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5
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5941
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a
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p
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ts
to
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fe
r
t
h
e
v
a
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c
in
a
ti
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n
ra
te.
Th
e
p
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p
o
se
d
sc
h
e
m
e
is
e
v
a
lu
a
ted
o
n
t
h
e
c
o
ro
n
a
v
iru
s
d
ise
a
se
(COV
ID
-
19)
d
a
ta
fro
m
six
so
u
th
e
r
n
sta
tes
o
f
In
d
ia
d
u
rin
g
th
e
first
we
e
k
o
f
Oc
to
b
e
r
2
0
2
0
,
c
o
ll
e
c
ted
fro
m
th
e
d
a
tab
a
se
m
a
in
tain
e
d
b
y
th
e
G
o
v
e
rn
m
e
n
t
o
f
I
n
d
ia.
T
h
e
fin
d
i
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g
s
d
e
m
o
n
stra
te
th
a
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th
e
su
g
g
e
ste
d
p
l
a
n
,
wh
ich
tak
e
s
p
o
p
u
latio
n
a
n
d
s
p
re
a
d
ra
te
in
to
a
c
c
o
u
n
t,
m
a
k
e
s
su
re
th
a
t
e
n
o
u
g
h
v
a
c
c
in
a
ti
o
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d
o
se
s
a
re
d
istri
b
u
ted
to
t
h
e
p
ro
v
in
c
e
s
wit
h
a
larg
e
r
sp
re
a
d
ra
te
with
a
h
i
g
h
e
r
p
ri
o
rit
y
,
a
n
d
t
h
a
t
imm
u
n
iza
ti
o
n
s
a
re
n
o
t
d
e
lay
e
d
in
p
r
o
v
i
n
c
e
s
with
c
o
n
tr
o
ll
e
d
s
p
r
e
a
d
ra
tes
.
Also
,
in
d
u
e
c
o
u
rse
,
a
ll
territ
o
ries
will
a
p
p
ro
p
riate
ly
d
istr
ib
u
t
e
e
n
o
u
g
h
v
a
c
c
in
e
su
p
p
ly
to
c
o
n
tro
l
t
h
e
sp
re
a
d
.
Th
e
re
fo
re
,
th
is
p
la
n
stre
n
g
th
e
n
s
t
h
e
e
ffo
rts
to
c
o
n
tr
o
l
th
e
p
a
n
d
e
m
i
c
o
u
t
b
re
a
k
s
b
y
e
n
s
u
rin
g
t
h
e
p
ro
p
e
r
a
n
d
b
a
lan
c
e
d
d
e
li
v
e
ry
o
f
v
a
c
c
in
e
s in
a
ti
m
e
ly
,
e
fficie
n
t,
a
n
d
o
b
jec
ti
v
e
m
a
n
n
e
r.
K
ey
w
o
r
d
s
:
Fu
zz
y
lo
g
ic
Pan
d
em
ic
Po
p
u
latio
n
Sp
r
ea
d
r
ate
Vac
cin
atio
n
T
h
is i
s
a
n
o
p
e
n
a
c
c
e
ss
a
rticle
u
n
d
e
r th
e
CC B
Y
-
SA
li
c
e
n
se
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
Ab
d
u
l K
ar
ee
m
Dep
ar
tm
en
t o
f
E
lectr
o
n
ics an
d
C
o
m
m
u
n
icatio
n
E
n
g
in
ee
r
i
n
g
,
Mo
o
d
lak
atte
I
n
s
titu
te
o
f
T
ec
h
n
o
lo
g
y
Ku
n
d
ap
u
r
a,
I
n
d
ia
E
m
ail:
ab
d
u
lk
ar
ee
m
en
g
g
8
1
@
g
m
ail.
co
m
1.
I
NT
RO
D
UCT
I
O
N
Pan
d
em
ics
h
av
e
alwa
y
s
r
esu
l
ted
in
b
r
o
a
d
-
b
ased
m
o
r
b
id
ity
an
d
ch
a
o
s
in
ec
o
n
o
m
ies
g
lo
b
ally
[
1
]
.
T
h
ey
cr
ea
ted
a
wo
r
l
d
wid
e
h
ea
lth
em
er
g
en
c
y
,
ca
u
s
in
g
g
eo
g
r
ap
h
ical
an
d
cu
ltu
r
al
b
ar
r
ier
s
.
