Pneumocare Vaccines for All - Adult.pptx

Vaccines

1. Vaccines for all Images are for representation purpose only

2. Respiratory Infections & Adults Respiratory infections are common in adults 1 1. Lynne Eldridge MD, Recurrent Respiratory Infections in Adults, Available at:https ://www.verywellhealth.com/recurrent-respiratory-infections-in-adults-4777146. Published on: February 06, 2020. Accessed on: 29 th January 2022. 2 . Jerry R. Balentine . Upper Respiratory Tract Infection (URTI). Cold and flu health center . Published on: . Available at: https://www.medicinenet.com/upper_respiratory_infection/article.htm. Accessed on: 29 th January 2022 One of the most common reasons for doctor visits 2 One of the most common illness resulting in missed work or school 2

3. Stress 1,2 Smoking 3 Age 2 Occupation & Air Pollution 4 Presence of Chronic diseases 5 Not getting vaccinated 2 1. Carnegie Mellon University - How stress influences disease. Published on: April 02, 2012. Available on: https://www.sciencedaily.com/releases/2012/04/120402162546.htm. Accessed on: 29th January 2022. 2. Dr Piyush Kumar. Infectious Diseases. Published on: February 17, 2019. Available on:https ://www.medlife.com/blog/infectious-diseases-causes-symptoms-risk-factorstreatments-and-prevention/. Accessed on: 29th January 2022. 3. Winnall, WR, Increased susceptibility to infection in smokers. Cancer Council Victoria. Last updated March 2021. Available from:  http://www.tobaccoinaustralia.org.au/3-9-increased-susceptibility-to-infection-in-smoke. Accessed on: 29th January 2022 . 4. van Gageldonk-Lafeber . Risk factors for acute respiratory tract infections in general practitioner patients in The Netherlands: a case-control study. BMC Infect Dis 7, 35 (2007). https://doi.org/10.1186/1471-2334-7-35 5. Anil More. Risk of Infections in Patients with Chronic Diseases. The Open Infectious Diseases Journal, 2012, 6, (Suppl 1: M1) 25-26. Multiple personal, external and work-related factors make individuals at increased risk of certain infections

4. Our bodies have built-in security systems. For instance, your nose and airways filter germs out of the air you breathe, which help keep your lungs from becoming infected. But there are times when germs find a way to enter the lungs and cause infections, such as when: 1 - Your immune system is weak. - You have asthma or chronic obstructive pulmonary disease (COPD). - Your body fails to filter germs out of the air you breathe. 1. The Connection Between Pneumonia and Lung Disease. American Lung Association. Published on: November 12, 2o18. Available at:https ://www.lung.org/blog/pneumonia-and-lung-disease. Accessed on: 29th January 2022 The connection between infections & lungs

5. Vaccinated against COVID-19, BUT, ARE YOUR LUNGS EXPOSED to other infections too (like Pneumococcal Disease)? *Transformingindia.mygov.in. 2021. Continue following COVID Appropriate Behaviour During and After Vaccination. [online] Available at: <https://transformingindia.mygov.in/covid19/continue- following-covid-appropriate- behaviourduring - and-after-vaccination/> [Accessed 29 January 2022]. COVID-19: Coronavirus disease 2019 Continue following COVID appropriate behaviour during and after vaccination* Images for representation purpose only

6. Do you think Pneumococcal disease is same as cold or flu? Pneumococcal Disease Get The Facts About Pneumococcal Pneumonia. available at https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/pneumococcal accessed on 30 July 2022 Images are for representation purpose only

7. No, Pneumococcal disease is not the same as cold or flu Pneumococcal Disease Get The Facts About Pneumococcal Pneumonia. available at https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/pneumococcal accessed on 30 July 2022 Images are for representation purpose only

8. No. 1 cause of vaccine-preventable death worldwide 1 Images are for representation purpose only 1 . Anup Shah – Health Issues, Globalissues.org. Available at: http://www.globalissues.org/issue/587/health-issues, Last updated on September 27, 2014. Accessed on 29 th January 2022 Pneumococcal Disease Images are for representation purpose only

