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HPV VACCINATION
Dr Nupur Gupta
NATURAL HISTORY OF HPV INFECTION
HPV TYPES
HPV & CERVICAL CANCER
HPV & CANCER
HPV & OTHER CANCERS
PRIMARY PREVENTION
QUADRIVALEN
T
HPV 6,11,16,18
BIVALENT
HPV 16,18
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)
WHO SHOULDN’T GET THE VACCINE?
 PREGNANCY
 SEVERELY ILL
 REACTION AT ITS LAST
DOSE
ANY SIDE EFFECTS?
 COMMON – SORENESS, SWELLING AT INJECTION SITE
 OCCASIONAL – N, V, DIZZINESS, FAINTING
IS IT EFFECTIVE IF YOU ARE SEXUALLY
ACTIVE?
 YES
 PROTECTION FROM OTHER STRAINS
 BUT CANNOT TREAT EXISTING HPV INFECTION
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
DO WOMEN STILL NEED PAP TEST?
 YES
 IT HASN’T REPLACED PAP TESTS
SECONDARY PREVENTION: EARLY DETECTION
SCREENING GUIDELINES
VACCINE + SCREEN
 COMBINING HPV VACCINE WITH SCREENING
WILL HAVE THE GREATEST IMPACT ON REDUCING THE
FUTURE BURDEN OF CERVICAL CANCER
MYTHS RELATED TO HPV
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
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.
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.
HUMAN PAPILLOMA VIRUS
hpvvaccination7-200307083850 2.pdf

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hpvvaccination7-200307083850 2.pdf

  • 2. NATURAL HISTORY OF HPV INFECTION
  • 4. HPV & CERVICAL CANCER
  • 6. HPV & OTHER CANCERS
  • 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
  • 16. VACCINE + SCREEN  COMBINING HPV VACCINE WITH SCREENING WILL HAVE THE GREATEST IMPACT ON REDUCING THE FUTURE BURDEN OF CERVICAL CANCER
  • 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.