T
h
er
e
is
s
till
a
lo
n
g
way
to
g
o
u
n
til
th
e
c
o
r
o
n
av
i
r
u
s
d
is
ea
s
e
(
C
OVI
D
-
19)
p
an
d
em
ic
is
co
n
tain
e
d
,
a
n
d
in
th
e
d
ay
s
ah
ea
d
,
n
ew
p
an
d
em
ics
ar
e
p
r
ed
icted
t
o
s
p
r
ea
d
[
2
]
–
[
1
0
]
.
On
e
o
f
th
e
b
es
t
an
d
m
o
s
t
ef
f
icien
t
way
s
to
s
h
ield
p
eo
p
le
f
r
o
m
p
an
d
em
ics
is
th
r
o
u
g
h
v
ac
cin
atio
n
[
7
]
–
[
1
4
]
.
T
h
er
e
f
o
r
e,
in
th
e
h
is
to
r
y
o
f
p
u
b
lic
welln
ess
,
g
lo
b
al
ef
f
o
r
ts
t
o
cr
ea
te
v
ac
cin
atio
n
s
to
f
e
n
d
o
f
f
p
an
d
em
ics
h
a
v
e
b
ee
n
u
n
p
a
r
alleled
.
T
h
e
allo
ca
tio
n
cr
iter
i
a
will
wid
en
as
th
e
p
r
o
d
u
ctio
n
o
f
v
ac
cin
es
r
am
p
s
u
p
an
d
n
ew
p
r
o
d
u
cts
ar
e
ap
p
r
o
v
ed
,
u
ltima
tely
allo
win
g
f
o
r
th
e
wid
esp
r
ea
d
u
s
e
o
f
v
ac
cin
es.
W
h
en
th
e
r
e
is
a
p
an
d
em
ic,
o
f
f
icials s
tr
u
g
g
le
to
p
r
o
p
er
l
y
co
o
r
d
in
ate
th
e
d
is
tr
ib
u
tio
n
o
f
v
ac
cin
es to
v
ar
io
u
s
lo
ca
tio
n
s
.
E
n
s
u
r
in
g
th
e
tim
ely
,
ef
f
icien
t,
an
d
im
p
ar
tial
d
is
tr
ib
u
tio
n
o
f
en
o
u
g
h
v
ac
cin
es
will
b
e
a
f
o
r
m
id
a
b
le
task
[
3
]
,
[
1
3
]
,
[
1
4
]
.
T
h
e
W
o
r
ld
Hea
lth
Or
g
an
iza
tio
n
(
W
HO)
r
ec
o
m
m
en
d
ed
t
h
at
d
u
r
in
g
th
e
C
OVI
D
-
1
9
p
an
d
em
ic,
v
ac
cin
e
d
o
s
es
b
e
d
is
tr
ib
u
ted
p
r
o
p
o
r
ti
o
n
ately
to
th
e
p
o
p
u
lati
o
n
o
f
ea
ch
p
r
o
v
in
ce
.
T
h
is
is
th
e
co
m
m
o
n
ly
u
s
ed
m
eth
o
d
o
f
d
is
tr
ib
u
tin
g
v
ac
cin
es
f
r
o
m
a
n
atio
n
'
s
ce
n
tr
al
h
ea
lth
ca
r
e
s
y
s
tem
to
p
r
o
v
in
cial
h
ea
lth
ca
r
e
s
y
s
tem
s
[
2
]
.
An
allo
ca
tio
n
s
ch
em
e
co
n
s
id
er
in
g
o
n
ly
p
o
p
u
latio
n
as
its
b
asi
s
ap
p
ea
r
s
to
b
e
v
o
icin
g
m
o
r
al
co
n
ce
r
n
f
o
r
eq
u
ality
an
d
m
a
y
b
e
r
e
g
ar
d
e
d
as
th
e
m
o
s
t
p
o
liti
ca
lly
d
ip
lo
m
atic
s
o
lu
tio
n
.
