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Beate Sander, University of Toronto and his colleagues evaluated the health outcomes and costs of health care Ontario program, which since 2000 has offered to everyone over six months of free flu vaccination. Their appreciation follows a 2008 study also published in PLoS Medicine shows that, after the introduction of universal vaccination rates in Ontario has increased, deaths from influenza and influenza-related reduction in the use of health services health has declined in comparison with the provinces with targeted programs. Most Canadian provinces free vaccination programs target only for people aged 65 or older, those with chronic diseases or health professionals – all groups who are at high risk of flu complications.