The role of the Ministry of Health is to act as a steward for the health care system, including leadership and support. [...] The VCH coverage estimates, obtained via a combination of immunization registry data and telephone interviews, should not be directly compared to the iPHIS results for the rest of the province as the methods for obtaining immunization records were dramatically different. [...] The principles guiding the development of the document of the pandemic immunization response plan are: » The priority in the case of a pandemic influenza is to reduce the impact on the health of the public (i. [...] The need for access to an increased capacity of trained immunizers led to the incorporation of vaccine administration into the roles of licensed practical nurses (LPNs) and pharmacists, necessitating the need for regulatory changes. [...] Clarification of the scope of practice for LPNs was provided through the work of the Ministry of Health in association with the College of Licensed Practical Nurses of B. C. Already well-immersed in patient care, this put LPNs in an optimal position to provide immunizations to individuals 4 years or older after completion of appropriate immunization competency training.