HPV Lay Lecture

Help
protect
yourself
from
HPV
www.helpfighthpv.com 1
Help
protect
yourself
from
HPV
Human Papillomavirus
Objectives
• To raise awareness on HPV disease and its

burdensome nature
• To provide basic information on prevention through
vaccination
www.helpfighthpv.com
3
Human Papillomavirus
• 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
4
Normal Female Genital Tract
http://www.medpath.info/MainCo
ntent/Neoplasia/81.GIF
5
HPV Is Implicated in a Growing Number of Diseases
Oropharyngeal cancer*
Recurrent Respiratory
Papillomatosis*
Cervical cancer
Vulvar/vaginal cancer
Penile cancer*
Anal cancer
Genital warts
*The quadrivalent HPV vaccine is not indicated for these conditions. RRP = recurrent respiratory
papillomatosis.World Health Organizaion. International Agency for Research on Cancer. IARC
Monographs on the Evaluation of Carcinogenic Risks to Humans. Volume 90. Human Papillomaviruses.
2007. Available at: http://monographs.iarc.fr/ENG/Monographs/vol90/index.php. Accessed July 10, 2008. www.helpfighthpv.com
6
How common is HPV?
HPV is so common
Much more common that nearly all sexually-active men
than most people and women will get at least one
think…
type of HPV at some point in their
lives1.
1 - Center for Disease Control and Prevention, 2013
7
Cervical Cancer CAN happen to you
• Cancer of the cervix – the lower part of the uterus
that connects to the vagina
• More than 6,000 Filipino women are diagnosed
annually1
• More than half will die within 5 years
• Approximately 7 Filipino women die every day1
• Most are diagnosed late; seen in the late stages
• Cost of treatment: Php150,000 – 500,0002
1-Bruni, et al. ICO Information Centre. Philippines Summary Report. Accessed Dec 2015
2-Unpublished data, UP PGH
It’s not too early to think about cervical cancer.

While most women develop cervical cancer later in life (35-
55 years), many of them may have acquired the virus in
their youth. www.helpfighthpv.com
8
Are you at risk?
FEMALES
Young age (peak 20-24

years)
Young age at first sexual
intercourse
Greater number of
lifetime and recent sex
partners
Male partner sexual
history
9
Are you at risk?
MALES
Young age (peak 25-29
years)
Greater number of
lifetime and recent sex
partners
10
What are the consequences?
For most people, HPV is cleared by the

body’s defense system. Over 80% HPV
infections are transient, asymptomatic
and resolve spontaneously.2,5–7
However, some people may not clear

the virus and the consequences depend
on the type of HPV involved.
2. Ho GY et al. N Engl J Med 1998; 338: 423–8; 5. Moscicki AB et al. J Pediatr 1998: 132:277–84;
6. Giuliano AR et al. J Infect Dis 2002; 186: 462–9; 7. Franco EL et al. J Infect Dis 1999; 180: 1415–23.
11
Beyond the Numbers
THE BURDEN OF DISEASE CAUSED BY HPV1-4
• Depression
• Stigma
• Lost productivity
• Pain and discomfort of
symptoms
• Sexual difficulties
• Anxiety
• Negative self-image
• Financial burden
• Social isolation
• Fear of Cancer
1. Ashing-Giwa KT et al. Psychooncology. 2004;13:709–728. 2. Taylor CA et al. J Nurs Scholarsh.

