FILE - In this Jan. 18, 2021 file photo, Healthcare worker Vanda Ortega, from the Witoto Indigenous group and dressed in traditional clothing, is the first woman to receive the COVID-19 vaccine produced by China's Sinovac Biotech Ltd, during the start of the vaccination program in Manaus, Amazonas state, Brazil. Navigating complex waterways to reach remote communities in Brazil’s Amazon is only the first challenge for health workers vaccinating Indigenous and riverine people against COVID-19. Upon arrival, they face something they never anticipated: people refusing to take the shot. (AP Photo/Edmar Barros, File)
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