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OBJECTIVES

To provide basic information about HPV and


HPV-related diseases including cervical cancer
To educate the participants about cervical
cancer prevention and control
HUMAN PAPILLOMAVIRUS (HPV)

More than 100 types of HPV


~30-40 types affect the genital area
Genital HPV is the most common
sexually transmitted infection
in men and women
HPV-RELATED DISEASES
Fallopian Tubes
Ovaries
Uterus
Oropharyngeal Cancer

Recurrent Respiratory Cervix


Papillomatosis Vagina

Vulva

Genital Warts

Penile Cancer ●
Anal Cancer ●

● Cervical Cancer
● Vulvar Cancer
● Vaginal Cancer
HPV-RELATED CANCERS & DISEASES

Cervical Cancer Cervical


and CIN adenocarcinoma
in SITU (AIS)

HPV
Genital Warts VIRUS Vulvar cancer and
vulvar intraepithelial
neoplasia (VIN)

Anal Cancer Vaginal cancer and


and AIN vaginal intraepithelial
neoplasia (VaIN)
WHAT IS CERVICAL CANCER?
Abnormal growth of cells in the cervix
(lower part of the uterus that connects
to the vagina)
A serious condition that takes over
hundred thousands of friends, wives,
mothers, daughters, sisters from us
every year
GLOBAL DATA

Worldwide, cervical cancer is the third


most common cancer among women
and the second most frequent cause of
cancer-related death, accounting for
nearly 300,000 deaths annually

Globocan 2008
PHILIPPINE DATA
In the Philippines, about 6,670 new cervical cancer
cases are diagnosed annually
Cervical cancer ranks as the 2nd most frequent
cancer among women in the Philippines.
12 Filipino women die every day from cervical
cancer
Cervical cancer treatment may cost as much as
Php 150,000 to 500,000
BEYOND THE NUMBERS
THE BURDEN OF DISEASE CAUSED BY HPV
Depression Fear of Cancer
Stigma Negative self-image
Lost productivity Financial burden
Pain and discomfort of symptoms Social isolation
Sexual difficulties Anxiety
SYMPTOMS OF HPV INFECTION
Genital warts – cauliflower-like Time after HPV infection
lesions in the genital areas 3 - 6 months 4 - 5 years 9 - 15 years

Pre-cancerous lesions or early


Persistent Cervical
stages of cervical cancer - may have infection Pre-cancerous Cancer
Initial Cervix Stage 1
no symptoms HPV
infection
Cervical cancer – Pre-cancerous Cervix
Stages 2 & 3 +
- abnormal spotting/bleeding Co-factors
(viral, host, envirnmental)
- foul-smelling discharge
“Cleared” HPV infection
- pain
- urinary and bowel movement difficulties It takes 9-15 years for cervical cancer
to develop from initial infection
WHO ARE AT RISK?
FEMALES MALES
Young age at first sexual intercourse Greater number of sex partners

Greater number of sex partners Being uncircumcised

Male partner sexual history

Uncircumcised male partner


TO PROTECT YOURSELF
A bstinence
B e faithful
C ondom
D octor consult
V accination
SCREENING (PAP SMEAR OR VIA)

PAP SMEAR VIA (VISUAL INSPECTION USING ACETIC ACID)


Pap smear is recommended to be done every
3 years starting at 21 yrs old.
NEGATIVE

POSITIVE

Even if you get vaccinated with the HPV vaccine, it will not replace your regular pap smear or
VIA (Visual Inspection with Acetic acid).
WHY VACCINATE EARLY?
HPV vaccination is most effective when given during
childhood or adolescence, i.e. before first sexual interaction,
when HPV infection risk is nil or at its lowest.
HOW DOES VACCINATION WORK?
Vaccination at a young age is also ideal because
this is when the immune system is at its strongest and,
therefore, will mount a robust response to the vaccine.
SIDE EFFECTS
Like any medication, vaccines may cause side effects. The following are the common side effects reported:

Headache
Fever
Nausea
Injection site side effects
(pain, swelling, redness, itchiness, bruising)
These are usually mild and will resolve within a few days after vaccination
WHO SHOULD NOT RECEIVE
THE VACCINE?

Fever ≥ 38 C
0

History of severe allergic reaction


Pregnancy
DOH HPV SCHOOL-BASED
IMMUNIZATION PROGRAM
GUIDELINES
1 SIGNED NOTIFICATION FORM
2 HEALTH ASSESSMENT (Checkup)
3 VACCINATION (Left upper arm)
4 OBSERVATION (15 minutes)
Thank you!