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Vaccination is one of the most cost effective strategies available in public health today. In addition to protecting the vaccinated individual from developing a potentially serious disease, vaccines help protect the community by reducing the spread of infectious diseases. There is also a sizeable disease burden due to vaccine preventable diseases in adults. This is responsible for large economic losses directly and indirectly. The WHO has indicated the need to expand immunization activities beyond infancy, either as part of routine immunization services, or as part of disease elimination and / or eradication measures.