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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 …
Contributors EC: literature search, study design, data collection, data analysis, data interpretation and writing. CB, NP and LA: data collection and data analysis. HT: literature search and writing. RP: Study design and writing.
Competing interests None.
Ethics approval Solent NHS Trust approved this service evaluation.
Provenance and peer review Not commissioned; internally peer reviewed.