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Burden of
Cervical Cancer
& other
HPV Related Diseases : Indian
Perspective
DR. SHARDA JAIN
ISO 14001:2004 (EMS)
…..Caring hearts, healing hands
HPV RELATED DISEASES
• Human papillomavirus (HPV) infection is now a
well-established cause of cervical cancer. HPV
causes virtually 100% of cervical cancer cases
• There is growing evidence of HPV being a relevant
factor in other ANOGENITAL CANCERS (anus, vulva,
vagina and penis) and head and neck cancers.
• HPV is also responsible for other diseases such as
recurrent juvenile respiratory papillomatosis and
genital warts
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz
J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre).
Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20
from http://hpvcentre.net/statistics/reports/IND.pdf]
Cervical Cancer Worldwide
Disease Burden
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J,
Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre).
Human Papillomavirus and Related Diseases in the World. Summary Report 2015-12-23. [Accessed on 2016-04-
20 from http://hpvcentre.net/statistics/reports/XWX.pdf]
5,27,624
New cases annually
(estimations for 2012)
4th
Common cause of female
cancer
2nd
Most common female
cancer in women aged 15-
44 years
4
2,65,672
Deaths
Annually
Approx. 728 women die every day
A women is dies every 2 minutes
Approx. 30 women die every hour
CERVICAL CANCER MORTALITY WORLDWIDE
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz
J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre).
Human Papillomavirus and Related Diseases in the World. Summary Report 2015-12-23. [Accessed on 2016-04-
20 from http://hpvcentre.net/statistics/reports/XWX.pdf]
4th Cause in female cancer deaths and 2nd most
common cancer deaths in women
aged 15-44 years
CERVICAL CANCER DISEASE BURDEN IN INDIA
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R,
Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information
Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on
2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
1,22,844 New cases annually
2nd
Common cause of
female cancer
2nd Most common female cancer in
women aged 15-44 years
• India has a population of 436.76 million women aged 15
years and older who are at risk of developing cervical cancer.
• India accounts for ~ 1/4th of Cervical cases and deaths
worldwide
6
67,477
Deaths
Annually
Approx. 185 women die every day
A women is dies every 8 minutes
Approx. 8 women die every hour
CERVICAL CANCER MORTALITY IN INDIA
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R,
Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV
Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23.
[Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
2nd Cause in female cancer deaths and 2nd leading
cause of cancer deaths in women
aged 15-44 years
Mortality Rate compared to other cancers
in Indian women
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J,
Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre).
Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from
http://hpvcentre.net/statistics/reports/IND.pdf]
8
Rajesh Dikshit etal - Lancet 2012; 379: 1807–16
Cervical cancer mortality not much
different in urban and rural Indian women
Difference in cervical cancer Mortality amongst Rural
(16.6%) & Urban (14.3%) is not very significant
Cervical cancer affects Women in their PRIME when
they are needed most by the family
Rates per 100,000 women per year
Annual number of cases and age-specific incidence rates of
cervical cancer in India
The Incidence of
Cervical cancer in
India is highest
amongst 40-64 yrs
women
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de
Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and
Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from
http://hpvcentre.net/statistics/reports/IND.pdf]
ADULT WOMEN AT RISK OF HPV
10
1. Insinga RP. Clin Inf Dis. 2003;36:1397-1403.
High Risk Zone for Cervical
Cancer
CERVICAL CANCER AND HPV TYPES
• HPV types 16 and 18 are responsible for about
70% of all cervical cancer cases worldwide. After
HPV16/18, the six most common cervical cancer
causing HPV types are 31, 33, 35, 45, 52 and 58
• In India 82.7% of invasive cervical cancers are
attributed to HPVs 16 or 18.
• In India about 5.0% of women in the general
population are estimated to harbor cervical
HPV-16/18 infection at a given time
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J,
Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human
Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from
http://hpvcentre.net/statistics/reports/IND.pdf]
ANOGENITAL CANCERS OTHER THAN
THE CERVIX
• There is an increasing body of evidence strongly
linking HPV DNA with cancers of anus, vulva,
vagina, and penis.
• Although these cancers are much less frequent
compared to cervical cancer, their association with
HPV make them potentially preventable and subject
to similar preventative strategies as those for
cervical cancer
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO
Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20.
[Accessed on 1st July 2015]
VULVAR CANCER
• Rare among women worldwide
• An estimated 27,000 new cases in 2008,
representing 4% of all gynecologic cancers
• Worldwide, about 60% of all vulvar cancer cases
occur in more developed countries.
• HPV attribution for vulvar cancer is 43% worldwide
• HPV 16 is the most common detected type followed
by HPV 33
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S,
Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India.