9. 9 Pneumococcal Disease Centers for Disease Control and Prevention (CDC). Pneumococcal disease in adults and the vaccines to prevent it. https://www.cdc.gov/pneumococcal/resources/prevent-pneumococcal-factsheet.pdf . Gil-Prieto R, Pascual-Garcia R, Walter S, Álvaro- Meca A, Gil-De-Miguel Á. Risk of hospitalization due to pneumococcal disease in adults in Spain. The CORIENNE study. Hum Vaccin Immunother . 2016 Jul 2;12(7):1900-5. doi : 10.1080/21645515.2016.1143577 November 2019. Accessed March 31, 2020 What is it? Pneumococcal lung infection is a potentially serious bacterial lung disease that, in severe cases, can be life-threatening . 1 How bad is it? It is associated with high risk of hospitalisation 2 . In fact, 1 in 20 older adults who get pneumococcal lung infection die from it. 1

10. 10 About Pneumococcal Disease 1. Pneumococcal Disease American Lung Association. Last updated on: October 18, 2020. Available on: https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/pneumococcal, Accessed on: 29 th January 2022 .. 2. Pneumococcal Disease ( Streptococcus pneumoniae ) | Disease Directory | Travelers' Health | CDC. Available at: https://wwwnc.cdc.gov/travel/diseases/pneumococcal-disease-streptococcus-pneumoniae. Accessed on 29 th January 2022 .. 3. Pneumococcal Disease | Transmission and Those at High Risk. CDC. 2017. Available from: https://www.cdc.gov/pneumococcal/about/risk-transmission.html. Accessed on 29 th January 2022 . Pneumococcal disease is caused by bacteria that live in the upper respiratory tract and can be spread through coughing . 1 At times, it can lead to severe illnesses like lung infection & brain infection. 2 Pneumococcal disease is potentially serious disease and can strike anytime, anywhere. 1 You may not realize you are at risk, but the bacteria that cause Pneumococcal Disease spread easily through person-to-person contact, including coughing and sneezing, and by people who do not appear to be ill. 3

11. 11 Bronchitis The airways of lungs swell and produce mucus resulting in cough 1,2 Pneumococcal Lung infection An acute lung infection that limits the oxygen intake and causing pain while breathing 5 Otitis Media An infection of the middle ear 3 Pneumococcal bacteremia Infection of the bloodstream 6 Pneumococcal meningitis Infections of the covering around brain and spinal cord 6 Sinusitis Occur when fluid is trapped or blocked in the sinuses 1, 4 1. Yvette Brazier. What is Pneumococcal Disease? Last reviewed on October 26, 2018. Available at: https://www.medicalnewstoday.com/articles/323463 . Accessed on: 29 th January 2022.. 2. Preventing and treating bronchitis. Available from: https://www.cdc.gov/antibiotic-use/community/downloads/Preventing-Treating-Bronchitis-p.pdf. Accessed on: 29 th January 2022.. 3.Ear Infection. CDC. Last reviewed on: August 27, 2019. Available from: https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/ear-infection.html. Accessed on: 29 th January 2022.. 4. Suffering from a sinus infection? Centers for Disease Control and Prevention. Available from: https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/sinus-infection.html. Accessed on: 29 th January 2022.. 5. Pneumococcal Disease. WHO. Available from: https://www.who.int/biologicals/vaccines/pneumococcal/en/. Accessed on: 29 th January 2022.. 6. Pneumococcal Disease ( Streptococcus pneumoniae ). CDC. Available from: https://wwwnc.cdc.gov/travel/diseases/pneumococcal-disease-streptococcus-pneumoniae. Accessed on: 29 th January 2022. Types of Pneumococcal Disease

12. 12 High body temperature Cough Ear pain Chest pain Joint pain Stiff neck Chills Sensitivity to light Irritability Shortness of breath Confusion and disorientation Sleeplessness Severe cases of pneumococcal disease can lead to hearing loss, brain damage, and death 1 1. Pneumococcal Disease ( Streptococcus pneumoniae ) | Disease Directory | Travelers' Health | CDC. Available from: https://wwwnc.cdc.gov/travel/diseases/pneumococcal-disease-streptococcus-pneumoniae. Accessed on: 29 th January 2022 Pneumococcal Disease Symptoms 1

