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HPV and cancer -- now we have numbers

11:56 AM, November 4, 2008

The human papilloma viruses were linked to at least 25,000 cancer cases each year from 1998 to 2003, federal researchers report.

The group of 100 related viruses are most known for their connection to genital warts and cervical cancer, but they're also responsible for the common warts (papillomas) found on other parts of the body. (Here's a general fact sheet from the National Cancer Institute about the viruses.)

The new report focuses on the high-risk forms of the virus, more than 30 of which can be transmitted via sexual contact. Although most infections come and go without symptoms, some persist, raising the risk of cancer.

Using cancer data registry from 38 states plus the District of Columbia -- and creating the first big analysis of HPV-linked cases -- researchers with the federal Centers for Disease Control and Prevention reported that the top HPV-related cancer sites were the cervix, oral cavity, oropharynx (back of the throat), anus, vulva, penis and vagina.

The annual breakdown, by site:

Cervix: 10,800

Oral cavity and oropharynx: 7,400

Anal: 3,000

Vulvar: 2,300

Penile: 800

Vaginal: 600

Included in the CDC news release are some interesting gender and ethnic breakdowns. The full report, with accompanying site-specific studies, is published in the Nov. 15 supplement to the journal Cancer.

The analysis is expected to provide baseline data with which to measure the effectiveness of the somewhat controversial Gardasil vaccine. That vaccine, now recommended for girls before they become sexually active, protects against four types of the virus -- two that cause 70% of cervical cancers and two that cause 90% of genital warts.

For those unaware of HPV's effect on men, here's a CDC fact sheet on the topic. And here's information on gynecologic cancer in general.

Condoms, by the way, reduce the risk of contracting HPV sexually.

-- Tami Dennis

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Tami Dennis, who takes the word "skeptic" to previously uncharted territory, is the Times' Health and Science editor. She's adamant that pitches promoting awareness days, weeks or months are, by their nature, non-stories. And, because she's an adult, she refuses to use words like "veggies," "tummy" and "yummy."
Rosie Mestel, deputy Health and Science editor, studied genetics before abandoning flies, fungi and DNA for health/medical writing. Her hero is the biologist Ernst Haeckel, whose jellyfish paintings inspired snazzy chandeliers. Her favorite toast-spread is Marmite, a British delicacy made of yeast extract. Her least-favorite word is "millenniums."
Melissa Healy is a staff writer for the Health section reporting from Washington D.C. Healy's a veteran of The Times' National staff, having covered the Pentagon, Congress, poverty and social welfare, the environment, and the White House before shifting to Health in 2003. She writes frequently about mental health and human behavior, about federal health policy, prescription medication and ethics in medicine. More wonk than wellness freak, Healy chooses to believe in the health benefits of coffee and wine, and considers water a better work-out medium than beverage.
Karen Kaplan covers genetics, stem cells and cloning. She and colleague Thomas H. Maugh II comprise about 25% of the unofficial MIT-Alumni-in-Journalism Club, and she is proud to have taken more math (5) than English (0) courses in college. Her contributions to Booster Shots will, she hopes, appear more frequently than postings to her mommy blog.
Thomas H. Maugh II has been a science and medical writer at the Times for 23 years. Before that, he was on the staff of the journal Science for 13 years. He has bachelor's degrees in English and chemistry from MIT and a doctorate in chemistry from UC Santa Barbara.
After a brief stint as a sports writer, Shari Roan turned to health journalism and has covered the topic for The Times for 18 years. She is the author of three books and the mother of two daughters, both teenagers who refer to her as a "health freak." She likes to jog, watch baseball and is very happy that dark chocolate contains some health benefit.
Jeannine Stein writes about fitness, sports medicine and obesity for the Health section. She’s a gym rat from way back and never met an elliptical trainer she didn’t like. Well, maybe one or two. She tempers exercise with a steady diet of reality television because she believes it’s all about balance.