A disproportionate share of the health impacts of COVID-19 has been borne by older adults, particularly those in long-term care facilities (LTCs). Vaccination has been critical to efforts to combat this issue, but as we begin to emerge from this pandemic, questions remain about how to protect the health of residents of LTC and assisted living facilities proactively in order to prevent such a disaster from occurring again. Vaccination, not just against COVID-19, but also against other vaccine-preventable illness, will be a key component of this effort. However, there are currently substantial gaps in the uptake of vaccines recommended for older adults. Technology offers an opportunity to assist in filling these vaccination gaps. Our experiences in Fredericton, New Brunswick suggest that a digital immunization solution would facilitate better uptake of adult vaccines for older adults in assisted and independent living facilities and would help policy and decision makers to identify coverage gaps and develop interventions to protect these individuals.

The purpose of this study was to explore the self-perceived influences among older adults in deciding whether to take or not take the seasonal influenza vaccine. Thirty-one receivers and six non-receivers (aged 67–91) participated in six focus groups in London, Ontario. The focus group meetings lasted approximately 60 minutes, were digitally audio-recorded, and transcribed verbatim. Inductive content analysis was performed to analyse the transcripts. The major facilitators of taking the vaccine were recommendations by, and trust in, health professionals, and a belief in vaccine efficacy. The major barriers were a fear of adverse reactions and the belief in resilience of an older adult. The Canadian Public Health Agency and allied health professionals should educate older adults in accurate influenza symptoms, vaccine efficacy, and populations at risk for contracting influenza. Focus should be given on correcting misconceptions about adverse events.