13. People with chronic health problems 2 Babies and young children 2 1. Koul, Parvaiz A et al. “Pneumococcal disease burden from an Indian perspective: Need for its prevention in pulmonology practice.” Lung India : official organ of Indian Chest Society vol. 36,3 (2019): 216-225. doi:10.4103/lungindia.lungindia_497_18. 2. About Pneumococcal disease – Risk factors and transmission, National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases. Available on: https://www.cdc.gov/pneumococcal/about/risk-transmission.html, Updated on: September 6, 2017. Accessed on Accessed on: 29 th January 2022. 3. Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI. Rates of pneumococcal disease in adults with chronic medical conditions. In Open forum infectious diseases 2014 Mar 1 (Vol. 1, No. 1). Oxford University Press. 4. How Aging Affects Your Immune System. health U.S.News . 2018. Available from: https://health.usnews.com/health-care/patient-advice/articles/2018-03-14/how-aging-affects-your-immune-system. Accessed on: 29 th January 2022 Individuals with certain age, diseases and lifestyle are at higher risk of pneumococcal disease: 1-3 Even if you’re healthy and active , your body’s ability to fight infections declines as you age. 4 IF YOU ARE 18+ YEARS, TALK TO YOUR DOCTOR ABOUT YOUR RISK OF PNEUMOCOCCAL DISEASE AND ASK ABOUT AVAILABLE VACCINATIONS THAT CAN HELP PROTECT YOU. Individuals with 1,2,3 have been shown to be at increased risk of pneumococcal disease compared with those without these risk factors 1,2,3

14. Are you at higher risk of pneumococcal disease: 1 1 1 1. Get The Facts About Pneumococcal Pneumonia. available at https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/pneumococcal accessed on 30 July 2022 Adults 19 or older with chronic health conditions such as COPD, asthma, diabetes and chronic heart disease face greater risk for pneumococcal lung infections 1 Adults 65+ are at 6.1x greater risk for pneumococcal lung infection versus healthy adults aged 18-64 1 Adults 65+ are over 10x more likely to be hospitalized with pneumococcal lung infection than adults aged 18-64 1

15. If you are Diabetic , you may need pneumococcal vaccination Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI. Rates of pneumococcal disease in adults with chronic medical conditions. In Open forum infectious diseases 2014 Mar 1 (Vol. 1, No. 1). Oxford University Press. Pelton SI, Bornheimer R, Doroff R, Shea KM, Sato R, Weycker D. Decline in Pneumococcal Disease Attenuated in Older Adults and Those With Comorbidities Following Universal Childhood PCV13 Immunization. Clin Infect Dis. 2019 May 17;68(11):1831-1838 Risk of Pneumococcal Lung Infection in adults 18-49 years 50-64 years ≥65 years Diabetes 1,2,* 3.1X 3X 2.8X Adapted from Shea KM et al. 2014,; Adapted from Pelton SI et al. 2019,  *Compared to healthy adults aged 18-49, 50-64 & 65+ years respectively.

16. If you are Diabetic , you may need pneumococcal vaccination Diabetes, even if well managed, can make it harder for your immune system to fight infections, so you may be at risk for more serious complications from an illness compared to people without diabetes. 1 Getting vaccinated is an important step in staying healthy. If you have diabetes, talk with your doctor about getting your vaccinations up-to-date. 1 1. CDC’s Vaccine Information for Adults with Diabetes [Internet]. Centers for Disease Control and Prevention. 2016 [cited 29 th January 2022]. Available from: https://www.cdc.gov/vaccines/adults/rec-vac/health-conditions/diabetes.html

17. If you have chronic # lung conditions like COPD ^ , you may need pneumococcal vaccination Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI. Rates of pneumococcal disease in adults with chronic medical conditions. In Open forum infectious diseases 2014 Mar 1 (Vol. 1, No. 1). Oxford University Press. Pelton SI, Bornheimer R, Doroff R, Shea KM, Sato R, Weycker D. Decline in Pneumococcal Disease Attenuated in Older Adults and Those With Comorbidities Following Universal Childhood PCV13 Immunization. Clin Infect Dis. 2019 May 17;68(11):1831-1838 # Chronic means persisting for a long time or constantly recurring ^ COPD: Chronic obstructive lung disease  *Compared to healthy adults aged 18-49, 50-64 & 65+ years respectively. Risk of Pneumococcal Lung Infection in adults 18-49 years 50-64 years ≥65 years Lung Disease (including COPD ^ ) 1,2,* 8.9X 9.8X 7.7X Adapted from Shea KM et al. 2014,; Adapted from Pelton SI et al. 2019,

