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The different vaccines are recommended for different people based on age and medical status. The song was so. Ipanema Healthcare | 28 followers on LinkedIn. Mild local soreness and redness may occur after the injection for a few days. Giving all vaccines for which a person is eligible at the same visit is a best practice as it increases the probability people will be up to date on recommended vaccines. G M. Ipanema Inn Hotel. Save. Regarding drinks we. O desenvolvimento da Villa de Ipanema se intensifica a partir do início do século XX, quando a cidade do Rio de Janeiro ruma da região Central para o Sul a partir dos bairros do Flamengo, Botafogo e posteriormente Copacabana, Ipanema e Leblon. Smallish cuts of fish but the prices are low, so it's a good value. These data show the latest WHO/UNICEF Estimates of National Immunization Coverage (WUENIC) at the Global level. All unvaccinated travelers need to present proof of the negative PCR test before boarding. Vaccinations are safe and effective for children to receive at the recommended ages. #102 of 364 hotels in Rio de Janeiro. Vaccines protect us throughout life and at different ages, from birth to childhood, as teenagers and into old age. Medicare Part B plan will pay for the following: COVID-19 Vaccines. 09/22/2023. Register today at pharmacyappointments. 78,232 reported COVID-19 deaths. For travelers visiting Taormina, Ipanema Hotel is an excellent choice for rest and rejuvenation. Here's why I highly recommend dining at Ipanema: Authentic Brazilian Flavors: Ipanema offers an authentic taste of Brazil right in the heart of Doha. Rua Maria Quitéria, 27 - Ipanema, Ipanema, Rio de Janeiro, CEP 22410-040, Brazil – Excellent location – show map – Subway Access. Rua Francisco Otaviano 131, Rio de Janeiro, State of Rio de Janeiro 22080-040 Brazil. u d (ʒi) ʒɐˈne (j)ɾu] ⓘ; [5] literally 'River of January'), or simply Rio, [6] is the capital of the state of Rio de Janeiro ( Brazil 's third-most-populous state ), and the second-most-populous city in Brazil, after São Paulo. 2. Loss of appetite. Last Reviewed: November 16, 2023. With vaccine 0. Sleeps 5 · 2 bedrooms · 3 bathrooms. Most Inflammatory Disease Patients on Immunosuppressants Mount a Response to the COVID-19 Vaccine (But Can Vary a Lot by Medication) A new study looked at antibody levels in. The song was so. Ipanema Park Hotel. The updated COVID-19 vaccine is now available for children and adults. as of May 6, 2023. 1 photo. Infants and. Cleanliness 4. Shop ipanema products online at Zando South Africa Explore a great selection of genuine ipanema at the best price in South Africa . 9. #23 of 45 hotels in El Arenal. org has developed hundreds of resources for healthcare professionals and their patients. Find a COVID-19 vaccine or booster: Search vaccines. There were small changes to the annual recommendations around flu vaccination,. 2. contemporaneamente ad altri vaccini. As a rule, severe systemic reactions may develop against vaccine strains in individuals with severe immunosupression and in individuals with unknown functions related with the immune system. Ambiance: dressy casual. The Centers for Disease Control and Prevention (CDC) is working with public health departments, health care providers, and other partners to. This dose does not count as part of the routine childhood vaccination series. vai all'area Covid-19 . Stadsdelen räknas som en av de lyxigare delarna av Rio och ett av de dyraste områdena att bo i. Against severe disease, efficacy was 94. Rio: Christ the Redeemer Official Ticket with Van Transport. Helo Pinheiro. Washington, D. But each day, when she walks to the sea. Comedian John Oliver has succeeded in his campaign to have what he describes as a weird, puking bird with a colorful mullet win New Zealand's Bird of the Century contest. Vulnerability Disclosure Policy. Just add a small piece of web code to your page and the content will automatically update whenever CDC updates this page. Find a Flu vaccine. Updated COVID-19 vaccines are now available for children and adults. 