Taking vaccines the last mile after global coverage stalled

A 4-year-old girl recently came to the emergency room where I work as a resident doctor in Ghaziabad, Uttar Pradesh. She was writhing in pain, her body convulsed with seizures. My team and I moved fast to activate seizure protocol, secure her intravenous drip, and deliver all appropriate medications. We then performed a test: I blew air toward her, and she collapsed in pain; I offered her water, and her agony intensified sharply. The diagnosis was clear: She had rabies - and it was too late to save her.

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