Summary Report 2015-03- 20. [Accessed on 1st July 2015]
VULVAR CANCER
Incidence rates of vulvar cancer by age group in India
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J,
Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre).
Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
VAGINAL CANCER
• Cancer of the vagina rare.
• An estimated 13,000 new cases in 2008, representing 2% of
all gynecologic cancers
• Majority of vaginal cancer cases (68%) occur in less
developed countries
• Most vaginal cancers are squamous cell carcinoma (90%)
generally attributable to HPV
• HPV DNA is detected among 70% of invasive vaginal
carcinomas and 91% of high-grade vaginal neoplasias
• HPV16 is the most common type in high grade vaginal
neoplasias and it is detected in at least 70% of HPV-positive
carcinomas
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R,
Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV
Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20.
[Accessed on 1st July 2015]
VAGINAL CANCER
Incidence rates of vaginal cancer by age group in India
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena
M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on
HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in
India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
PENILE CANCER
• Annual burden of penile cancer has been estimated
to be 22,000 cases worldwide
• Penile cancer is rare and most commonly affects
men aged 50-70 years
• Approximately 60-100% of PeIN lesions are HPV
DNA positive
• HPV DNA is detectable in approximately 50% of all
penile cancers
• HPV16 is the most common type detected, followed
by HPV18 and HPV types 6/11
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R,
Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV
Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20.
[Accessed on 1st July 2015]
PENILE CANCER
Incidence rates of penile cancer by age group in India
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena
M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on
HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases
in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
HEAD AND NECK CANCERS
• Infection by certain high-risk types of human
papillomavirus (i.e. HPV16) have been reported to
be associated with head and neck cancers, in
particular with oropharyngeal cancer
• Current evidence suggests that HPV16 is associated
with tonsil cancer
• The most recent figures estimate that 25.6% of all
oropharyngeal cancers are attributable to HPV
infection with HPV16 being the most frequent type
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano
R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV
Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-
03- 20. [Accessed on 1st July 2015]
HEAD AND NECK CANCERS
Indicator MALE FEMALE
India World India World
Annual number
of new cancer
cases
31,735 115,131 6,956 27,256
Annual number
of deaths
27,002 77,585 5,782 18,505
Incidence and mortality of cancer of the pharynx (excluding nasopharynx) by sex in
India, and the World (estimations for 2012).
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M,
Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and
Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India.
Summary Report 2015-03- 20. [Accessed on 1st July 2015]
ANAL CANCER
• Rare in general population
• Globally, there are an estimated 27,000 new cases every
year
• Women have higher incidences of anal cancer than men.
• Anal cancer is similar to cervical cancer with respect to
overall HPV DNA positivity, with approximately 88% of cases
associated with HPV infection worldwide
• HPV16 is the most common detected type, representing 73%
of all HPV-positive tumors
• HPV18 is the second most common type detected and is
found in approximately 5% of cases
Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de
Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and
Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
22
Ano-Genital warts
1. *Ray K et al, Indian J Med Res 2006; 124: 559-56 - done in STD clinic; 2. Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M,
Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO
Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in
India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf
18.1%
5.8%
11% 10.5%
0
2
4
6
8
10
12
14
16
18
20
1990-93 1994-97 1998-01 2002-04
Study Period
Percentage
Genital Warts – Disease Burden: India*
THERE IS AN INCREASING TREND OF
GENITAL WARTS INCIDENCE IN INDIA
In approximately
10 years time the
incidence of GW
have increased 3
times1
HPV types 6 and
11 are responsible
for over 90% of all
anogenital warts2
Diagnosis of GW was strongly related to Anal, Vulvar,
Vaginal, Cervical and Head & Neck cancer with
confirmed HPV association
Standardized Incidence Ratios (SIRs) of Cancer among women (n = 33,422) diagnosed of GW in Denmark during 1978–2009
StandardizedIncidence
Ratios(SIRs)
2.8
1.5
5.9
7.8
14.8
4.7 4.8
0
2
4
6
8
10
12
14
16
All HPV
related
cancers
Cervix
uteri
Vagina Anus Vulva Tonsils HPV
Associate
d HNC
CI: 2.4- 3.1 CI: 5.5- 9.2 CI: 2.2-12.9 CI: 5.4- 11.0 CI: 11.7-18.6 CI: 2.3-8.4 CI: 2.7-8.0
Blomberg, Friis, Munk et al, Genital Warts and Risk of Cancer: A Danish Study of Nearly 50 000 Patients With Genital Warts, JID, 2012
SUMMARY
• HPV infection is a necessary cause of cervical cancer
and is linked to several other anogenital diseases
• There is an increasing body of evidence strongly
linking HPV DNA with cancers of anus, vulva,
vagina, and penis.
