Genital Hygiene and Strategies for HPV Prevention by Meghnad G Joshi in Novel Approaches in Cancer Study
Cervical cancer (CC) is 80% of global burden, the second
most common cancer in women worldwide and leading cancer in
Indian women. Approximately 40 Human papillomavirus (HPV)
types infect cervix through sexual transmission [1,2]. HPV is a
chronic disease and product of infection of sexually active women
along with poverty, lower education level, low standards, multiparity,
multiple sexual partners, using oral contraceptive pills,
tobacco smoking, illiteracy, malnutrition and poor genital hygiene,
dietary deficiencies of vitamins, co-infection with HIV, Herpes
simplex virus type 2, Chlamydia trachomatis, bacterial vaginosis
immunosuppressant drugs are all co-factors that progress from
HPV infection to CC [3]. These co-factors are un-addressed
widespread issues in the undeveloped sectors of the world.
Intervention to increase program to prevent the development of
unhealthy life behaviors and reduce the non-HPV risk factors can
have immense impact on decreasing morbidity and mortality of
genital malignancies and many preventable communicable and
non-communicable human ailments [4]. It is unrecognized infection
without any specific discern signs and symptoms. The persistent
infections are phylogenetically related to either HPV 16 (serotype
31, 33, 35, 52, and 58) or HPV 18 (serotype 39, 45, 59, and 68)
[5]. It is the most important risk factor for cervical intraepithelial
neoplasia and invasive cervical cancer. HPV serotypes 16 and 18
account for nearly 76.7% of CC in India. CC occurs early and strikes
at the productive period of women with rise in incidence in 30-
34 years of age and peaks at 55-65 years, with a median age of 38
years. More than 80% of the sexually active women acquire HPVinfection by 50 years of age.
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