40. Certain ingredients help keep vaccines safe from contamination and toxins. Fully vaccinated travelers with proof of vaccination, and children under 12 are exempt from presenting a negative pre-departure test result. Once the antigen-specific antibodies are produced, they work with the rest of the immune system to destroy the pathogen and stop the disease. Both rotavirus vaccines are administered orally, by putting drops in the infant’s mouth. Listed by the GaWC as a beta global city, Rio de Janeiro is the. Write a review. P. This report celebrates the tangible progress we’ve made towards reflecting diversity in our leadership, unleashing the full potential of our people, and achieving impact in and beyond the workplace. Each year a new flu vaccine is made to protect against the influenza. CDC recommends PCV15 or PCV20 for adults who never received a PCV and are. Little Brazil’s Ipanema Returns to Manhattan. Explore photos and videos from different accounts, topics and locations that use this hashtag. Panoramas (15)The U. I vaccini adattati funzionano come quelli originali, puntualizza l'Ema. Location 4. The beach was, after all, a launching pad for the skimpy tanga bikini, the once-popular crocheted G-string for men, and the unforgettable (if only we could forget) dental-floss bikini. Pneumococcal polysaccharide vaccine or PPSV23 (Pneumovax 23®) includes purified preparations of pneumococcal capsular polysaccharide. 5 2023-0084025, 2023-0084026, 2023-0085084, 2023-0084031, 2023-0086661 Thawed vials can be handled in room light conditions. C. accination. Vaccini - Clínica de Vacinação, Todas as unidades Vaccini. We offer SAFE and SECURE payment options with FAST delivery anywhere in. Visit the official website to learn more about the services, programs, and events offered by the hospital. Ipanema IPANEMA ANATOMICA CLASSICA AZUL AZUL ESCURO $18. Report Vaccini Anti COVID-19. L'Hotel Ipanema vanta anche una spiaggia privata con vasca idromassaggio, situata a 1 km dalla struttura. Antivirals. É ela a menina que vem e que passa. Polio Vaccine (IPV) Polio, an infectious disease caused by a virus that lives in the throat and intestinal tract, was once the leading cause of disability in the U. . And when she passes, each one she passes goes "ah!" When she. The Commission and EU countries pledged over €5 billion to COVAX, the global initiative aimed at ensuring equitable access to COVID-19 vaccines and supporting vaccination campaigns in partner countries, to make available 1. Cruz, Manila Philippines 1003 Telephone No. We will provide the latest COVID-19 vaccine updates, answers and information for you and your family. virus. Join the community and share your own content with #tafi. O desenvolvimento da Villa de Ipanema se intensifica a partir do início do século XX, quando a cidade do Rio de Janeiro ruma da região Central para o Sul a partir dos bairros do Flamengo, Botafogo e posteriormente Copacabana, Ipanema e Leblon. The closest restaurant (about 100 metres or so) is La Laguna, a beautifully bohemian venue which is beloved by. Billboard list. The paper traces the evolution of vaccination policies in Italy in the first 40 years of the National Health Service. Lower your risk of pneumonia with immunizations and other healthy living practices. Gaithersburg, MD 20879. Search to find a location near you. Location 3. 50%. Notes. Rio de Janeiro: Rocinha Favela Walking Tour with Local Guide. Below is more information about who should and should not get each type of pneumococcal vaccine. Last Reviewed: September 1, 2021. Which Ipanema hotels in Rio de Janeiro are good for families?Il presidente Aiom al XXV Congresso nazionale. Pneumovax 23: 23-valent pneumococcal polysaccharide. If you have had a severe allergic reaction to a previous pneumococcal vaccine or any vaccine containing diphtheria toxoid, do not get a PCV shot. Among the facilities of this property are a 24-hour front desk and room service, along with free WiFi throughout the. There are four FDA-approved vaccines that protect against pneumonia: Prevnar 13: 13-valent pneumococcal conjugate vaccine, or PCV13. Uncle Sam will pay for now. Acervo do Arquivo Nacional. Hepatitis B vaccines for persons at increased risk of hepatitis. Access Google Drive with a Google account (for personal use) or Google Workspace account (for business use). View all photos (463) Traveler (282) 360. Generalized eczematous reaction on the back and shoulder. Highlights including Copacabana and Ipanema Beach, with a swirly black-and-white promenade and sweep of honey sand, are watched over by the granite peak of Sugarloaf Mountain and the ivory statue. The Girl from Ipanema. Private party contact. Vacinar é um ato de respeito e amor à vida e também uma atitude de responsabilidade coletiva. La vera storia della sua «Ragazza di Ipanema». COVID-19 