Tuesday, February 16, 2010

Preventing Hpv


Genital human papillomavirus is a sexually transmitted disease. Basically, it affects the skin, and mucous membrane. From credible medical sources it’s established that there are around forty types of this infection, which attacks, genital areas of both men and women, destroying skin of the penis, vulva as well as the lining of the vagina, anus, cervix and the rectum. Generally, most people with hpv do not know whether they are infected, one of the apparent reasons is that, they rarely get sick or develop symptoms. However, it is estimated that certain classes of hpv do cause genital warts, while other Hpvs are said to cause cervical cancer and other moderate cases of cancer such as cancers of the anus, penis, vulva, and vagina. More so, it should be noted that, the hpv species that cause genital warts is dissimilar to the one that causes cancer (Macharia, 2006).

Naturally, genital warts commonly appear as small bump or a congregation of bumps around the genital area. Structurally, they can adopt to be flat, single or multiple and in some instance they adapt a cauliflower shape. Various credited studies have established that, the infection can occur around anus or the vagina, on the cervix or the penis including scrotum, groin, as well as thighs.  After infection, warts may appear after some weeks or months. All in all, if left untreated, genital warts may end naturally, increase in size or remain unchanged but will not change into cancer.

Clinically, cervical cancer do not have symptoms until it reaches a certain level, thus it’s advisable for women to  undergo screening regularly and this also applies to such cancers as of vagina, vulva, penis and anus which are less common but ought to be checked in order to avert any further growth or development.  Hpv causes genital warts and cancer by causing normal cells on infected skin or mucous membranes to become abnormal. Often, the body fights the virus, though in some cases low risk genes of Hpv do cause visible changes that come in the form of genital warts. Nevertheless, in case of high risk Hpv infection, the virus can overtime stay in the human system for a long time and this can result in cancer if the body’s immune system fails to clear it away.

There is no cure for HPV, but there are treatments for the health tribulations that some types of HPV can create, like genital warts and cervical cancer. According to the Global Health Organization, it is estimated that over tw0 hundred million people across the world are infected with Hpv, hence the reports establishes that another five percentage  globally get new Hpv infection each year.  Most young men are at risk of contacting Hpv infection, this is attributed to the fact many of them are sexually active and rarely pays attention to preventive measures such as the use of condom, also in the same line is people who have multiple sexual partners. Hence, Hpv is the most common sexually transmitted disease across the world today. With the acknowledgment of the etiologic role of high-risk types of genital HPV infection in cervical cancer, there has been an intense focus on the use of HPV investigative tests in cervical cancer prevention activities (Evans, 1988).

Attention can be set primarily in three areas: tri-age of women with inferior Pap smear dissimilarities, key screening, and follow-up of women with established cervical intraepithelial neoplasia. Every one of the three uses is based upon the connection of high-risk HPV types with high-grade antecedent lesions .The most expansively evaluated locale is HPV testing for triage of low-grade Pap smear abnormalities even though the majority of women with these cytologic findings have normal histology or lesions which are likely to relapse, minority will have CIN2/3, representing the majority of high-grade lesions in some settings. Existing managerial recommendations for women with low-grade abnormalities present various options, including follow-up Pap smear assessment with colposcopy only for those with persistent abnormalities or pressing colposcopy for all women. Neither approach is ideal. Routine colposcopy is costly and generates a large number of unnecessary procedures, while the follow-up Pap smear approach may result in women being lost to follow-up and lower cost-effectiveness, and both approaches may produce anxiety pending completion of the evaluation.

Thus, the most effective way of preventing Hpv is to avoid any contacts with the peoples infects areas or any elements that could or might have Hpv bacterial on the surface. Additionally another are that can end being a problem is communal facilities such as dormitories, gyms and health clubs. It is advisable to wear protective gears such as slippers or shoes in public showers or pools for this will help in preventing picking of Hpv, though many health clubs facilities are more than often disinfected. However, avoiding genital and anal diffusion is more complex. The only definite way to avoid spread is to steer clear of sexual contact with an infected or latently contaminated partner. HPV can be passed on during foreplay and during actions not relating to vaginal contact. Condoms may aid a little, but it's likely for HPV from warts or condylomas on a man's scrotum to make it to his partner's vulva by straight contact, then to the outside of the condom, and from there into the vagina.