• Diagnosis of GW is strongly related to anal, vulvar,
vaginal, cervical & sub sites of Head & Neck cancer
with confirmed HPV association.
ISO 14001:2004 (EMS)
…..Caring hearts, healing hands
ISO 9001:2008
HELPLINE-
9650588339/22414049
HELPLINE-9599044257
HELPLINE-9910081484
ISO 9001:2008
HELPLINE
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Burden of Cervical Cancer & other HPV Related Diseases : Indian Perspective . Dr. Sharda Jain Lifecare Centre

  • 1. Burden of Cervical Cancer & other HPV Related Diseases : Indian Perspective DR. SHARDA JAIN ISO 14001:2004 (EMS) …..Caring hearts, healing hands
  • 2. HPV RELATED DISEASES • Human papillomavirus (HPV) infection is now a well-established cause of cervical cancer. HPV causes virtually 100% of cervical cancer cases • There is growing evidence of HPV being a relevant factor in other ANOGENITAL CANCERS (anus, vulva, vagina and penis) and head and neck cancers. • HPV is also responsible for other diseases such as recurrent juvenile respiratory papillomatosis and genital warts Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
  • 3. Cervical Cancer Worldwide Disease Burden Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in the World. Summary Report 2015-12-23. [Accessed on 2016-04- 20 from http://hpvcentre.net/statistics/reports/XWX.pdf] 5,27,624 New cases annually (estimations for 2012) 4th Common cause of female cancer 2nd Most common female cancer in women aged 15- 44 years
  • 4. 4 2,65,672 Deaths Annually Approx. 728 women die every day A women is dies every 2 minutes Approx. 30 women die every hour CERVICAL CANCER MORTALITY WORLDWIDE Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in the World. Summary Report 2015-12-23. [Accessed on 2016-04- 20 from http://hpvcentre.net/statistics/reports/XWX.pdf] 4th Cause in female cancer deaths and 2nd most common cancer deaths in women aged 15-44 years
  • 5. CERVICAL CANCER DISEASE BURDEN IN INDIA Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf] 1,22,844 New cases annually 2nd Common cause of female cancer 2nd Most common female cancer in women aged 15-44 years • India has a population of 436.76 million women aged 15 years and older who are at risk of developing cervical cancer. • India accounts for ~ 1/4th of Cervical cases and deaths worldwide
  • 6. 6 67,477 Deaths Annually Approx. 185 women die every day A women is dies every 8 minutes Approx. 8 women die every hour CERVICAL CANCER MORTALITY IN INDIA Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf] 2nd Cause in female cancer deaths and 2nd leading cause of cancer deaths in women aged 15-44 years
  • 7. Mortality Rate compared to other cancers in Indian women Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
  • 8. 8 Rajesh Dikshit etal - Lancet 2012; 379: 1807–16 Cervical cancer mortality not much different in urban and rural Indian women Difference in cervical cancer Mortality amongst Rural (16.6%) & Urban (14.3%) is not very significant
  • 9. Cervical cancer affects Women in their PRIME when they are needed most by the family Rates per 100,000 women per year Annual number of cases and age-specific incidence rates of cervical cancer in India The Incidence of Cervical cancer in India is highest amongst 40-64 yrs women Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
  • 10. ADULT WOMEN AT RISK OF HPV 10 1. Insinga RP. Clin Inf Dis. 2003;36:1397-1403. High Risk Zone for Cervical Cancer
  • 11. CERVICAL CANCER AND HPV TYPES • HPV types 16 and 18 are responsible for about 70% of all cervical cancer cases worldwide. After HPV16/18, the six most common cervical cancer causing HPV types are 31, 33, 35, 45, 52 and 58 • In India 82.7% of invasive cervical cancers are attributed to HPVs 16 or 18. • In India about 5.0% of women in the general population are estimated to harbor cervical HPV-16/18 infection at a given time Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf]
  • 12. ANOGENITAL CANCERS OTHER THAN THE CERVIX • There is an increasing body of evidence strongly linking HPV DNA with cancers of anus, vulva, vagina, and penis. • Although these cancers are much less frequent compared to cervical cancer, their association with HPV make them potentially preventable and subject to similar preventative strategies as those for cervical cancer Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 13. VULVAR CANCER • Rare among women worldwide • An estimated 27,000 new cases in 2008, representing 4% of all gynecologic cancers • Worldwide, about 60% of all vulvar cancer cases occur in more developed countries. • HPV attribution for vulvar cancer is 43% worldwide • HPV 16 is the most common detected type followed by HPV 33 Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 