MIIM20002 Lecture Notes - Lecture 25: Cervical Cancer, Genital Wart, Anal Cancer
Document Summary
Provided to 12-13 year old girls in the first year of secondary school through the national hpv. Vaccine was free to women >26 from july 2007-june 2009, now have to pay) Vaccine is intramuscular at 0, 2 and 6 months. The vaccine elicits antibody titres many times higher than those seen following natural infection. Seroconversion to get high titre of antibodies occurs in 99. 5% of those who complete the 3 dose course. Only works against strains of hpv in the vaccine. No guaranteed efficacy against strains not in the vaccine (cid:894)also ce(cid:396)(cid:448)a(cid:396)ix , a di(cid:448)ale(cid:374)t (cid:448)acci(cid:374)e (cid:449)ith adju(cid:448)a(cid:374)t(cid:895) Up to 40 genotypes known to infect anogenital epithelium, including some high risk genotypes with oncogenic potential. Vaccine protects against strains known to cause 7/10 cases of cervical cancer (hpv 16 and 18) and 9/10 cases of genital warts (hpv 6 and 11) Candidate for eradication (5-6 generations) since only in man.