ANOTHER SEXUAL DESEASE BECOMES AN EPIDEMIC:
BEWARE OF ALL NH ADULTERERS, SEX JUST ISN'T AS SAFE
ANYMORE AS YOU ONCE THOUGHT IT WAS IN 2018
Estimated deaths so far since start of 2014 due to HPV
| United States: | Worldwide: |
Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. An estimated 14 million persons newly infected every year, resulting in approximately $1.7 billion (estimates range from $800 million to $2.9 billion) in direct medical costs.
79 million Americans, most in their late teens and early 20s, are infected with HPV - Human Papilloma Virus. There are 200 different types of HPV. Some types can cause health problems including genital warts and cancers. But there are vaccines that can stop these health problems from happening. Annual HPV associated cancer incidence rates range by state from 7.9 per 100,000 to 15.3 per 100,000. New Hampshire annual rate was at 11.o per 100,000 in 2014.
You can get HPV by having vaginal, anal, or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. HPV can be passed even when an infected person has no signs or symptoms. It can also be spread through oral sex or other close skin-to-skin touching during sex. HPV can be spread even when an infected person has no visible signs or symptoms.
Anyone who is sexually active can get HPV, even if you have had sex with only one person. You also can develop symptoms years or even decades after you have sex with someone who is infected. This makes it hard to know when you first became infected.
HPV can cause cervical and other cancers including cancer of the vulva, vagina, penis, or anus. It can also cause cancer in the back of the throat, including the base of the tongue and tonsils (called oropharyngeal cancer
https://www.cdc.gov/cancer/hpv/statistics/headneck.htm)).
Cancer often takes years, even decades, to develop after a person gets HPV. The types of HPV that can cause genital warts are not the same as the types of HPV that can cause cancers. There is no way to know which people who have HPV will develop cancer or other health problems. People with weak immune systems (including those with HIV/AIDS) may be less able to fight off HPV. They may also be more likely to develop health problems from HPV.
Number of HPV-Attributable Cancer Cases per Year
An HPV-attributable cancer is a cancer that is probably caused by HPV. HPV causes nearly all cervical cancers and many cancers of the vagina, vulva, penis, anus, rectum, and oropharynx. A CDC study used population-based data from cancer tissue to estimate the percentage of these cancers that are probably caused by HPV. Since rectal cancer was not included in the CDC genotyping study, the percentage of anal cancer caused by HPV was used because recent studies have shown that the HPV-associated types of anal and rectal squamous cell carcinomas are similar.To find the number of HPV-attributable cancers, multiply the number of HPV-associated cancers by the percentage of these cancers that are probably caused by HPV. For example, about 5,229 people are diagnosed with anal cancer each year, and about 91% of anal cancers are thought to be caused by HPV.
91% of 5,229 is about 4,800, as shown in the table below.
- About 79% of anal cancers are probably caused by two types of HPV: 16 and 18.
79% of 5,229 is about 4,200, as shown in the table below. - About 8% of anal cancers are probably caused by HPV types 31, 33, 45, 52, and 58.
8% of 5,229 is about 400, as shown in the table below.
