Chronic Respiratory diseases like Bronchial Asthma,Bronchiectasis,COPD, Sarcoidosis and Interstitial Lung Disease are vulnerable to repeated infections and multiple hospital visits or admission.The main reasons for the increased susceptibility is altered lung defence, use of steroids in various respiratory conditions and multiple comorbidities like diabetes and coronary disease.Patients should ideally be vaccinated for Pneumococcal and Influenza disease routinely.