Pakistan is grappling with an outbreak of lumpy skin disease in cattle and buffaloes, following the arrival of vaccines from Turkey more than five months after the first cases were reported. The disease, transmitted by insects, can severely impact milk production and reproductive organs. The government is working to vaccinate millions of animals ahead of the religious festival Eid-ul-Azha, which could potentially trigger a second wave if cattle fairs are permitted. The disease has also affected animals in India and Iran. The origin of the disease in Pakistan is suspected to be imported livestock that were not quarantined as required.