vaccines are effective at protecting people from getting seriously ill, being hospitalized, and even dying. Book the Best Ipanema Rio de Janeiro Hotels on Tripadvisor: Find 25,988 traveller reviews and 13,681 candid photos, and prices for hotels in Ipanema. These Ipanema hotels in Rio de Janeiro have been described as romantic by other travelers: Hotel Fasano Rio de Janeiro - Traveler rating: 4. words that start with vaccini Scrabble Word Finder Wordle solver Words With Friends cheat dictionary word solver to find words starting with vaccini. In questa pagina ci sono i dati in aggiornamento delle vaccinazioni iniziate su tutto il territorio alla fine del 2020. Sore or swollen arm from the shot. Here's why I highly recommend dining at Ipanema: Authentic Brazilian Flavors: Ipanema offers an authentic taste of Brazil right in the heart of Doha. Vaxneuvance: 15-valent pneumococcal conjugate vaccine, or PCV15. This virus is a coronavirus called SARS-CoV-2. gov or call the number on the back of your Medicaid card to find providers who are immunizing. For vaccine recommendations for persons 18 years of age or younger, see the Recommended Child and Adolescent Immunization Schedule. Criada em 1992, a Prophylaxis é primeira clínica de vacinas que ofereceu o serviço de vacinação em domicílio do Brasil. Rooms at Hotel Ipanema Beach provide air conditioning, and guests can stay connected with paid wifi. I bambini fra i 12 mesi e i 12 anni di età possono ricevere il vaccino MMR insieme a quello contro la varicella con un’unica vaccinazione, denominata MMRV. Easy access to COVID-19 vaccines is equally important. Neighborhood: Ipanema. Free and Low-Cost Immunization Clinics. Español (Spanish) Print. Vax Verify is an online system that allows Illinois residents 18 years and older to check their COVID-19 vaccination record. Prevnar 20: 20-valent pneumococcal conjugate vaccine, or PCV20. Vaccines reduce risks of getting a disease by working with your body’s natural defences to build protection. The following steps will help you complete this process. Save. To enter cells smoothly, mRNA travels within a protective bubble called a Lipid Nanoparticle. This stimulates your body to build protection against the 23 serotypes of Streptococcal. Infants and Children. Opens in 46 min : See all hours. However, some vaccines can have serious or even life-threatening reactions. The paper traces the evolution of vaccination policies in Italy in the first 40 years of the National Health Service. For assistance, please call 800-835-4709 or 240-402-8010, extension 1. Vax Verify can be accessed at “As a way to reduce the spread of COVID-19 and keep people safer, some businesses, events, organizations, and others are opting to require proof of. Service 4. Discard vial and excess volume after extracting a single dose. The side effects from Tdap are usually mild, and may include: Pain, redness, or swelling where the shot was given. 3. Ipanema Saúde Animal & Ambiental | 7,202 followers on LinkedIn. IPANEMA 2020 | 117 followers on LinkedIn. [7] Today, 79 percent of Japanese people have received two doses of a COVID-19 vaccine; 20 percent have received a. PPSV23 contains polysaccharide antigen from 23 types of pneumococcal bacteria. Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more. Your health care provider can help you determine which type of pneumococcal conjugate vaccine, and how many doses, you should receive. 8. 5. Nearby landmarks such as Forte de Copacabana (1. But some people have mild side effects from the vaccine, including: Swelling, soreness, or redness where you got the shot. (For example, Kinrix® or Quadracel® may be used for only 1 dose of multi-dose DTaP and IPV series. She looks straight ahead, not at me. When these bacteria invade the lungs,. 22 Dec 2021For best protection, it’s important to stay up to date on the following vaccinations: COVID-19 – to protect against severe COVID-19 illness. STEAMSHIP GRILL & BAR, Victoria - James Bay - Menu, Prices, Restaurant Reviews & Reservations - Tripadvisor. These Ipanema hotels in Rio de Janeiro have been described as romantic by other travelers: Hotel Fasano Rio de Janeiro - Traveler rating: 4. Verified account Protected Tweets @; Suggested usersThe contest is to choose the nation’s favorite bird and the interference is from comedian John Oliver. A new CDC initiative, called the Bridge Access Program, will provide free COVID-19 vaccines to all Americans who either don’t have insurance