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In England, although not anticipated, a reduction in genital warts (GW) diagnoses was observed from the first years of the human papillomavirus (HPV) vaccination programme using the adjuvanted bivalent vaccine, suggesting potentially cross-protective effect of the vaccine against GW.1
In their recent publication, Checchi et al 2 present results of the GW surveillance programme in England since introduction of the HPV vaccination in 2008, attributing most of the impact observed today to the switch from the bivalent to the quadrivalent …
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