 Hi, I am Dr. Harika Upalpati, Consultant Physician, Manipal Hospital Vijayawada. So, today we are going to talk about the vaccination that we need to take in advance. Now, due to the fall-winter season, this November-December-January month, we are going to see more of the flu cases. Without this, we need to take care of all these flu cases. Centre for Disease Control and Prevention for Vaccination in Adels, that is more than 18 years, we are going to see what kind of vaccines they need to take. Based on the age, occupation, their risk factors, lifestyle diseases, and travel history, we are going to see what kind of vaccines we need to take. First, let's talk about flu vaccine. Due to the use of flu vaccine, we are going to see what kind of vaccines we need to take. Every year, we are going to see a lot of diseases and diseases, and from the last 2-3 years, we are going to see the symptoms of the winter season. In India, there are tropical climates, and there are flu outbreaks throughout the year. So, what we are going to do is, we are going to have monsoons during the rainy season, but before the rainy season, we are going to take the flu vaccine every year, and we are going to protect ourselves. Similarly, family members at home, and children at home, we are going to take care of them as well. People who want to travel to other countries, we are going to see what kind of vaccines they need to take to international countries. We are going to take COVID-19 booster doses, and then, yellow fever, Japanese encephalitis vaccine, which is mandatory in some countries. So, in such countries, the certification is compulsory. Coloura vaccine, diphtheria, tetanus vaccine, rabies vaccine, hepatitis A, hepatitis B vaccine, hemophilus-hib vaccine, which is a hemophilus influenza, which prevents meningococcal meningitis. So, malaria vaccine is available to us in few months from serum institutes. We are going to travel to other countries, places and various states in India, and we are going to have chemo-prophylaxis for malaria. So, we are going to take a two-day trip from the 8th to the 7th day. We are going to take one tablet daily for adults. We have a universal immunisation for children for children who are under the age group. But for adults, it is a risk factor for them. They decide on their age group. So, it is the personal choice. So, first, we are going to take any vaccines for adults. COVID-19 vaccine is the booster dose every year. Next, influenza vaccine is the flu shot every year. So, next, MMR vaccine. So, everywhere, it is measles and mums. In childhood, it is the measles and mums. At high risk. There are two doses of MMR vaccines. Subcutaneous. The first dose is the second dose for 28 days. For the varicillin, it is the varivats for chicken pots. So, we have to take two doses of MMR vaccines. Subcutaneous. So, for the first dose, it is the second dose for 4 to 6 weeks. Next, it is the average MMR vaccine. We have to take it intramuscularly. So, after the first dose, it is the second dose for six months. It is 0.5 ml intramuscularly. It is 0.1 six months. Three doses. So, another is helpliceav B. So, either it is two doses. First dose, it is in four weeks. Then the second dose is done. So, in case of immunocompromised, hemodialysis, if there are patients, recombinants HB and three doses, one ml each is done. Or four doses of angiorets B is done. Of two ml each. Next, Hibb vaccine. Hemophilus influenza B vaccine. It is a spleenectomy in patients. One dose is done intramuscularly. Hematopoietic stem cell transplant patients. Three doses. So, it is zero dose. Another second dose is done after one month. Third dose is done after six months. Next, human papilloma virus. It is actually active in females. It is 18 to 26 years. We have to take it in the age group. There are two vaccines for it. Gardasil and cervarets. Gardasil vaccine is a quadrivalent vaccine. So, it is effective against human papilloma virus. Sixth, eleven, sixteen, eighteen. Three doses are done intramuscularly. Zero dose. Then second dose after one month. Third dose after six months. Next, TDAF vaccine. So, it is against diphtheria, whooping cough, tetanus. So, it is boosted. We have to take it in the age group. And pregnant women are 28 to 36 weeks are in the same dose. Many coca窖 conjugate bites and menectra. These are intramuscular. They are 0.5 ml. Any patient may have risk. Also there are HIV infection. Compliment factors, deficiency is there. Even the patients may have risk. An Careless things are done. For example, for African countries, మివ్డ్లురోచోచిపెండ్ర్ంవ్నుస్యీడిస్చత్లివాదివర్స్స్న్నీపెస్డార్నుత్దిలార్నుసివరినేచిక్సనుదువులోచిలేనంప్నోనవ్ప్దర