Nev
er
th
eless
,
it
p
r
esu
p
p
o
s
es
th
at
eq
u
ality
en
tails
tr
ea
tin
g
all
p
r
o
v
in
ce
s
eq
u
ally
r
at
h
er
th
an
f
a
ir
ly
ad
d
r
ess
in
g
th
eir
v
ar
io
u
s
l
ev
els
o
f
n
ee
d
.
I
t
is
h
ig
h
ly
lik
ely
th
at
s
tates
with
s
im
ilar
p
o
p
u
latio
n
s
will
ex
p
er
i
en
ce
v
ar
y
in
g
d
eg
r
ee
s
o
f
p
a
n
d
e
m
ic
illn
ess
s
ev
er
ity
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
:
2
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8
8
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8
7
0
8
I
n
t J E
lec
&
C
o
m
p
E
n
g
,
Vo
l.
1
4
,
No
.
5
,
Octo
b
e
r
2
0
2
4
:
5
9
4
1
-
5
9
4
8
5942
an
d
r
ates
o
f
d
is
s
em
in
atio
n
.
I
t
is
u
n
f
air
to
d
is
tr
ib
u
te
v
ac
ci
n
e
d
o
s
es
s
o
lely
o
n
th
e
b
asis
o
f
p
o
p
u
latio
n
.
Fo
r
in
s
tan
ce
,
allo
ca
tin
g
an
tire
tr
o
v
ir
als
f
o
r
th
e
h
u
m
an
im
m
u
n
o
d
ef
icien
cy
v
ir
u
s
(
HI
V)
b
ased
o
n
p
o
p
u
latio
n
r
ath
er
th
an
s
ev
er
ity
in
ter
m
s
o
f
ac
t
u
al
HI
V
ca
s
es
wo
u
l
d
b
e
ir
r
at
io
n
al
an
d
u
n
ju
s
t
[
5
]
.
I
n
s
u
m
m
ar
y
,
t
h
er
e
a
r
e
two
d
r
awb
ac
k
s
to
th
e
p
o
p
u
latio
n
-
b
ased
m
eth
o
d
.
Sm
aller
p
r
o
v
in
ce
s
r
ec
eiv
e
f
ewe
r
v
ac
cin
atio
n
d
o
s
es
an
d
m
ay
ex
p
er
ien
ce
a
n
ac
u
te
v
ac
ci
n
e
s
h
o
r
tag
e,
wh
ich
c
o
u
ld
lead
to
s
u
p
er
s
p
r
ea
d
if
t
h
o
s
e
ar
ea
s
h
av
e
g
r
ea
ter
s
p
r
ea
d
r
ates.
C
o
n
v
er
s
ely
,
m
o
r
e
v
ac
ci
n
e
d
o
s
es
ar
e
allo
tted
t
o
p
r
o
v
i
n
ce
s
with
lar
g
er
p
o
p
u
latio
n
s
,
wh
ich
m
ay
r
esu
lt
in
v
ac
cin
e
d
o
s
es
b
ein
g
d
elay
e
d
d
u
e
to
n
eg
lig
e
n
t
v
ac
cin
atio
n
d
u
e
to
a
f
alse
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en
s
e
o
f
s
ec
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ity
b
r
o
u
g
h
t
o
n
b
y
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lo
wer
r
ate
o
f
v
ac
ci
n
atio
n
.
T
h
e
r
ef
o
r
e,
a
r
ea
s
o
n
a
b
le
an
d
eq
u
itab
le
d
is
tr
ib
u
tio
n
o
f
v
ac
cin
es
o
u
g
h
t
to
ad
ap
t
to
th
e
v
ar
y
in
g
r
ates o
f
p
an
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ic
tr
a
n
s
m
is
s
io
n
am
o
n
g
v
ar
io
u
s
ar
ea
s
[
1
3
]
–
[
1
6
]
.
N
o
t
m
u
c
h
h
a
s
b
e
e
n
d
o
n
e
t
o
t
a
k
e
t
h
e
s
p
r
e
a
d
r
a
t
e
i
n
t
o
a
cc
o
u
n
t
w
h
e
n
d
e
c
i
d
i
n
g
h
o
w
t
o
d
i
s
t
r
i
b
u
te
v
a
c
c
i
n
a
t
i
o
n
s
.