18. If you have chronic # lung conditions like COPD ^ , you may need pneumococcal vaccination COPD can cause your airways to swell and become blocked with mucus, which can make it hard to breathe. 1 Certain vaccine preventable diseases can also increase swelling of your airways and lungs. The combination of the two can lead to serious respiratory illnesses. 1 Getting vaccinated is an important step in staying healthy. If you have lung disease, talk with your doctor about getting your vaccinations up-to-date. 1 1. CDC’s Vaccine Information for Adults with Lung Disease [Internet]. Centers for Disease Control and Prevention. 2016 [cited 29 th January 2022]. Available from: https://www.cdc.gov/vaccines/adults/rec-vac/health-conditions/lung-disease.html # Chronic means persisting for a long time or constantly recurring ^ COPD: Chronic obstructive lung disease

19. If you have chronic # Heart Disease, you may need pneumococcal vaccination Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI. Rates of pneumococcal disease in adults with chronic medical conditions. In Open forum infectious diseases 2014 Mar 1 (Vol. 1, No. 1). Oxford University Press. Pelton SI, Bornheimer R, Doroff R, Shea KM, Sato R, Weycker D. Decline in Pneumococcal Disease Attenuated in Older Adults and Those With Comorbidities Following Universal Childhood PCV13 Immunization. Clin Infect Dis. 2019 May 17;68(11):1831-1838 # Chronic means persisting for a long time or constantly recurring *Compared to healthy adults aged 18-49, 50-64 & 65+ years respectively. Risk of Pneumococcal Lung Infection in adults 18-49 years 50-64 years ≥65 years Heart Disease 1,2,* 5.1X 4.2X 3.8X Adapted from Shea KM et al. 2014,; Adapted from Pelton SI et al. 2019,

20. If you have chronic # Heart Disease, you may need pneumococcal vaccination Heart disease can make it harder for you to fight off certain diseases 1 It can also make it more likely that you will have serious complications from certain diseases. 1 Some vaccine-preventable diseases, like the flu, can increase the risk of another heart attack. 1 Getting vaccinated is an important step in staying healthy. If you have cardiovascular disease, talk with your doctor about getting your vaccinations up-to-date. 1 1. CDC's Vaccine Information for Adults with Heart Disease [Internet]. Centers for Disease Control and Prevention. 2016 [cited 29 th January 2022]. Available from: https://www.cdc.gov/vaccines/adults/rec-vac/health-conditions/heart-disease.html # Chronic means persisting for a long time or constantly recurring

21. If you have chronic # Kidney Disease , you may need pneumococcal vaccination Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI. Rates of pneumococcal disease in adults with chronic medical conditions. In Open forum infectious diseases 2014 Mar 1 (Vol. 1, No. 1). Oxford University Press. Pelton SI, Bornheimer R, Doroff R, Shea KM, Sato R, Weycker D. Decline in Pneumococcal Disease Attenuated in Older Adults and Those With Comorbidities Following Universal Childhood PCV13 Immunization. Clin Infect Dis. 2019 May 17;68(11):1831-1838 # Chronic means persisting for a long time or constantly recurring *Compared to healthy adults aged 18-49, 50-64 & 65+ years respectively. Risk of Pneumococcal Lung Infection in adults 18-49 years 50-64 years ≥65 years Chronic # renal failure 1,2,*^ 13.9X 4.2X 6.5X Adapted from Shea KM et al. 2014,; Adapted from Pelton SI et al. 2019, ^ Chronic kidney disease - Symptoms and causes [Internet]. Mayo Clinic. 2022 [cited 8 February 2022]. Available from: https://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/syc-20354521

22. If you have chronic # Kidney Disease , you may need pneumococcal vaccination If you have chronic kidney disease, you are more likely to have serious complications if you get pneumococcal disease. 1 This is because kidney disease affects your body’s ability to fight infections. 1 This is true for people in all stages of chronic kidney disease, including those treated with dialysis and transplant patients, even if your symptoms are well controlled. 1 Getting vaccinated is an effective way to protect yourself. If you have chronic kidney disease, talk with your doctor about getting your vaccinations up-to-date. 1 For adults with chronic kidney disease [Internet]. Nfid.org. 2014 [cited 29 th January 2022]. Available from: https://www.nfid.org/wp-content/uploads/2019/08/kidney-patient.pdf # Chronic means persisting for a long time or constantly recurring

