Human papillomavirus (HPV) is the most common
sexually transmitted infection in the United States. More than 100 types of HPV
are known, and about 40 of these infect the human genital tract. HPV infects the
skin, genital area, and lining of the cervix. Fifty to 75% of sexually active
adults acquire at least one type of HPV during their lifetime.
Although most of these infections are asymptomatic and clear spontaneously, the
FDA estimated that in 2006 more than 9,700 women in the U.S. would be
diagnosed with cervical cancer, and 3,700 women would die of this disease.
In 2006 the FDA approved the
HPV vaccine Gardasil, and the Advisory Committee on Immunization Practices
recommended the vaccine be incorporated into the routine schedule of childhood
immunizations. A quadrivalent HPV vaccine, Gardasil is 90-100% effective
against:
Vaccination is recommended for girls between
the ages of 11-12, and is licensed for use in females between the ages of 9 and 26.
Immunization is most effective when given before a girl becomes sexually active,
as it then provides protection against all four HPV types.
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50-75%
of all sexually active adults
are infected by
HPV
at some point in their lives.
In 2006
about 9,700
women in the U.S. were
diagnosed with cervical cancer, of these, an estimated
3,700 women will
die
of this disease.
HPV vaccination
can prevent infection from HPV types 16
and 18, which cause
about 70% of cervical cancers.

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Although the vaccine has no therapeutic affect
against existing disease, sexually active
young women can also benefit, as they will be protected against any of the four
types of HPV which they have not yet contracted.
Routine screening using the Pap test is still
vital, for Gardasil protects against only four of the more than 100 types of HPV,
and does not safeguard
young women who have already contracted HPV.
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