A
m
e
t
h
o
d
t
h
a
t
t
o
o
k
t
h
e
s
p
r
e
a
d
r
at
e
i
n
t
o
a
c
c
o
u
n
t
w
a
s
p
u
t
f
o
r
t
h
i
n
[
5
]
,
w
h
e
r
e
t
h
e
f
a
i
r
p
r
i
o
r
i
t
y
s
c
h
e
m
e
w
a
s
c
r
ea
t
e
d
.
T
h
is
a
p
p
r
o
a
c
h
c
o
n
s
i
d
e
r
s
t
h
e
p
r
e
m
is
e
t
h
at
p
r
o
v
in
c
e
s
wi
t
h
g
r
e
a
t
e
r
r
a
t
es
o
f
t
r
a
n
s
m
is
s
i
o
n
s
h
o
u
l
d
b
e
p
r
i
o
r
i
t
i
z
e
d
m
o
r
e
.
T
h
i
s
a
p
p
r
o
a
c
h
h
a
s
t
h
e
d
r
a
w
b
a
c
k
o
f
i
g
n
o
r
i
n
g
t
h
e
p
r
o
v
i
n
c
e
'
s
p
o
p
u
l
a
t
i
o
n
w
h
e
n
d
e
t
e
r
m
i
n
i
n
g
v
a
c
c
i
n
a
t
i
o
n
r
a
te
s
b
e
ca
u
s
e
it
s
o
le
l
y
c
o
n
s
i
d
e
r
s
t
h
e
s
p
r
e
a
d
r
a
t
e
.
A
d
d
i
t
i
o
n
a
l
l
y
,
i
t
i
g
n
o
r
es
t
h
e
n
a
tu
r
a
l
j
u
s
ti
c
e
p
r
i
n
c
i
p
l
e
,
w
h
i
c
h
s
t
a
t
es
t
h
a
t
e
ac
h
p
r
o
v
i
n
ce
s
h
o
u
l
d
r
e
c
ei
v
e
t
h
e
a
p
p
r
o
p
r
i
a
t
e
a
m
o
u
n
t
o
f
v
a
c
ci
n
e
s
h
o
t
s
t
o
s
t
o
p
t
h
e
s
p
r
e
a
d
o
f
d
i
s
e
as
e
a
n
d
p
r
e
v
e
n
t
i
t
f
r
o
m
s
p
i
r
a
l
i
n
g
o
u
t
o
f
c
o
n
t
r
o
l
.
F
o
r
i
n
s
t
a
n
c
e
,
e
v
e
n
i
n
h
i
g
h
l
y
p
o
p
u
l
a
t
e
d
p
r
o
v
i
n
c
e
s
,
t
h
is
a
l
g
o
r
i
t
h
m
c
o
m
p
u
t
e
s
a
l
o
we
r
v
ac
c
i
n
a
t
i
o
n
r
a
t
e
i
f
t
h
e
s
p
r
e
a
d
o
f
th
e
p
r
o
v
i
n
c
e
is
s
l
o
wi
n
g
d
o
w
n
at
a
f
a
s
te
r
r
a
te
.
T
h
is
c
o
u
l
d
l
e
a
d
t
o
u
n
c
h
e
c
k
e
d
s
p
r
e
ad
i
n
p
o
p
u
l
a
t
e
d
r
e
g
i
o
n
s
w
i
t
h
s
lo
w
e
r
r
a
t
es
o
f
s
p
r
e
a
d
,
a
n
d
e
v
en
t
u
a
l
l
y
t
h
o
s
e
a
r
ea
s
m
i
g
h
t
b
e
c
o
m
e
h
o
t
s
p
o
t
s
.
F
u
r
t
h
e
r
m
o
r
e
,
e
v
e
n
w
i
t
h
a
p
r
o
v
i
n
c
e
h
a
v
i
n
g
a
s
m
a
l
l
e
r
p
o
p
u
l
a
ti
o
n
,
a
g
r
e
a
t
e
r
v
a
c
c
i
n
a
ti
o
n
r
a
t
e
w
il
l
b
e
c
al
c
u
l
at
e
d
i
f
t
h
e
p
r
o
v
i
n
c
e
i
s
e
x
p
a
n
d
i
n
g
a
t
a
f
a
s
t
e
r
r
a
t
e
.