or are underinsured. Email: CustomerService@ebsi. S. Ipanema is considered Rio's crown jewel. $559. #54 of 92 hotels in Taormina. Enter all your details, including your name, gender, Date of birth, security PIN, Aadhaar number. I bambini fra i 12 mesi e i 12 anni di età possono ricevere il vaccino MMR insieme a quello contro la varicella con un’unica vaccinazione, denominata MMRV. Santa Cruz (Holy Cross) is an extensive and populous neighborhood of the high class, lower middle and low in the West Zone of the municipality of Rio de Janeiro, Brazil, the farthest from the center of Rio de Janeiro. Unvaccinated travelers must get a mandatory PCR or antigen test taken within 24 hours from arrival. How, how can I tell her I love her. Call 1-800-232-0233. Closed now : See all hours. It’s also used in cancer research. CDC's Vaccines and Immunizations web site. 4. Recent estimates from CDC’s Autism and Developmental Disabilities Monitoring Network found that about 1 in 44 children have been identified with ASD in communities across the United States. Vaccines. 1. 8. Another question immunocompromised patients may have is whether they need to be vaccinated after recovering from COVID-19. Vaccines protect us throughout life and at different ages, from birth to childhood, as teenagers and into old age. CDC recommends PCV15 or PCV20 for adults who never received a PCV and are. Step 1: Download and install the Digilocker app from the Google Play Store or Apple Play Store on your device. 4. The peak it reached was number five on the U. Constructed between 1922 and 1931, the statue is 30 metres (98 ft) high, excluding its 8-metre (26 ft) pedestal. Verified account Protected Tweets @; Suggested users The contest is to choose the nation’s favorite bird and the interference is from comedian John Oliver. Health Care. To help realize this promise for billions around the world, IVAC builds. Then make an appointment with that location directly. Four phases have been identified: the first (1978-98) characterized by the eradication of smallpox, the hopes of further eradications and the introduction of hepatitis B. Abbreviations: ACIP = Advisory Committee on Immunization Practices; HA = hemagglutinin; IIV4 = inactivated influenza vaccine, quadrivalent; IM = intramuscular; LAIV4 = live attenuated influenza vaccine, quadrivalent; MDV = multidose vial; PFS = prefilled syringe; RIV4. Vaccines work by teaching your body to recognize specific dangerous pathogens so your immune system is prepared to fight off that infection in the future. 10/3/2018. Each room has a flat-screen TV with cable channels. W. CDC recommends COVID-19 vaccination for everyone aged 6 months and older. CDC is committed to. If PCV15 is used, it should be followed by a dose of PPSV23. Ideally located 500 metres away from both Copacabana and Ipanema Beaches, Atlantis Copacabana Hotel provides a terrace with Atlantic Ocean views and a rooftop pool. Pneumococcal pneumonia – to protect against the most common type of bacterial pneumonia. Read the guidelines below for each vaccine. 0Exceptional (29 reviews) Season, best point of Copacabana! Fit-studio near the beach and trade. EpiVacCorona (Russian: ЭпиВакКорона, tr. There are many flu viruses, and they are always changing. Explore photos and videos from different accounts, topics and locations that use this hashtag. According to Dr. Source: National. Headache. I have decided to take the yellow fever vaccine before travel. {"payload":{"allShortcutsEnabled":false,"fileTree":{"dati":{"items":[{"name":"anagrafica-vaccini-summary-latest. If you prefer Pfizer, talk with your provider. Find 97 different ways to say VACCINE, along with antonyms, related words, and example sentences at Thesaurus. Value 4. 5 gennaio 2022Clinical Resources Materials for Providers Alphabetical by Title Materials for Vaccine Recipients Alphabetical by Title View all Clinical Resources Ask the Experts View all Ask the Experts: Influenza CDC · FDA · State ACIP Recommendations Current Recommendations Additional Federal Resources Vaccine Information Statements View. 969 reviews. Vaccines reduce risks. Once you find a location that works for you, please confirm vaccine availability through their site. 2,152 reviews. Ciclovia De Ipanema. Den omsluts av stadsdelarna Leblon i väst, Arpoador i öst och Lagoa i norr. g. 1, la prevalente in Italia secondo l'ultima flash survey diffusa dall'Istituto superiore di. Anche se non esistono vaccini da fare per andare in