Mode of transmisison: skin-skin; including with condoms; doesn’t require penetrative intercourse

links to cancer; high risk HPV = 16,18

Incubation:

Period of infectivity:

Vaccines:

• HPV4 = gardasil = recombinant subunit vaccine; 16,18,6,11

Schedule:

• girls and young women aged \<20

• 26yo with HIV

• transplant

efficacy: significantly reduced

Herd: some herd immunity reported

• cervical cancer

  • rapid clearance of HPV in first 6-12mo

    • 80-90% clearance by 2yrs

      • small fractuion progress to CIN2+

  • HPV 16 responsible for 60%

  • HPV 18 = 10%