D
u
e
t
o
a
n
a
b
u
n
d
a
n
t
s
u
p
p
l
y
f
o
r
a
s
m
a
l
l
er
p
o
p
u
l
a
t
i
o
n
,
t
h
i
s
c
o
u
l
d
d
el
a
y
v
a
c
c
i
n
a
t
i
o
n
s
.
T
h
i
s
s
c
h
e
m
e'
s
d
is
a
d
v
a
n
t
a
g
e
r
e
n
d
e
r
s
i
t
u
n
r
e
as
o
n
a
b
le
a
n
d
u
n
f
a
i
r
.
I
n
th
is
s
tu
d
y
,
we
p
r
esen
t
a
n
o
v
el
s
ch
em
e
to
d
eter
m
in
e
th
e
v
ac
cin
atio
n
r
ate
o
f
th
e
p
r
o
v
in
ce
s
tak
in
g
in
to
ac
co
u
n
t
b
o
th
s
p
r
ea
d
r
at
e
an
d
p
o
p
u
latio
n
eq
u
ally
.
T
h
e
s
p
r
ea
d
r
ate
is
d
eter
m
in
ed
b
y
ca
lcu
latin
g
th
e
av
er
ag
e
r
ate
o
f
in
cr
ea
s
e
o
r
d
ec
lin
e
o
f
n
ew
ca
s
es
in
th
e
p
r
o
v
in
ce
s
wee
k
wis
e
.
T
h
e
n
u
m
b
er
o
f
d
o
s
es
to
b
e
d
is
tr
ib
u
ted
to
t
h
e
p
r
o
v
in
ce
s
is
r
ep
r
esen
ted
b
y
th
e
im
m
u
n
izatio
n
r
ate.
T
h
e
r
elatio
n
s
h
ip
b
etwe
en
th
e
in
p
u
ts
an
d
th
e
o
u
tp
u
t,
h
o
we
v
er
,
is
n
o
t
well
-
d
ef
in
ed
b
y
f
o
r
m
al
r
eg
u
latio
n
s
o
r
ex
ac
t
m
ath
em
atica
l
m
o
d
els;
r
ath
er
,
s
o
m
e
g
u
id
elin
es
b
ased
o
n
a
p
p
r
o
x
i
m
ativ
e
r
ea
s
o
n
in
g
.
An
ap
p
r
o
p
r
iate
m
eth
o
d
f
o
r
ad
d
i
n
g
a
p
p
r
o
x
im
ativ
e
r
ea
s
o
n
in
g
in
to
p
r
ac
tical
alg
o
r
ith
m
s
is
f
u
zz
y
lo
g
ic
[
1
7
]
–
[
2
7
]
.
T
h
er
ef
o
r
e,
we
p
r
o
v
i
d
e
a
f
u
zz
y
lo
g
ic
d
ec
is
io
n
-
m
ak
in
g
s
y
s
tem
th
at
d
eter
m
in
es
th
e
v
ac
cin
atio
n
r
ate
b
y
tak
in
g
th
e
p
o
p
u
latio
n
an
d
s
p
r
ea
d
r
ate
in
to
ac
co
u
n
t.
T
h
is
in
n
o
v
ativ
e
p
lan
m
a
k
es
s
u
r
e
th
at
en
o
u
g
h
s
u
p
p
ly
o
f
v
ac
cin
es
i
s
d
is
tr
ib
u
ted
to
th
e
p
r
o
v
in
ce
s
,
wh
ich
p
r
io
r
itizes
a
h
ig
h
er
r
ate
o
f
s
p
r
ea
d
an
d
th
at
v
ac
cin
es
ar
e
n
o
t
wasted
i
n
th
e
p
r
o
v
in
ce
s
with
a
lo
w
er
r
ate
o
f
s
p
r
ea
d
.
Ad
d
itio
n
ally
,
all
p
r
o
v
in
ce
s
ev
en
tu
ally
r
ec
ei
v
e
an
ad
e
q
u
ate
n
u
m
b
er
o
f
v
ac
ci
n
atio
n
s
h
o
ts
to
s
to
p
th
e
s
p
r
ea
d
.
