HUMAN PAPILLOMA VIRUS INFECTION (HPV): WHAT YOU SHOULD KNOW ABOUT IT.
WHAT
YOU SHOULD KNOW ABOUT HUMAN PAPILLOMA VIRUS INFECTION (HPV).
Human
papillomavirus infection is an infection by human papillomavirus (HPV). Most
HPV infections cause no symptoms and resolve spontaneously. In some people, an
HPV infection persists and results in warts or precancerous lesions. The
precancerous lesions increase the risk of cancer of the cervix, vulva, vagina,
penis, anus, mouth, or throat. Nearly all cervical cancer is due to HPV with
two types, HPV16 and HPV18, accounting for 70% of cases. Between 60% and 90% of
the other cancers are also linked to HPV. HPV6 and HPV11 are common causes of
genital warts and laryngeal papillomatosis.
CAUSE INFECTION
An HPV
infection is caused by human papillomavirus, a DNA virus from the
papillomavirus family, of which over 170 types are known. More than 40 types
are transmitted through sexual contact and infect the anus and genitals. Risk
factors for persistent HPV infections include early age of first sexual
intercourse, multiple partners, smoking, and poor immune function.
WAY YOU CAN GET INFECTED
HPV is typically spread by sustained direct skin-to-skin contact with
vaginal and anal sex being the most common methods. Occasionally, it
can spread from a mother to her baby during pregnancy. It does not spread via
common items like toilet seats. People can become infected with more than one
type of HPV. HPV only affects humans.
HPV is the most common sexually transmitted
infection globally. Most people are infected at some point in their lives. In
2012, about 528,000 new cases and 266,000 deaths occurred from cervical cancer worldwide. Around
85% of these occurred in the developing world.
In the United States, about
27,000 cases of cancer due to HPV occur each year. About 1% of sexually active
adults have genital warts. While cases of warts have been described since the
time of ancient Greece, their viral nature was not discovered until 1907.
VACCINE
HPV vaccines
can prevent the most common types of infection. To be most effective, they should be used
before an infection occurs and are therefore recommended between the
ages of nine and 13. Cervical cancer screening, such as with the Papanicolaou
test (pap) or looking at the cervix after using acetic acid, can detect early
cancer or abnormal cells that may develop into cancer. This allows for early
treatment which results in better outcomes. Screening has reduced both the
number and deaths from cervical cancer in the developed world. Warts can be
removed by freezing.
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