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Essential questions on COVID-19 vaccination in Ramadan

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  During Ramadan, adult Muslims are obligated to abstain from eating and drinking from dawn to sunset, up to 19 hours each day, depending on location. However, there are exemptions for travellers, menstruating women, and those with specific disorders or disabilities. Given that vaccination for the COVID-19 pandemic is now in its booster dose phase in most countries, many people will be required or offered the dose during the month of Ramadan.   However, Ramadan may inhibit efficient immunisation roll-out because of substantial challenges with communities within Muslims who may fear invalidation of the fast due to vaccination. We must remember that taking vaccines intramuscularly during fasting hours (dawn to dark) does not invalidate the fast and that vaccination should not be postponed. Concerns over the use of the COVID-19 vaccination during Ramadan exist— about whether the injection invalidates the fast, any possible adverse effects, and if individuals will be able to break their fa