T
h
is
s
tr
en
g
th
en
s
th
e
ef
f
o
r
t
to
s
to
p
th
e
s
u
d
d
en
s
p
r
ea
d
o
f
p
an
d
em
ics
an
d
g
u
ar
a
n
tees
th
e
p
r
o
v
in
ce
s
r
ec
eiv
e
th
e
av
ailab
le
v
ac
cin
atio
n
d
o
s
es in
an
ef
f
ec
tiv
e
a
n
d
ef
f
icien
t m
an
n
er
.
Her
e
is
h
o
w
th
e
r
est
o
f
th
is
p
ap
er
is
o
r
g
an
ized
.
A
f
u
zz
y
lo
g
ic
tech
n
iq
u
e
f
o
r
esti
m
atin
g
v
ac
cin
atio
n
r
ate
b
ased
o
n
p
o
p
u
latio
n
an
d
s
p
r
ea
d
r
ate
is
s
h
o
wn
in
Sec
tio
n
2
.
T
h
e
f
in
d
in
g
s
an
d
d
is
cu
s
s
i
o
n
ar
e
p
r
esen
ted
in
Sectio
n
3
.
T
h
e
s
tu
d
y
is
co
n
clu
d
ed
in
Sectio
n
4
.
2.
M
E
T
H
O
D
T
h
e
two
in
p
u
t
p
a
r
am
eter
s
,
s
p
r
ea
d
r
ate
‘
S’
(
th
e
av
er
a
g
e
o
f
th
e
r
ate
o
f
r
is
e
o
r
f
all
o
f
n
ew
ca
s
es
wee
k
wis
e
)
an
d
p
o
p
u
latio
n
‘
P’
ar
e
s
ca
led
in
to
th
e
n
o
r
m
alize
d
r
an
g
e
[
0
,
1
]
.
T
h
e
p
o
p
u
latio
n
o
f
th
e
p
r
o
v
i
n
ce
with
th
e
lar
g
est
p
o
p
u
latio
n
is
ch
o
s
en
as
th
e
s
ca
lin
g
f
ac
to
r
o
f
th
e
in
p
u
t
‘
Po
p
u
latio
n
’
,
a
n
d
th
e
h
ig
h
e
s
t
o
f
th
e
m
ag
n
itu
d
e
o
f
th
e
s
p
r
ea
d
r
ate
ac
r
o
s
s
all
p
r
o
v
in
ce
s
is
ch
o
s
en
as
th
e
s
ca
l
in
g
f
ac
to
r
o
f
th
e
in
p
u
t
“
Sp
r
ea
d
r
ate
”
.
Hen
ce
,
th
e
f
u
zz
y
in
ter
f
ac
e
en
g
in
e
tak
es
two
in
p
u
ts
:
th
e
n
o
r
m
alize
d
p
o
p
u
latio
n
a
n
d
th
e
n
o
r
m
alize
d
s
p
r
ea
d
r
ate.
T
h
e
v
ac
cin
atio
n
r
ate
‘
V
’
,
n
o
r
m
aliz
ed
with
in
th
e
in
ter
v
al
[
0
,
1
]
is
t
h
e
o
u
tp
u
t.
2
.
1
.
F
uzzif
ica
t
io
n
T
h
e
n
o
r
m
alize
d
in
p
u
ts
ar
e
f
u
z
zif
ied
u
s
in
g
th
e
f
u
zz
y
s
ets
as
in
d
icate
d
in
Fig
u
r
es
1
an
d
2
.
T
h
e
f
u
zz
y
s
ets
o
f
th
e
in
p
u
t
s
p
r
ea
d
r
ate
‘
S
’
ar
e
n
eg
ativ
e
b
i
g
(
NB
)
,
n
eg
ati
v
e
m
ed
i
u
m
(
NM
)
,
n
eg
ativ
e
s
m
all
(
NS)
,
ze
r
o
(
Z
)
,
p
o
s
itiv
e
s
m
all
(
PS
)
,
p
o
s
itiv
e
m
ed
iu
m
(
PM)
,
an
d
p
o
s
itiv
e
b
i
g
(
PB
)
an
d
th
o
s
e
o
f
in
p
u
t
p
o
p
u
latio
n
‘
P’
ar
e
v
er
y
lo
w
(
VL
)
,
lo
w
(
L
)
,
m
ed
i
u
m
(
M)
,
h
ig
h
(
H)
,
an
d
v
er
y
h
ig
h
(
VH)
.