Kenya, per viaggiare in sicurezza bisogna innanzitutto affidarsi al buonsenso e applicare in maniera scrupolosa tutte le linee guida igienico sanitarie. Biking Trails. Infants and young children usually need 4. Apply now. 5. Click or call 800-927-7671. Put CDC syndicated pages on your website for free. Interim 2023-2024 COVID-19 Immunization Schedule for Persons 6 Months of Age and Older First, find a place to receive your shot. It tells about the development of Covaxin during the COVID-19 pandemic in India, shedding light on the efforts of scientists involved in its creation. Omar Al Mukhtar Street Marriott Marquis City Center Doha Hotel, Doha 25500 Qatar +974 4419 5510 Website Menu. military’s largest service branch has announced an extensive timeline for troops to get vaccinated against Covid-19, and what they can expect to have happen if they don’t. 3 W 36th St, New York City, NY 10018 +1 212-730-5848 Website Menu. Myth: COVID-19 vaccines were developed too fast to be safe. We found the area to be safe (we didn’t have any. Due to polio vaccination, the disease is no longer a public health concern in the United States. Ipanema is an upscale area, home to many high-end restaurants and luxury shops, many of. Yes, I would give my heart gladly. 1 2. Ipanema is an upscale area, home to many high-end restaurants and luxury shops, many of which can be found on the charming Garcia d'Ávila Avenue. I nuovi vaccini anti SARS-CoV-2 di nuova formulazione, contenente XBB. Earn Bonus Points NOW. Receive the latest updates from the Secretary, Blogs, and News Releases. Vaccination: The act of introducing a vaccine into the body to produce protection from a specific disease. You can also try any of the following: Text your ZIP code to 438829. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023-2024 Influenza Season has been published. mRNA is a molecule that tells our bodies to make proteins. Everyone aged 6 months and older who is moderately or severely immunocompromised needs at least 1 dose of a 2023-2024 updated COVID-19 vaccine. somministrazioni-vaccini-latest-2023: dati sulle somministrazioni giornaliere dei vaccini suddivisi per regioni e fasce d'età dei soggetti vaccinati riferiti all'anno 2023. Availability will continue to increase, so if you don't find vaccines near you, contact your local pharmacy or health care provider, or check back later. Pneumococcal disease is caused by common bacteria ( Streptococcus pneumoniae ). m. l’MMRV dura tutta la vita. As a result of the American Rescue Plan Act of 2021, states must provide coverage for Medicaid and CHIP (Children’s Health Insurance Program), without cost-sharing, for COVID-19 vaccinations through September 30, 2024. Flanked by the towering Dois Irmaos (Two Brothers) mountains, the beach is informally split into sections according to social groups. The villa is located in a strategic spot right on the border between Canggu and Seminyak, offering easy access to both of these sought-after areas. Hotel Fasano Rio de Janeiro. Notes. 00. For example, the young and the beautiful head to Posto Nove (lifeguard post 9), while gay beachgoers congregate by. Ipanema is also a world renowned flip flop designer and manufacturer which uses an innovative material known as "melfex", which is flexible,. Live, attenuated influenza vaccine (called “LAIV”) is a nasal spray vaccine that may be given to non-pregnant people 2 through 49 years of age. Service 4. VaxVerify@illinois. From Rio de Janeiro: Shuttle to/from Abraão on Ilha Grande. Mild fever. Your health care provider can help you determine which type of pneumococcal conjugate vaccine, and how many doses, you should receive. Interim 2023-2024 COVID-19 Immunization Schedule for Persons 6 Months of Age and OlderTo find a COVID vaccine location near you, you can search by vaccine brand or retailer below. For example, there are vaccines to protect against diseases caused by: Viruses, like the ones that cause the flu and COVID-19. 1 This risk is further exacerbated by immunosuppressant medications used to treat IBD. Cuenta con piscina al aire libre, terraza solárium, restaurante y bar. Summary. Stay at this 5-star luxury hotel in Rio de Janeiro. " It was released in the spring of 1964. However, a small percentage of recipients do not respond to the first dose of an injectedThe “COVID-19 Vaccine” webinars are 15-30-minute presentations designed to provide health care providers with the most up-to-date information on COVID-19 disease and the vaccines used to fight the virus that causes COVID-19. For calculating intervals between doses, 4 weeks = 28 Intervals of ≥4 months are determined by calendar months. A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. If PCV15 is used, this should be followed by PPSV23. COVID-19 Vaccine Locations in Napa, CA. There are three pneumococcal conjugate vaccines (PCV13, PCV15, and PCV20). Value 3. 