Madigan Army Medical Center, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, USA.
General Leonard Wood Army Community Hospital, Department of Obstetrics and Gynecology, 4430 Missouri Ave, Ford Leonard Wood, MO 65473, USA.
Viruses. 2021 Jun 8;13(6):1091. doi: 10.3390/v13061091.
Human papilloma virus (HPV) is the most common sexually transmitted infection worldwide causing a variety of benign and malignant conditions. A significant portion of the global population is infected with HPV, with the virus attributed to causing up to 5% of cancers worldwide. Bivalent, quadrivalent, and nine-valent vaccinations exist to aid in the prevention of these diseases and have been proven to be effective at preventing both benign and malignant disease. While vaccination is readily accessible in more developed countries, barriers exist to worldwide distribution and acceptance of vaccination. Vaccination and screening of HPV infection when used in combination are proven and predicted to decrease HPV related pathology. Improvements in vaccination formulations, for treatment as well as prevention, are actively being sought from a variety of mechanisms. Despite these advancements, and the data supporting their efficacy, there has been substantial delay in obtaining adequate vaccination coverage. In reviewing these challenges and looking forward to new vaccine development-especially within the current pandemic-it is clear from the challenges of HPV we require methods to more effectively encourage vaccination, ways to dispel vaccination myths as they occur, and implement better processes for vaccine distribution globally.
人乳头瘤病毒(HPV)是全球最常见的性传播感染,可引起多种良性和恶性疾病。全球相当一部分人口感染了 HPV,该病毒被认为导致了全球多达 5%的癌症。二价、四价和九价疫苗的存在有助于预防这些疾病,并且已被证明能有效预防良性和恶性疾病。虽然在较发达国家更容易获得疫苗接种,但在全球范围内分发和接受疫苗接种仍然存在障碍。HPV 感染的疫苗接种和筛查相结合已被证明可以预测并降低 HPV 相关病理学。正在通过多种机制积极寻求针对治疗和预防的疫苗配方的改进。尽管取得了这些进展,并且有数据支持其疗效,但仍需要相当长的时间才能获得足够的疫苗接种覆盖率。在回顾这些挑战并展望新疫苗的开发时——尤其是在当前大流行的情况下——从 HPV 面临的挑战中可以清楚地看出,我们需要找到更有效的方法来鼓励接种疫苗,消除接种疫苗时出现的误解,并在全球范围内实施更好的疫苗分发流程。