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Why are anogenital warts diagnoses decreasing in the UK: bivalent human papillomavirus (HPV) vaccine cross-protection or failure to examine?
  1. Emily Clarke1,
  2. Christopher Board2,
  3. Natasha Patel2,
  4. Lindsay Atkinson2,
  5. Hugh Tulloch2,
  6. Raj Patel1,2
  1. 1 Department of Genitourinary Medicine, Royal South Hants Hospital, Southampton, UK
  2. 2 Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK
  1. Correspondence to Dr Emily Clarke, Department of Genitourinary Medicine, Royal South Hants Hospital, Brintons Terrace, Southampton SO14 0YG, UK; emilyrclarke{at}doctors.org.uk

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Rates of first episode anogenital warts diagnoses in the UK have fallen from a peak prevalence of 151.9/100 000 population in 2008 to 139.1/100 000 in 2012, an 8% reduction.1 In Australia, the quadrivalent human papillomavirus (HPV) vaccination strategy (against HPV16 and 18 causing cervical cancer, and HPV6 and 11 causing anogential warts) has led to an unexpected reduction in warts diagnoses in unvaccinated males and older people.2 This has contributed to speculation that the UK decrease in warts may be due to cross-protection from the bivalent HPV vaccination programme (against HPV16 and 18 …

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