| Cancer site | (HPV-associated cancers) | Percentage probably caused by any HPV typea | Number probably caused by any HPV typea | Percentage probably caused by HPV types 16/18b | Number probably caused by HPV types 16/18b | Percentage probably caused by HPV types 31/33/45/52/58c | Number probably caused by HPV types 31/33/45/52/58c |
|---|---|---|---|---|---|---|---|
| Cervix | 11,693 | 91% | 10,600 | 66% | 7,700 | 15% | 1,700 |
| Vagina | 819 | 75% | 600 | 55% | 500 | 18% | 100 |
| Vulva | 3,671 | 69% | 2,500 | 49% | 1,800 | 14% | 500 |
| Penis | 1,181 | 63% | 700 | 48% | 600 | 9% | 100 |
| Anus | 5,229 | 91% | 4,800 | 79% | 4,200 | 8% | 400 |
| Female | 3,416 | 93% | 3,200 | 80% | 2,700 | 11% | 400 |
| Male | 1,813 | 89% | 1,600 | 79% | 1,400 | 4% | 100 |
Rectum | 772 | 91% | 700 | 79% | 600 | 8% | 100 |
| Female | 528 | 93% | 500 | 80% | 400 | 11% | 100 |
| Male | 244 | 89% | 200 | 79% | 200 | 4% | <100 font=""> |
Oropharynx | 16,479 | 70% | 11,600 | 60% | 9,900 | 6% | 900 |
| Female | 3,203 | 63% | 2,000 | 51% | 1,600 | 10% | 300 |
| Male | 13,276 | 72% | 9,600 | 63% | 8,400 | 4% | 600 |
TOTAL | 39,844 | 79% | 31,500 | 63% | 25,300 | 10% | 3,800 |
| Female | 23,330 | 83% | 19,400 | 63% | 14,700 | 13% | 3,100 |
| Male | 16,514 | 73% | 12,100 | 64% | 10,600 | 4% | 700 |
A) HPV types detected in genotyping study; most were high-risk HPV types known to cause cancer(Saraiya M et al. U.S. assessment of HPV types in cancers: implications for current and 9-valent HPV vaccines. Journal of the National Cancer Institute 2015;107:djv086).
B) HPV types 16/18 can be prevented by the bivalent, quadrivalent, and 9-valent HPV vaccines.
C) HPV types 31/33/45/52/58 can be prevented by the 9-valent HPV vaccine.
HPV-Associated Oropharyngeal Cancer Rates by State
DATA FOR MEN INTERVAL RATES
LOW 4.84 to 7.22
MEDIUM 7.23 to 8.41
HIGH 8.42 to 10.03
DATA FOR WOMEN INTERVAL RATES
LOW 0.82 to 1.56
MEDIUM 1.57 to 1.85
HIGH 1.86 to 2.43
Most people with HPV do not know they are infected and never develop symptoms or health problems from it. Some people find out they have HPV when they get genital warts. Women may find out they have HPV when they get an abnormal Pap test result (during cervical cancer screening). Others may only find out once they’ve developed more serious problems from HPV, such as cancers.
How common is HPV and the health problems caused by HPV?
HPV (the virus): About 79 million Americans are currently infected with HPV. About 14 million people become newly infected each year. HPV is so common that almost every person who is sexually-active will get HPV at some time in their life if they don’t get the HPV vaccine.Health problems related to HPV include genital warts and cervical cancer.
Genital warts: Before HPV vaccines were introduced, roughly 340,000 to 360,000 women and men were affected by genital warts caused by HPV every year.* Also, about one in 100 sexually active adults in the U.S. has genital warts at any given time.
Cervical cancer: Every year, nearly 12,000 women living in the U.S. will be diagnosed with cervical cancer, and more than 4,000 women die from cervical cancer—even with screening and treatment.
There are other conditions and cancers(https://www.cdc.gov/std/hpv/stdfact-hpv.htm) caused by HPV that occur in people living in the United States. Every year, approximately 19,400 women and 12,100 men are affected by cancers caused by HPV.
*These figures only look at the number of people who sought care for genital warts. This could be an underestimate of the actual number of people who get genital warts.
Can I be treated for HPV or health problems caused by HPV?
There is no treatment for the virus itself. However, there are treatments for the health problems that HPV can cause:- Genital warts can be treated by your healthcare provider or with prescription medication. If left untreated, genital warts may go away, stay the same, or grow in size or number.
- Cervical precancer can be treated. Women who get routine Pap tests and follow up as needed can identify problems before cancer develops. Prevention is always better than treatment. For more information visit www.cancer.org.
- Other HPV-related cancers are also more treatable when diagnosed and treated early. For more information visit www.cancer.org"