23. 1. Pneumococcal Vaccination.CDC . Page last reviewed on: September 01, 2020. https://www.cdc.gov/pneumococcal/vaccination.html. Accessed on: 29 th January 2022 . 2. Pneumococcal Disease ( Streptococcus pneumoniae ) | Disease Directory | Travelers' Health | CDC. Available from: https://wwwnc.cdc.gov/travel/diseases/pneumococcal-disease-streptococcus-pneumoniae. Accessed on: 29 th January 2022 . 3. Why Vaccines are important for you – Centers for Disease Control & Prevention, Available at: https://www.cdc.gov/vaccines/adults/reasons-to-vaccinate.html, last reviewed on: May 02, 2016, Accessed on: 29 th January 2022 Hygiene & Hand washing 2 Vaccination 1,2 Coughing Etiquettes 2 Following steps help prevent pneumococcal disease: 1,2 You have a busy life and too much responsibility to risk getting sick. Vaccines can help you stay healthy. 3 If you can avoid getting sick, you will have more time for your family, friends and hobbies. 3 Pneumococcal disease can be prevented 1

24. Stay Healthy 1 Exercise & Nutrition 1 Consult & Follow Doctor’s advise 1 Getting flu & pneumococcal vaccine Hand washing Do not smoke Avoid air pollution Regular exercise Well-balanced meals Proper sleep and rest Follow-up as per doctor’s recommendations 1. Healthwise staff. Learning About COPD and How to Prevent Lung Infections. Published on: February 24, 2020. Available at: https://myhealth.alberta.ca/health/AfterCareInformation/pages/conditions.aspx?hwid=zx4083& . Accessed on: 29th January 2022 Preventing Lung Infections – Check list

25. Do you think Vaccines are only for Children? Images are for representation purpose only Images are for representation purpose only

26. You need vaccines throughout your life Images are for representation purpose only There Are Vaccines You Need as an Adult available at https://www.cdc.gov/vaccines/adults/index.html accessed on 30 July 2022 Images are for representation purpose only

27. There are Vaccines you may need as an adult 1 Adults need to keep their vaccinations up to date because immunity from childhood vaccines can wear off over time 1 . You are also at risk for different diseases as an adult 1 . Vaccination is one of the most convenient preventive care measures available 1 . 1. There Are Vaccines You Need as an Adult available at https://www.cdc.gov/vaccines/adults/index.html accessed on 30 July 2022

28. Why do you think should adults and elderly get vaccinated Images are for representation purpose only Images are for representation purpose only

29. References: 1. Adapted from: Reasons for Adults to be Vaccinated | CDC. Cdc.gov. 2016 [cited 29 th January 2022]. Available from: https://www.cdc.gov/vaccines/adults/reasons-to-vaccinate.html 2. 12 Reasons Why Adults Need Vaccinations [Internet]. WebMD. 2022 [cited 8 February 2022]. Available from: https://www.webmd.com/vaccines/features/why-adults-need-vaccines 3. Adapted from: Vaccination Resources for Adult Patients with Chronic Conditions | CDC. Cdc.gov. 2016 [cited 29 th January 2022]. Available from: https://www.cdc.gov/vaccines/hcp/adults/for-patients/health-conditions.htm 5 REASONS WHY ADULTS SHOULD BE VACCINATED

30. There are Vaccines you may need as an adult 1 TALK TO YOUR HEALTHCARE PROFESSIONAL ABOUT WHICH VACCINES ARE RIGHT FOR YOU! 1. Adapted from: Koul PA, Swaminathan S, Rajgopal T, Ramsubramanian V, Joseph B, Shanbhag S, et al. Adult immunization in occupational settings: A consensus of Indian experts. Indian J Occup Environ Med 2020;24:3-15.

