Human Papillomavirus (HPV)

HUMAN PAPILLOMAVIRUS (HPV)

Human Papillomavirus (HPV) is a group of more than 200 related viruses that infect the skin and mucous membranes. Some types cause benign warts, while others are associated with cancers, including cervical, anal, and oropharyngeal cancers.


SIGNS AND SYMPTOMS

HPV infections often do not cause symptoms, but when they do, they can include:

  • Genital warts (small, flesh-colored bumps, often clustered)

  • Common warts (on hands and fingers)

  • Plantar warts (on the soles of the feet)

  • Flat warts (smooth lesions that appear anywhere on the body)

  • Precancerous lesions (detected via screening, often asymptomatic)


COMPLICATIONS

  • Cervical cancer (strongly linked to high-risk HPV types 16 and 18)

  • Other cancers (vaginal, vulvar, anal, penile, and oropharyngeal)

  • Recurrent Respiratory Papillomatosis (RRP) (HPV infection in the airway, causing voice and breathing difficulties)


TRANSMISSION

  • Sexual contact (vaginal, anal, and oral sex)

  • Skin-to-skin contact (even without intercourse)

  • Vertical transmission (from mother to baby during childbirth)

  • Fomite transmission (rare but possible from contaminated surfaces)


CAUSATIVE AGENT

HPV belongs to the Papillomaviridae family. Different strains are classified as:

  • Low-risk HPV types (e.g., HPV 6, 11 – cause warts)

  • High-risk HPV types (e.g., HPV 16, 18 – associated with cancer)


INCUBATION PERIOD

  • Typically 2 weeks to 8 months

  • Can remain dormant for years before symptoms appear


RESERVOIR

  • Humans (infected individuals serve as the primary reservoir)


PREVENTION AND CONTROL

  • HPV vaccination (e.g., Gardasil 9, Cervarix)

  • Safe sexual practices (use of condoms, limiting partners)

  • Regular screening (Pap smears, HPV DNA testing)

  • Public health education (raising awareness about transmission and risks)

  • Treatment of warts and precancerous lesions (to reduce spread)


TREATMENT

There is no cure for HPV, but treatments focus on managing symptoms:

  • Wart removal (cryotherapy, laser therapy, electrocautery, or topical agents like salicylic acid and imiquimod)

  • Precancerous lesion management (loop electrosurgical excision procedure [LEEP], cone biopsy)

  • Cancer treatment (surgery, radiation, chemotherapy if HPV leads to malignancy)




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