Preventing genital infections with human papillomavirus: lessons learned from the HIV epidemic. 2000

K K Holmes
University of Washington, Center for AIDS and STD, 325 9th Avenue, Seattle, WA 98104, USA. worthy@u.washington.edu

Despite the major differences in the clinical epidemiology of HIV and HPV infections, several lessons learned from the HIV epidemic may be relevant to future prevention of HPV infection. There has been a paradigm shift in conceptualizing the epidemiology of STDs; targets of prevention now include: (1) determinants of exposures of susceptibles to infectious persons; (2) the efficiency of transmission; and (3) the duration of infectiousness. Lessons learned that may be potentially relevant to HPV prevention include: (1) advances in treatment of HIV have been rapidly adopted, whereas advances in prevention have not; (2) therapeutic and preventive trials have been too brief in duration, sometimes failing to adequately address major problems with relapse that become evident later; and (3) involvement of affected individuals and populations in research and prevention efforts has been essential and useful. Specific suggestions for HPV prevention efforts are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D004196 Disease Outbreaks Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS. Outbreaks,Infectious Disease Outbreaks,Disease Outbreak,Disease Outbreak, Infectious,Disease Outbreaks, Infectious,Infectious Disease Outbreak,Outbreak, Disease,Outbreak, Infectious Disease,Outbreaks, Disease,Outbreaks, Infectious Disease
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014412 Tumor Virus Infections Infections produced by oncogenic viruses. The infections caused by DNA viruses are less numerous but more diverse than those caused by the RNA oncogenic viruses. Fibroma, Shope,Papilloma, Shope,Infections, Tumor Virus,Infection, Tumor Virus,Shope Fibroma,Shope Papilloma,Tumor Virus Infection
D014765 Viral Vaccines Suspensions of attenuated or killed viruses administered for the prevention or treatment of infectious viral disease. Viral Vaccine,Vaccine, Viral,Vaccines, Viral
D015229 Sexually Transmitted Diseases, Viral Viral diseases which are transmitted or propagated by sexual conduct. Venereal Diseases, Viral,Sexually Transmitted Disease, Viral,Viral Sexually Transmitted Disease,Viral Sexually Transmitted Diseases,Viral Venereal Diseases,Disease, Viral Venereal,Diseases, Viral Venereal,Venereal Disease, Viral,Viral Venereal Disease
D015658 HIV Infections Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS). HTLV-III Infections,HTLV-III-LAV Infections,T-Lymphotropic Virus Type III Infections, Human,HIV Coinfection,Coinfection, HIV,Coinfections, HIV,HIV Coinfections,HIV Infection,HTLV III Infections,HTLV III LAV Infections,HTLV-III Infection,HTLV-III-LAV Infection,Infection, HIV,Infection, HTLV-III,Infection, HTLV-III-LAV,Infections, HIV,Infections, HTLV-III,Infections, HTLV-III-LAV,T Lymphotropic Virus Type III Infections, Human
D052776 Female Urogenital Diseases Pathological processes of the female URINARY TRACT and the reproductive system (GENITALIA, FEMALE). Female Genitourinary Diseases,Female Genitourinary Disease,Female Urogenital Disease,Genitourinary Disease, Female,Genitourinary Diseases, Female,Urogenital Disease, Female,Urogenital Diseases, Female
D052801 Male Urogenital Diseases Pathological processes of the male URINARY TRACT and the reproductive system (GENITALIA, MALE). Male Genitourinary Diseases,Genitourinary Disease, Male,Genitourinary Diseases, Male,Male Genitourinary Disease,Male Urogenital Disease,Urogenital Disease, Male,Urogenital Diseases, Male

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