Pakistan has always had a turbulent history with vaccines. That history is once again catching up with the state. Sindh's decision to include the Human Papillomavirus vaccine in the Expanded Programme on Immunisation is medically and administratively necessary. But it enters a public space shaped less by science and more by suspicion.

Cervical cancer is preventable. That is not in dispute. What is in doubt is whether the state has learned anything from its repeated failures........

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