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Human
papillomavirus (HPV) is a virus that sometimes causes
genital warts but in many cases infects people without
causing noticeable symptoms. Concern about HPV has
increased in recent years after studies showed that
some types of HPV infection cause cervical cancer.
HPV is likely the most common STD among young, sexually
active people and is of increasing public health
importance. At any one time, an estimated 20 million
people in the United States have genital HPV infections
that can be transmitted to others. Every year, more
than 6 million people acquire a genital HPV infection.
While there is no way to know for sure if HPV is increasing,
there are no signs of a significant decline. With improved
testing technology, researchers have been able to get
a much clearer picture of the true extent of HPV in
certain groups in recent years, and the infection is
even more common than originally believed.
Types
of HPV that Infect Genital Area
There are 30 distinct types of HPV that can infect
the genital area. Of these, some types cause genital
warts, and others cause subclinical infections, noted
as such because they are invisible or cannot be seen.
Genital warts are extremely common, but can be treated
and cured. Subclinical HPV infection is much more common
than genital warts, and there is currently no treatment.
The disease can lead to cervical, penile and anal cancer.
Most
HPV infections appear to be temporary and are probably
cleared up by the body’s immune system.
One study in college students showed that in 91 percent
of women with new HPV infections, HPV became undetectable
within two years (Ho, 1998). However, reactivation
or reinfection is possible.
Persistent
cervical infection with certain types of HPV is the
single most important risk factor for cervical cancer.
HPV type 16 accounts for more than 50 percent of
cervical cancers and high-grade dysplasia—abnormal
cell growth. HPV type 16, along with types 18, 31,
and 45 account for 80 percent of cervical cancers (Bosch,
1995; Shah, 1997).
HPV Vaccine
June 2006, an HPV vaccine was approved
by the FDA and recommended by the CDC to be given to young women who are not
yet infected with HPV. The vaccine has shown to be effective in the prevention
of some types of HPV, including some associated with cervical cancer in women. The
vaccine specifically (and effectively) targets HPV Types 6, 11, 16 and
18.
The
vaccination process includes a series of shots and
is recommended by the CDC particularly for 11-12
year-old girls. It is recommended that girls get
vaccinated before they become sexually active, which
is the reason for the young age recommendation.
The
HPV vaccine is called Gardasil. You need to contact
your insurance company to see if they cover all three
shots required for the full vaccination.
Cervical Cancer
The American Cancer Society estimates that more than 9,500 women a year, in the
United States, are diagnosed with cervical cancer. From that, 3,700 of them
will die from the cancer.
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