Phula Devi, 30, a local health worker carries boxes containing COVISHIELD vaccine, at Malana village in Kullu district in the Himalayan state of Himachal Pradesh, India, September 14, 2021. Despite the hostile terrain, the northern state of Himachal Pradesh became the first in India to administer at least one COVID-19 vaccine dose in all its adults. The steep topography was a challenge overcome by health workers walking for hours or days to reach remote villages. REUTERS/Adnan Abidi