Doctors scale rockslides, invoke gods to vaccinate Himalayan villages

Doctors scale rockslides, invoke gods to vaccinate Himalayan villages

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To visit the Indian village of Malana deep in the Himalayas, a COVID-19 vaccination team scrambled over a landslide that blocked the road the day before, scaled a retaining wall and then began a three-hour trek down and up a river valley.

. Malana, India. Reuters/Adnan Abidi
Health workers carry medical kits and a box containing vaccines, before starting their trek through the mountains.

Despite the hostile terrain, the northern state of Himachal Pradesh, where Malana is located, earlier this month became the first in India to administer at least one COVID-19 vaccine dose in all its adults.

The steep topography was one challenge overcome by health workers walking for hours or days to reach remote villages and another was religious beliefs, as the tourism-dependent state immunised its roughly 5 million adults.

. Malana, India. Reuters/Adnan Abidi
Kamla Devi, a health worker, gives a woman a dose of the COVISHIELD vaccine.

On Sept. 14, a team of five led by district health officer Dr. Atul Gupta set out to Malana to administer second vaccine doses.

Blocked by the landslide, they left their vehicle with two blue vaccine boxes slung over their shoulders to manoeuvre over the rubble, climb the wall and then walk to the trailhead leading to the village, accompanied by a Reuters photographer.

. Malana, India. Reuters/Adnan Abidi
Health workers walk through a road, that was blocked after a landslide.

Before beginning the trek to the village, Gupta and his team placed the boxes onto a gondola connected to pulleys to carry the medicine across the river gorge that separates Malana from the road. That lightened their walk considerably as they set off to cross the gorge which drops down about 100 metres (330 feet).

. Malana, India. Reuters/Adnan Abidi
Medical kits and boxes containing COVISHIELD vaccines, are transported on a ropeway trolley

During a rest break on the trek, Gupta said that to convince Malana's 1,100 adults to take their first shots, its district chief had priests invoke a local Hindu deity. This helped health workers cover up to 700 people in three days, he said.

When Gupta's team reached the village on Sept. 14, nearly three dozen people lined up to get their second shots just opposite an ancient temple to the deity.

. Malana, India. Reuters/Adnan Abidi
Villagers wait to receive a dose of the vaccine.

"People were initially scared to take the vaccine, worried they would fall sick or die" said village head Rajuram, who gave just one name, sitting by the carved wood and concrete walls of the temple. "Then I took it and others also mustered the courage."

. Komic, India. Reuters/Adnan Abidi
Buddhist monks stand atop of a monastery at Komic village.

Himachal Pradesh's Chief Minister Jai Ram Thakur pins the state's vaccination success to its village-to-village drive, its decision to involve local-level politicians, and the federal government's push to prioritise immunisations in tourist hotspots.

India wants to vaccinate nearly all of its adults by December, having administered at least one dose to two-thirds of people and two doses in less than a quarter. Thakur wants Himachal Pradesh to be the fastest state to reach the two-dose milestone, hopefully by November.

(Photo editing Kezia Levitas; Additional reporting and writing Krishna N. Das; Text editing Christian Schmollinger)

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Slideshow

Health workers Kamla Devi and Kanta Devi trek through the mountains.
. Malana, India. Reuters/Adnan Abidi

Health workers Kamla Devi and Kanta Devi trek through the mountains.

Health workers eat their lunch as they take a break during a trek through the mountains.
. Malana, India. Reuters/Adnan Abidi

Health workers eat their lunch as they take a break during a trek through the mountains.

A family stand outside their house at Malana village.
. Malana, India. Reuters/Adnan Abidi

A family stand outside their house at Malana village.

Kamla Devi gives a dose of the COVISHIELD vaccine to a villager.
. Malana, India. Reuters/Adnan Abidi

Kamla Devi gives a dose of the COVISHIELD vaccine to a villager.

A boy plays outside a temple at Malana village.
. Malana, India. Reuters/Adnan Abidi

A boy plays outside a temple at Malana village.

Men sit outside a temple at Malana village.
. Malana, India. Reuters/Adnan Abidi

Men sit outside a temple at Malana village.

A girl sits outside a temple at Malana village.
. Malana, India. Reuters/Adnan Abidi

A girl sits outside a temple at Malana village.

Women sit outside a house at Malana village.
. Malana, India. Reuters/Adnan Abidi

Women sit outside a house at Malana village.

Houses stand in Malana village.
. Malana, India. Reuters/Adnan Abidi

Houses stand in Malana village.

Villagers stand next to a fire outside their house at Malana village.
. Malana, India. Reuters/Adnan Abidi

Villagers stand next to a fire outside their house at Malana village.

Health workers trek through mountains to vaccinate people.
. Malana, India. Reuters/Adnan Abidi

Health workers trek through mountains to vaccinate people.

Bimla Thakur, a health worker, treks through mountains to vaccinate people.
. Malana, India. Reuters/Adnan Abidi

Bimla Thakur, a health worker, treks through mountains to vaccinate people.

Phula Devi, carries boxes containing COVISHIELD vaccine.
. Malana, India. Reuters/Adnan Abidi

Phula Devi, carries boxes containing COVISHIELD vaccine.

A woman works in the fields at Komic village.
. Komic, India. Reuters/Adnan Abidi

A woman works in the fields at Komic village.

A women carries a basket as she walks to collect grass at Komic village.
. Komic, India. Reuters/Adnan Abidi

A women carries a basket as she walks to collect grass at Komic village.

Kanta Devi carries a box containing COVISHIELD vaccines.
. Malana, India. Reuters/Adnan Abidi

Kanta Devi carries a box containing COVISHIELD vaccines.

Mountains are pictured from an aerial view of Komic village
. Komic, India. Reuters/Adnan Abidi

Mountains are pictured from an aerial view of Komic village