14. VULVAR CANCER Incidence rates of vulvar cancer by age group in India Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 15. VAGINAL CANCER • Cancer of the vagina rare. • An estimated 13,000 new cases in 2008, representing 2% of all gynecologic cancers • Majority of vaginal cancer cases (68%) occur in less developed countries • Most vaginal cancers are squamous cell carcinoma (90%) generally attributable to HPV • HPV DNA is detected among 70% of invasive vaginal carcinomas and 91% of high-grade vaginal neoplasias • HPV16 is the most common type in high grade vaginal neoplasias and it is detected in at least 70% of HPV-positive carcinomas Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 16. VAGINAL CANCER Incidence rates of vaginal cancer by age group in India Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 17. PENILE CANCER • Annual burden of penile cancer has been estimated to be 22,000 cases worldwide • Penile cancer is rare and most commonly affects men aged 50-70 years • Approximately 60-100% of PeIN lesions are HPV DNA positive • HPV DNA is detectable in approximately 50% of all penile cancers • HPV16 is the most common type detected, followed by HPV18 and HPV types 6/11 Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 18. PENILE CANCER Incidence rates of penile cancer by age group in India Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 19. HEAD AND NECK CANCERS • Infection by certain high-risk types of human papillomavirus (i.e. HPV16) have been reported to be associated with head and neck cancers, in particular with oropharyngeal cancer • Current evidence suggests that HPV16 is associated with tonsil cancer • The most recent figures estimate that 25.6% of all oropharyngeal cancers are attributable to HPV infection with HPV16 being the most frequent type Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015- 03- 20. [Accessed on 1st July 2015]
  • 20. HEAD AND NECK CANCERS Indicator MALE FEMALE India World India World Annual number of new cancer cases 31,735 115,131 6,956 27,256 Annual number of deaths 27,002 77,585 5,782 18,505 Incidence and mortality of cancer of the pharynx (excluding nasopharynx) by sex in India, and the World (estimations for 2012). Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 21. ANAL CANCER • Rare in general population • Globally, there are an estimated 27,000 new cases every year • Women have higher incidences of anal cancer than men. • Anal cancer is similar to cervical cancer with respect to overall HPV DNA positivity, with approximately 88% of cases associated with HPV infection worldwide • HPV16 is the most common detected type, representing 73% of all HPV-positive tumors • HPV18 is the second most common type detected and is found in approximately 5% of cases Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-03- 20. [Accessed on 1st July 2015]
  • 23. 1. *Ray K et al, Indian J Med Res 2006; 124: 559-56 - done in STD clinic; 2. Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X. ICO Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in India. Summary Report 2015-12-23. [Accessed on 2016-04-20 from http://hpvcentre.net/statistics/reports/IND.pdf 18.1% 5.8% 11% 10.5% 0 2 4 6 8 10 12 14 16 18 20 1990-93 1994-97 1998-01 2002-04 Study Period Percentage Genital Warts – Disease Burden: India* THERE IS AN INCREASING TREND OF GENITAL WARTS INCIDENCE IN INDIA In approximately 10 years time the incidence of GW have increased 3 times1 HPV types 6 and 11 are responsible for over 90% of all anogenital warts2
  • 24. Diagnosis of GW was strongly related to Anal, Vulvar, Vaginal, Cervical and Head & Neck cancer with confirmed HPV association Standardized Incidence Ratios (SIRs) of Cancer among women (n = 33,422) diagnosed of GW in Denmark during 1978–2009 StandardizedIncidence Ratios(SIRs) 2.8 1.5 5.9 7.8 14.8 4.7 4.8 0 2 4 6 8 10 12 14 16 All HPV related cancers Cervix uteri Vagina Anus Vulva Tonsils HPV Associate d HNC CI: 2.4- 3.1 CI: 5.5- 9.2 CI: 2.2-12.9 CI: 5.4- 11.0 CI: 11.7-18.6 CI: 2.3-8.4 CI: 2.7-8.0 Blomberg, Friis, Munk et al, Genital Warts and Risk of Cancer: A Danish Study of Nearly 50 000 Patients With Genital Warts, JID, 2012
  • 25. SUMMARY • HPV infection is a necessary cause of cervical cancer and is linked to several other anogenital diseases • There is an increasing body of evidence strongly linking HPV DNA with cancers of anus, vulva, vagina, and penis. • Diagnosis of GW is strongly related to anal, vulvar, vaginal, cervical & sub sites of Head & Neck cancer with confirmed HPV association.
  • 26. ISO 14001:2004 (EMS) …..Caring hearts, healing hands ISO 9001:2008 HELPLINE- 9650588339/22414049 HELPLINE-9599044257 HELPLINE-9910081484 ISO 9001:2008 HELPLINE 9599044357