T
h
e
f
u
zz
y
s
ets o
f
th
e
o
u
tp
u
t V
ac
cin
atio
n
R
ate
‘
V’
ar
e
v
er
y
lo
w
(
VL
)
,
lo
w
(
L
)
,
m
ed
iu
m
(
M)
,
h
ig
h
(
H)
,
an
d
v
er
y
h
i
g
h
(
VH)
as sh
o
wn
in
Fig
u
r
e
3
.
2
.
2
.
Rule
b
a
s
e
Ap
p
r
o
x
im
ate
r
ea
s
o
n
in
g
is
u
s
e
d
to
cr
ea
te
th
e
f
u
zz
y
in
f
er
e
n
ce
s
y
s
tem
'
s
r
u
le
f
o
u
n
d
atio
n
.
T
h
e
r
u
le
b
ase
h
as
r
u
les
o
f
th
e
f
o
r
m
“
I
f
p
o
p
u
latio
n
is
v
er
y
h
i
g
h
an
d
th
e
s
p
r
ea
d
r
ate
is
p
o
s
itiv
e
b
i
g
,
t
h
en
t
h
e
v
ac
cin
atio
n
r
ate
is
v
er
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RE
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S AN
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ased
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ased
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ased
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ased
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ted
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e
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f
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ig
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d
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ased
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ig
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ased
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m
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s
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o
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m
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ate
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f
th
e
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s
e
o
f
th
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s
p
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d
.
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h
e
in
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ce
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f
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e
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ig
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6
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ased
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ased
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t
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e
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ce
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t
h
e
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s
e
o
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e
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4
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ased
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ased
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ate
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ased
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ate
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ased
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ate
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ate
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o
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t
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e
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ase
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n
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e
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t
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e
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ased
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ate
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ased
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p
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h
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n
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za
tio
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ate
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ased
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ly
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n
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o
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u
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a
r
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lt,
r
eg
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s
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s
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aller
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o
p
u
latio
n
s
r
ec
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s
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d
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ay
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p
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ien
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v
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ci
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e
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e
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icit,
wh
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ld
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u
p
e
r
s
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r
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d
in
g
if
th
o
s
e
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r
o
v
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ce
s
h
av
e
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g
r
ea
ter
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ate
o
f
tr
an
s
m
is
s
io
n
.
I
n
a
s
im
ilar
v
ein
,
p
r
o
v
i
n
ce
s
with
lar
g
er
p
o
p
u
latio
n
s
r
ec
eiv
e
b
ig
g
er
d
o
s
es
o
f
v
ac
cin
atio
n
s
an
d
m
ay
waste
th
em
o
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g
to
v
ac
cin
atio
n
-
r
elate
d
n
o
n
co
m
p
lian
c
e
b
r
o
u
g
h
t
o
n
b
y
a
f
alse
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en
s
e
o
f
s
ec
u
r
ity
b
r
o
u
g
h
t
o
n
b
y
a
lo
we
r
r
ate
o
f
d
is
s
em
in
atio
n
.
T
h
e
s
ec
o
n
d
m
eth
o
d
,
w
h
ich
is
b
ased
o
n
ly
o
n
th
e
s
p
r
e
ad
r
ate
alo
n
e,
in
f
er
th
e
v
ac
cin
atio
n
r
ate
p
u
r
ely
b
a
s
ed
o
n
t
h
e
s
p
r
ea
d
r
ate.
T
h
er
ef
o
r
e,
ev
en
in
ca
s
es
wh
en
a
p
r
o
v
in
ce
'
s
p
o
p
u
latio
n
is
q
u
ite
h
ig
h
,
t
h
is
m
eth
o
d
in
f
e
r
s
a
lo
wer
v
ac
cin
atio
n
r
ate
if
t
h
e
p
r
o
v
in
ce
'
s
s
p
r
ea
d
is
f
allin
g
at
a
f
aster
r
ate.
I
n
s
o
m
e
p
o
p
u
lated
p
r
o
v
i
n
ce
s
with
a
lo
wer
s
p
r
ea
d
r
ate,
th
is
c
o
u
ld
lead
to
u
n
co
n
tr
o
lled
s
p
r
ea
d
,
an
d
ev
e
n
tu
ally
th
o
s
e
ar
ea
s
co
u
ld
tu
r
n
in
to
h
o
ts
p
o
ts
.
