relatively closed settings to persons at high risk (e.g. crew on ships)
  • Household contacts (adults and children) of people at high risk of influenza complications. This group includes household contacts of children age < 6 months who are at high risk of complications from influenza but for whom there is no currently licensed vaccine. It also includes household contacts of children aged 6 to 23 months, whether or not they have been immunized. Pregnant women should be immunized if they are expected to deliver during influenza season; they will become household contacts of their newborn.
  • Those providing regular child care to children age 0 to 23 months, whether in or out of the home.
Others
  • People who provide essential community services
  • People in direct contact with poultry infected with avian influenza during culling operations
  • Healthy persons age 2 to 64 years should be encouraged to receive the vaccine, even if they are not in one of the aforementioned priority groups.