Key Messages 1. Influenza vaccination of elderly people living in the community was cost-effective from a societal perspective but did not cut publicly funded medical costs or total medical costs. 2. For the oldest group (≥75 years) living in the community, influenza vaccination can cut publicly funded medical costs if the total vaccination cost per head is HK39.6orless.3.Influenzavaccinationiscosteffectiveifthevalueofincreasinganelderlyperson’slifespanforayearatmostismeasuredasHK68 047 or more.published_or_final_versio