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At some point,
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most sexually active people will be
infected with human papillomavirus,
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or ‘HPV.’
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There are over 100 types of HPV,
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and most of the time the body
eliminates infections without symptoms–
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but some strains can pose serious
health risks down the line.
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HPV causes contact infections,
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which means the virus stays in the cells
near the point of infection
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rather than spreading throughout
the whole body.
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Since HPV is often transmitted through
sexual activity,
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this usually means the cells of the
vagina, vulva, penis, anus,
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mouth and throat.
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We can test for HPV in cells from
these areas,
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but while testing for the virus
is scientifically possible,
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it isn’t common.
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The main reason is that,
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while there are treatments for the
adverse health effects caused by HPV,
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there’s no treatment for the virus itself.
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So testing for HPV would yield many,
many positives,
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and although most of them won’t
be cause for concern,
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there are still no treatment plan for
clearing the body of the virus.
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But there are other good ways to
protect yourself from HPV.
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We’re going to walk through how
HPV can cause harm,
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who’s at risk, and how to
minimize those risks.
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The body’s immune system is able to
eradicate most strains of HPV
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before they cause any harm—
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and without people even knowing
they’ve been infected.
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Certain other strains–
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like HPV 6 and 11–
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cause abnormalities in the cells of the
infected tissue,
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which can develop into genital warts.
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While these are infectious and require
treatment,
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usually with topical creams,
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wart-causing strains don’t create
longer-term damage.
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But another 13 strains can cause DNA
mutations that cause cells to divide
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at a much faster pace than normal,
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propelling the development of
cancerous growths.
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The cells of the cervix are
especially at risks.
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Two in particular–
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HPV 16 and 18–
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are responsible for the majority of
cases of cervical cancer,
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which is now the fourth most common
type of cancer in women.
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It can take up to 20 years for cancer
symptoms to appear,
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but with regular screening,
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we can discover cellular abnormalities
in the cervix
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before they develop into cancer.
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Women over 21 can undergo a regular
pap smear,
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where a sample of tissue is gently
scraped from the lining of the cervix
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to test for abnormal cells.
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A positive test doesn’t mean the person
has cervical cancer,
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but rather that there are irregular
cells in the cervix
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that could develop into cancer
in the future.
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Patients are then either monitored
with more frequent pap smears,
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or, for more severe irregularities,
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undergo a procedure called a colposcopy.
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This involves a doctor examining the
cervix through a microscope,
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and possibly taking a small biopsy of
tissue for closer examination.
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In some cases, the affected tissue
may be removed.
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HPV infections of the throat may lead to
head and neck cancers,
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but for now there’s no equivalent of the
pap smear for the throat.
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Using condoms helps prevent
the spread of HPV during sex.
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And there are three safe, effective
vaccines that all target HPV 16 and 18.
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The vaccine comes in two or three doses
a few months apart,
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and it’s only beneficial if you
receive them all.
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Right now the vaccine is part of standard
care for girls aged 11 to 18
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in many countries–
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though it’s increasingly becoming
available to boys as well.
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Adult women and men in countries including
the United States and the United Kingdom
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can opt to receive the vaccine,
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and evidence suggests that vaccination of
women and men
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could reduce the worldwide incidence of
cervical cancer by almost 90%.
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Researchers are also developing an
injection for people
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who are already infected with
HPV 16 and 18,
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which would target the infected cells
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to stop them from developing
into cancerous ones.
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So while there’s still room for
improvement in screening,
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treatment, and access to each,
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condom use, vaccination, and cervical
screening
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can each reduce the harm caused by HPV.