Primary prevention is the best

1. HPV VACCINATION
Dr Nupur Gupta

2. NATURAL HISTORY OF HPV INFECTION

3. HPV TYPES

4. HPV & CERVICAL CANCER

5. HPV & CANCER

6. HPV & OTHER CANCERS

7. PRIMARY PREVENTION
QUADRIVALEN
T
HPV 6,11,16,18
BIVALENT
HPV 16,18

8. WHO NEEDS IT & WHAT IS THE DOSE?
 9 to 14 years, 2 doses (CDC)
 15 to 26 years, three doses (CDC)
 9 to 45 years (US FDA)

9. WHO SHOULDN’T GET THE VACCINE?
 PREGNANCY
 SEVERELY ILL
 REACTION AT ITS LAST
DOSE

10. ANY SIDE EFFECTS?
 COMMON – SORENESS, SWELLING AT INJECTION SITE
 OCCASIONAL – N, V, DIZZINESS, FAINTING

11. IS IT EFFECTIVE IF YOU ARE SEXUALLY
ACTIVE?
 YES
 PROTECTION FROM OTHER STRAINS
 BUT CANNOT TREAT EXISTING HPV INFECTION

12. WHAT TO DO IF YOU ARE NOT IN
RECOMMENDED VACCINE AGE GROUP?
 REGULAR PAP
 USE CONDOMS (ORAL, VAGINAL OR ANAL SEX)
 AVOID SMOKING
 WARNING SIGN: POSTCOITAL OR POSTMENOPAUSAL
BLEEDING

13. DO WOMEN STILL NEED PAP TEST?
 YES
 IT HASN’T REPLACED PAP TESTS

14. SECONDARY PREVENTION: EARLY DETECTION

15. SCREENING GUIDELINES

16. VACCINE + SCREEN
 COMBINING HPV VACCINE WITH SCREENING
WILL HAVE THE GREATEST IMPACT ON REDUCING THE
FUTURE BURDEN OF CERVICAL CANCER

17. MYTHS RELATED TO HPV

18. HPV IS RARE
 Accounts for maximum number of STIs worldover
HPV is transmitted through AIR
 Infected skin or mucus membrane – mouth, anus, cervix,
vagina or penis

19. Only one type of HPV causes cancer
 Low Risk (6,11)
 High Risk (16,18, 31,33, 45,52,58)
If you're not having sex, don't worry about it
 Any genital contact can spread an HPV infection, so anyone
with a sexual history could be at risk.
Having more sexual partners, and having sex at an earlier
age, could increase the overall risk.

20. Vaccine wont work if infected with HPV
 Vaccine prevents against other strains even if
infected with one or two strains
Contracting HPV doesn’t mean you will not get
again
 There are more than 100 strains of HPV. Having immunity
to a single strain doesn't preclude a person from being
infected with another.

21. HUMAN PAPILLOMA VIRUS