Fu
r
th
er
m
o
r
e,
ev
e
n
in
ca
s
es
wh
en
a
p
r
o
v
in
ce
h
as
a
r
elativ
ely
s
m
all
p
o
p
u
latio
n
,
a
g
r
ea
ter
v
ac
ci
n
atio
n
r
ate
will
b
e
im
p
lied
if
th
e
s
tate
is
s
p
r
ea
d
in
g
at
a
f
aster
r
ate.
T
h
e
ex
ce
s
s
s
u
p
p
ly
f
o
r
a
lo
wer
p
o
p
u
latio
n
co
u
ld
r
esu
lt
in
v
ac
cin
e
waste
.
T
h
e
s
u
g
g
ested
f
u
zz
y
lo
g
ic
a
p
p
r
o
ac
h
in
f
er
s
th
e
v
ac
cin
atio
n
r
ate
allo
tted
to
th
e
lo
ca
l
au
t
h
o
r
ities
o
f
v
ar
i
o
u
s
p
r
o
v
in
ce
s
b
y
ac
co
u
n
tin
g
f
o
r
b
o
th
p
o
p
u
latio
n
an
d
s
p
r
ea
d
r
ate.
T
h
is
in
n
o
v
ativ
e
p
lan
g
u
a
r
an
tees
th
at
s
u
f
f
icie
n
t
v
ac
cin
atio
n
d
o
s
es
ar
e
d
is
tr
ib
u
ted
to
th
e
ar
ea
s
th
at
h
av
e
a
g
r
ea
ter
p
r
io
r
ity
f
o
r
v
ac
cin
e
tr
an
s
m
is
s
io
n
an
d
t
h
at
v
ac
cin
atio
n
s
ar
e
n
o
t
d
elay
e
d
in
p
r
o
v
in
ce
s
wh
e
r
e
t
h
e
r
ate
o
f
s
p
r
ea
d
is
u
n
d
er
c
o
n
t
r
o
l.
Ad
d
itio
n
ally
,
all
p
r
o
v
in
ce
s
ev
en
tu
ally
r
ec
eiv
e
an
a
d
eq
u
ate
n
u
m
b
e
r
o
f
v
ac
cin
atio
n
s
h
o
ts
to
s
to
p
th
e
s
p
r
ea
d
.
T
h
is
s
tr
en
g
th
en
s
th
e
e
f
f
o
r
t
to
s
to
p
th
e
s
u
d
d
en
s
p
r
ea
d
o
f
p
a
n
d
em
ics
an
d
g
u
ar
an
tees th
e
p
r
o
v
i
n
ce
s
r
ec
eiv
e
th
e
av
ailab
le
v
ac
cin
atio
n
d
o
s
es in
an
ef
f
ec
tiv
e
a
n
d
ef
f
icien
t m
an
n
er
.
4.
CO
NCLU
SI
O
N
T
h
is
s
tu
d
y
p
r
o
p
o
s
es
a
n
o
v
el
f
u
zz
y
l
o
g
ic
ap
p
r
o
ac
h
f
o
r
a
co
u
n
tr
y
'
s
ce
n
tr
al
h
ea
lth
ca
r
e
s
y
s
tem
to
d
is
tr
ib
u
te
v
ac
cin
es
to
its
r
eg
i
o
n
al
h
ea
lth
ca
r
e
s
y
s
tem
s
.
T
h
e
p
r
o
p
o
s
ed
s
ch
em
e
co
n
s
id
er
s
th
e
s
p
r
ea
d
r
ate
a
n
d
p
o
p
u
latio
n
in
t
h
e
p
r
o
ce
s
s
o
f
t
h
e
in
f
er
e
n
ce
o
f
th
e
v
ac
cin
atio
n
r
ate
o
f
th
e
p
r
o
v
in
ce
s
.
T
h
e
s
ch
em
e
is
ass
ess
ed
u
s
in
g
C
OVI
D
-
1
9
d
ata
th
at
was
g
ath
er
ed
f
r
o
m
th
e
Go
v
e
r
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