31. Myths & Facts Myth: Pneumococcal disease is not common nor serious Fact: Pneumococcal lung infection is a potentially serious bacterial lung disease that, in severe cases, can be life-threatening 1 It is associated with high risk of hospitalisation 2 . In fact, 1 in 20 older adults who get pneumococcal lung infection die from it. 1 Centers for Disease Control and Prevention (CDC). Pneumococcal disease in adults and the vaccines to prevent it. https://www.cdc.gov/pneumococcal/resources/prevent-pneumococcal-factsheet.pdf . Gil-Prieto R, Pascual-Garcia R, Walter S, Álvaro- Meca A, Gil-De-Miguel Á. Risk of hospitalization due to pneumococcal disease in adults in Spain. The CORIENNE study. Hum Vaccin Immunother . 2016 Jul 2;12(7):1900-5. doi : 10.1080/21645515.2016.1143577 November 2019. Accessed March 31, 2020

32. Myths & Facts Myth: Only adults age 65 years and older are at risk for pneumococcal disease. Fact: Anyone can get pneumococcal disease. In addition to adults age 65 years and older, high-risk groups include individuals who smoke cigarettes and those with certain chronic health conditions, including those that weaken the immune system (HIV/AIDS, cancer, or damaged/absent spleen), cochlear implants, or cerebrospinal fluid (CSF) leaks. In addition, children under age 2 years and those with certain medical conditions are at increased risk. Pneumococcal Disease Myths and Facts available at https://www.nfid.org/infectious-diseases/pneumococcal-disease-myths-and-facts-for-consumers/ accessed on 30 July 2022

33. Myths & Facts Myth: I will get Pneumococcal disease from the vaccine Fact: P neumococcal vaccine are made up of inactivated or “killed” viruses and do not contain any live organisms. They cannot cause the infections they protect against. 1 1. Pneumococcal vaccine overview available at https://www.nhs.uk/conditions/vaccinations/pneumococcal-vaccination/ accessed on 30 July 2022

34. Myths & Facts Myth: I don’t know how it works Fact: Pneumococcal vaccine encourage your body to produce antibodies against pneumococcal bacteria. Antibodies are proteins produced by the body to neutralise or destroy disease-carrying organisms and toxins. They protect you from becoming ill if you're infected with the bacteria. Pneumococcal vaccine overview available at https://www.nhs.uk/conditions/vaccinations/pneumococcal-vaccination/ accessed on 30 July 2022

35. Myths & Facts Myth: The Pneumococcal vaccine has many side effects Fact: Like most vaccines, the childhood and adult versions of the pneumococcal vaccine can sometimes cause mild side effects. These include: a slightly raised temperature redness where the injection was given hardness or swelling where the injection was given There are no serious side effects listed for either the childhood or adult versions of the vaccine apart from an extremely rare risk of a  severe allergic reaction Pneumococcal vaccine overview available at https://www.nhs.uk/conditions/vaccinations/pneumococcal-vaccination/ accessed on 30 July 2022

36. If you can avoid getting sick, you will have more time for your family, friends and hobbies. 2 Images are for representation purpose only 1. Growing Up with Vaccines: What Should Parents Know? Center for Disease Control & Prevention (CDC). Last updated on: July 2018. Available at: https://www.cdc.gov/vaccines/growing/. Accessed on 29 th January 2022 2. Why vaccines are important for you – Centers for Disease Control & Prevention. Updated on May 02, 2016. Available at: https://www.cdc.gov/vaccines/adults/reasons-to-vaccinate.html, Accessed on 29 th January 2022 Vaccination is an effective & easy way to keep your family healthy. 1

37. Protect your family: Complete the circle of protection against respiratory infections Images are for representation purpose only Images are for representation purpose only

38. Your doctor is the best resource for medical advice and information. The health information contained herein is provided for educational / awareness purposes only and is not intended to replace discussions with a medical practitioner and/or medical advice. Consult your doctor for guidance on the information stated herein or further information on the subject. While due care and caution has been taken to ensure that the content is free from mistakes or omission, Pfizer shall not be responsible in any manner whatsoever, for any action taken, opinions expressed, advice rendered or accepted, any direct incidental, special or consequential loss and damage caused based on this content. The views and opinions expressed by the Registered Medical Practitioner during delivering the aforesaid content are strictly those of the author and Registered Medical Practitioner expressing the same and Pfizer (including its parent, subsidiary and affiliate entities) may not necessarily endorse the same. To be used by Registered Medical Practitioner only. Not to be circulated without express permissions. PP-PRV-IND-0271 , 30.07.2022 Pfizer Limited, The Capital, A Wing, 1802, 18 th Floor, Plot No C-70, G Block, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051, India. Issued in Public Interest by Disclaimers