Medical kits and boxes containing COVISHIELD vaccines, are transported on a ropeway trolley to Malana village, during the coronavirus disease (COVID-19) outbreak, in Kullu district in the Himalayan state of Himachal Pradesh, India, September 14, 2021. Before beginning the trek to the village, health workers placed vaccine boxes onto a gondola connected to pulleys to carry the medicine across the river gorge that separates Malana from the road. REUTERS/Adnan Abidi