1997;29:27–32. 3. Insinga RP. Womens Health Issues. 2006;16:236–242. 4. Maw RD et al. Int J STD AIDS.
1998;9:571–578. 5. Anhang R et al. CA Cancer J Clin. 2004;54:248–259. www.helpfighthpv.com
12
What are the symptoms of HPV infection?
• Genital warts – cauliflower-like lesions in the genital

areas
• Pre-cancerous – lesions – may have no symptoms
• Cervical cancer – early stage may present with
abnormal spotting, bleeding or foul-smelling
discharge. Later in the disease, this may be
associated with pain, difficulty in urination or bowel
movements.
13
Reprinted with permission from NZ DermNet (www.dermnetnz.org)
14
What you can do to protect
yourself from these HPV
diseases
Healthy Lifestyle
16
17
Abstinence
Total abstinence from all
genital contact is the
most effective HPV
prevention method.1,2
Dailard C. Guttmacher Rep Public Policy. 2003;6:4–6. 2. Anhang R, Goodman A, Goldie SJ.
CA Cancer J Clin. 2004;54:248–259. www.helpfighthpv.com
18
Be Faithful
Lifetime mutual
monogamy2,3
However, if one
partner has not been
monogamous OR if
either of you have
had other partners
before, both are at
risk.3
19
Condom
Condom use may
help reduce risk,
but is not fully
protective.
20
Doctor Consult
An important thing to
remember is that the
chances of recovery are
better when the cancer is
found early.
Even if you get

vaccinated with the HPV
vaccine, it will not replace
regular
your
pap smear. www.helpfighthpv.com

21
Doctor Consult
Cervical screening
modalities include
PAP SMEAR or
VISUAL INSPECTION
WITH ACETIC ACID
(VIA).
22
Vaccination
Talk to your doctor about
getting your HPV
vaccination today.
23
http://www.womenshealthsection.com/content/art_images/gyno019a.jpg
Accessed August 2013
Vaccination against HPV-
Related Cancers and Diseases
What HPV vaccines are available?
• There are three kinds of HPV vaccines licensed by the

Philippine Food and Drug Authority:
– The NONAVALENT HPV (9vHPV) vaccine which offers protection
against HPV diseases caused by HPV 6, 11, 16, 18, 31, 33, 45, 52
and 58 – for both males and females 9 years onwards
– The QUADRIVALENT HPV (qHPV) vaccine which offers protection
against HPV diseases caused by HPV 6, 11, 16 and 18 – for both
males and females
– The BIVALENT HPV (bHPV) vaccine which offers protection against
HPV diseases caused by HPV 16 and 18 – only for females
– Either vaccine entails 3 doses within 6 months
– For adolescents: can be given in 2-dose regimens
26
Why is HPV vaccination important?
In the absence of
vaccination, it is
estimated that the
majority of sexually
active people will catch
HPV during their lifetime.
Many people who have

HPV may not show any
signs or symptoms. This
means that they can
pass on the virus to
others without knowing
it.
27
Who should NOT receive the HPV vaccine?
Anyone who:
• is allergic to any of the
ingredients in the
vaccine (including any
of the ingredients listed
under inactive
ingredients)
• has an allergic reaction

after receiving a dose
of the vaccine
• Fever >38.5
28
Why is vaccination at a young age
recommended?
HPV vaccination is most

effective when given during
childhood or adolescence, i.e.
before sexual debut, when
HPV infection risk is nil or at its
lowest.
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.
29
IMPORTANT NOTE
Please consult your

DOCTOR for any
clarification or questions
about HPV, HPV-related
diseases and HPV
vaccination.
30
2800 women/year dying of cervical cancer =
A 747 full of women crashes every 7-8 weeks
31
Thank you!

HPV Lay Lecture

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Help

• To raise awareness on HPV disease and its

• More than 100 types of HPV

1 - Center for Disease Control and Prevention, 2013

It’s not too early to think about cervical cancer.

Young age (peak 20-24

For most people, HPV is cleared by the

However, some people may not clear

1. Ashing-Giwa KT et al. Psychooncology. 2004;13:709–728. 2. Taylor CA et al. J Nurs Scholarsh.

• Genital warts – cauliflower-like lesions in the genital

Even if you get

pap smear. www.helpfighthpv.com

• There are three kinds of HPV vaccines licensed by the

Many people who have

• has an allergic reaction

HPV vaccination is most

Vaccination at a young age is

Please consult your

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