Why Africa Cannot Eliminate Cervical Cancer Without Expanding HPV Vaccination Beyond Adolescent Girls
Cervical cancer remains one of the leading causes of cancer-related deaths among women globally, despite being almost entirely preventable. In Africa, it continues to claim lives not because science has failed, but because policy ambition has fallen short. Over 200 strains of human papillomavirus (HPV) exist, with 12 high-risk types responsible for most HPV-related cancers. Although HPV vaccines can prevent almost 90% of cervical cancer, most women remain unvaccinated, leaving cervical cancer among the top killers of women worldwide, with more than 94% of deaths occurring in low- and middle-income countries. At current rates of vaccination and coverage, hundreds of thousands of African women will die from a cancer that could have been prevented with vaccines already available. Cervical cancer hits the hardest where vulnerability is greatest. The World Health Organization (WHO) identifies sub-Saharan Africa as the region with...