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Flu Vaccine Recommendations and Ordering: Information for Health Care Providers

Flu Vaccine Links

Official recommendations from the Advisory Committee on Immunization Practices (ACIP) have been released. You can read them here. The information is summarized below.


Vaccine Administration Recommendations

Principle recommendation changes for the 2015-2016 influenza season include:

  • Routine annual influenza vaccination of all persons aged 6 months and older continues to be recommended.
  • Two [A (H3N2) and B/Yamagata] vaccine virus strains have been updated*. All 2015-16 influenza trivalent (three-component) vaccines are made to protect against the following three viruses:
    •  A/California/7/2009 (H1N1)pdm09-like virus
    • *A/Switzerland/9715293/2013 (H3N2)-like virus
    • *B/Phuket/3073/2013-like virus (this is a B/Yamagata lineage virus) 
  • In addition to the three strains listed above, the quadrivalent vaccine also protects against B/Brisbane/60/2008-like (Victoria lineage) virus component.
  • Healthy children 2 years and older may receive either inactivated or live influenza vaccine. There is no preferential recommendation this season.
  • The dosing algorithm for children 6 months through 8 years of age has been adjusted. Click here to see a simple table.
  • Newly licensed products for adult immunization include:

    1. One jet injector device (the PharmaJet Stratis 0.5ml Needle-free Jet Injector) is approved for delivery of one particular flu vaccine (AFLURIA® by bioCSL Inc.) in ages 18-64 years.
    2. Flublok®, previously approved for ages 18-49 years, is now indicated for persons 18 years and older. 
    3. Fluzone® Intradermal Quadrivalent is approved for ages 18-64 years and is likely to replace the trivalent intradermal vaccine.
  • Egg allergy continues to be a precaution instead of a contraindication. Click here to find out more information.
  • Vaccination should begin as soon as vaccine is available with special emphasis on people with conditions that put them at increased risk for complications from influenza. This is still true for the 2015-2016 season, regardless of when a person received a flu vaccine during the previous season.


Vaccine Products

The 2015-2016 trivalent vaccine strains are: an A/California/7/2009 (H1N1)pdm09-like virus, an A/Switzerland/9715293/2013 (H3N2)-like virus, and a B/Phuket/3073/2013-like virus (this is a B/Yamagata lineage virus). In addition to the three strains in the trivalent vaccine, the quadrivalent vaccine also protects against B/Brisbane/60/2008-like (Victoria lineage) virus component. You can review the detailed information in table format here. This information has also been compiled by the California Department of Public Health to reflect rules and regulations specific to California in downloadable PDF format



Rules and Regulations

Aerosol and Transmissible Diseases Standard

Effective September 1, 2010, the Aerosol and Transmissible Diseases Standard requires that vaccines including measles, mumps, and rubella (MMR), tetanus, diphtheria, and pertussis (Tdap), varicella, and influenza be offered to employees at no cost. If you are a health care worker, check with your institution to find out if you are eligible for these vaccines. If you are an institution and you would like more information about the ATD Standard, you can read it in detail by clicking here. If you have questions, please direct them to Cal/OSHA Consultation Service by calling 1-800-963-9424 or via email at .


SB 739 (Health and Safety Code Section 1288.7)

Effective July 1, 2007, SB 739 requires general acute care hospitals to:


  • Annually offer onsite flu vaccinations to all employees at no cost
  • Institute respiratory hygiene and cough etiquette protocols
  • Revise/develop disaster plans to include pandemic influenza components


The Mercury Free Act of 2004 - AB 2943

Added Article 9 to Part 2, Chapter 3 of Division 106 of the Health and Safety Code (entitled Personal Health Care). Health and Safety Code Section 124172.


  • Effective July 1, 2006. Affects children under three years and women who are "knowingly pregnant."

  • Restricts thimerosal content in vaccines.
    • Influenza vaccine:
    • All other vaccines: < 0.5 microgram/0.5mL

The Influenza Vaccine Identfication Guide indicates which vaccine products can be given to children under three years of age and pregnant women.


Seasonal Flu Vaccine Ordering Information

Providers should contact their regular distributors or the vaccine manufacturers. Providers who meet eligibility criteria (nonprofit providers who serve low-income, high-risk individuals) may qualify for free vaccine from our Influenza Vaccine Distribution program (see below).


Seasonal Flu Vaccine Distribution Program for Clinics Serving Low Income or Uninsured Clients


Open enrollment for the Flu Vaccine Distribution Program is limited to once per year, with all applications for the 2015-2016 program being due by Friday, August 28, 2015. If your organization is interested in applying to receive vaccine from SFDPH, please review the program guidelines. If your organization meets the eligibility criteria, please complete the application form and usage agreement by the deadline. Questions about our flu program should be directed to (415) 554-2955.


Due dates for the 2015-2016 Flu Vaccine Distribution Program are as follows:


Additional Resources

Please call the Communicable Disease Prevention Unit with any questions: (415) 554-2955

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