6% against lower respiratory tract disease during the first season, 77. Injection site pain and mild, flu-like symptoms may occur with vaccine shots. Free WiFi is available throughout the property. Vaccines. 4 mi) and Parque Lage (1. Avenida Vieira Souto 80, Ipanema, Rio de Janeiro, RJ. Arena Ipanema Hotel. 22 Jul 2021Vaccines contain ingredients that help your body build this immunity. | A. SDI Productions/E+ via Getty Images. All’età di 88 anni, sabato 6 luglio a. The Novavax COVID-19 vaccine is one of three COVID vaccines available in the U. Vaccines help create a world where people and communities are free from the health, economic, and social consequences of preventable disease. Closed now : See all hours. 31,831 likes · 210 talking about this. New Zealand conservation group Forest & Bird, which organized the poll, said the two. 3. Write a review. If you have insurance, check with your selected site or your insurer to confirm that the site is in network. 5. Some vaccines against COVID-19 also use. Le coppie apprezzano molto la posizione: l'hanno valutata 8,9 per un viaggio a due. Arena Ipanema Hotel. gov, text your ZIP code to 438829, or call 1-800-232-0233 to find locations near you. This is an option. Find information and tools to help you find out where to get vaccinated near you—and some tips for making an appointment. The current release of the WUENIC with data up to 2022 (released in 2023) includes estimates for WHO Member States, including those that did not report 2022 data. Anaphylactic reactions (a severe whole-body allergic reaction) to the shot are possible, but very rare. COVID-19 vaccines. The World Health Organization definition of a post-vaccine adverse event is as follows: any untoward medical occurrence that follows immunization, which does not necessarily have a causal relationship with the usage of the vaccine []. Rua Bulhoes de Carvalho 337, Rio de Janeiro, State of Rio de Janeiro 22081-000 Brazil. Please do not contact your local CVS pharmacy directly with questions about the COVID-19 vaccine; individual pharmacies cannot schedule. Sônia Beatriz GoldbachJune 29, 2023 – CDC Director Rochelle P. 21, 2023: Wolverine announced on Tuesday that it has made the strategic decision to license their sock business exclusively to Renfro Brands. Mild fever. For some combination vaccines, this column represents the routine number of doses for that product, and not necessarily the total number of doses in a complete series for the components. The Fireside Grill is a wonderfully refurbished heritage manor with an upbeat atmosphere ideal for casual fine dining to small or large parties. 5/5. Serious reactions are very rare for both vaccines. Hospital Quali Ipanema Wellness and Fitness Services Rio de Janeiro, Rio de JaneiroIl Covid non fa più paura, rischio fuga dai vaccini: finora iniezioni per pochissimi La campagna vaccinale è partita da alcuni giorni ma le somministrazioni sono solo poche migliaia. Vaccination schedule for Panama The vaccine scheduler table summarizes the current vaccination schedule for young children, adolescents, and adults in Panama. 194 reviews. People should get a pneumonia shot at least once in their life. This was our first sushi experience in Ipanema and it was so great, can't wait to come here again. 36. based on Current projection scenario by April 1, 2023. Few excipients are likely to have caused these reactions. Disability Information and Access Line (DIAL): 1-888-677-1199. They are based on data reported until 26 June 2023. Print. Locals clap as the last slither of sun dips behind the horizon. Fever. Diego Ribeiro Address: Círculo Militar da Praia Vermelha – Praça General Tibúrcio, S/N – Urca Rio de Janeiro – RJ Phone: +55 (21) 2541-3250. Addio a João Gilberto. 2% over two seasons. We have been working with large Chinese corporations for the last 12 years in. The provider can explain available. Four phases have been identified: the first (1978-98) characterized by the eradication of smallpox, the hopes of further eradications and the introduction of hepatitis B.