Parallel considerations apply to anal sex. Since it's possible for a person with HPV to be contagious prior to the lesions appearance, sheer examination of a new partner isn't a complete assurance. As with all STDs, the risk of being infected with HPV increases with the figure of cohorts you have and the number of allies your partner has. in theory, barricade contraceptives such as condoms are less likely to be efficient in preventing infections such as genital HPV, which can involve the exterior genital skin, than they are for infections which are restricted to exact mucosal areas and spread by semen for example Chlamydia or gonorrhea, although assessment of possible advantage of condoms for HPV is stalled by lack of procedures of contagion. Studies which have tried to assess male condom benefit for women have commonly established no proof of protection alongside infection. However, obtainable information has not adequately assessed stability and suitability of condom use, and, in cross-sectional studies, HPV infection may have preceded condom use. There are data signifying a advantage of condom use for men, although the studies are limited and no data available for female condoms for either women or men.

Some reports have suggested a benefit in prevention of HPV-related disease such as., genital warts, SIL, cervical cancer, possibly by minimizing viral inoculums, repetitive viral exposure, or exposure to additional co-factors which might be mixed up in expansion of disease. Therefore, improved awareness by healthcare providers can be of great significance in that the public can be in a better position to understand the impact of this infection which can lead to other greater health concern such as HIV/AIDS. Thus, better provider and public understanding can advance running of patients and stipulation of information to them and their families or associates in the case of STD, and awareness in the general public can enhance responsiveness to deterrence actions, such as screening or inoculation.

Though, it is established that data on provider understanding about genital HPV infection is limited. They suggest that providers are largely conscious of the sexually transmitted character of the infection and its correlation to cervical cancer, but are less obvious about the link of genital warts to cancer, the suggestion for use of diverse executive strategies, transmission-related issues, and the indications for cohort assessment. This lack of clarity, coupled with anxiety over discussion of issues related to STD and sexuality and limited time for counseling/education, is often alleged by patients as insufficient information and advice. Limited data from selected populations show considerable levels of moving distress among patients with a diagnosis of genital HPV infection genital warts or abnormal Pap smears, which can far exceed the level of physical distress. These include feelings of shock, shame, anger at partners and providers, depression, and fear about sequelae and ongoing contagiousness which can be positively used to prevent and control the spread of this virus.

Therefore, the best and surest method to prevent potential genital HPV infection is to refrain from any genital contact, as well as non-penetrative private contact of the genital area. For individuals who opt to be sexually vigorous, having a single uninfected partner is likely to be the subsequently most efficient way to thwart contamination. The human papillomavirus (HPV) bug itself and how it is passed from one person to another is intricate and not entirely understood by researchers. There are no credible tests that can estimate who will or is likely to transmit the virus. And more research and studies must be employed to determine the effectiveness of male or female condoms in aver transmission. The U.S. Food and Drug Administration (FDA) permitted an HPV vaccine—called Gardasil. The vaccine is approved for girls as little as nine, though routinely optional for girls of eleven years and above including older women who did not receive it when they were growing up.

Medical trials have revealed that the vaccine is secure and effective in preventing HPV strains such as 16 and 18, which contributes to almost seventy percent of cervical cancers. Gardasil, given in three injections over a period of six months, is also highly effective in stopping HPV strains 6 and 11, which cause over ninety percent of genital wart cases.  However, although Gardasil prevents a significant ratio of HPV strains, it doesn't shield against all of them, hence it’s approved as a accompaniment to Pap tests. More so, the vaccine is not effective if a woman is already contaminated with one of these HPV strains. It has to be taken prior to infection. HPV screening is also a significant part of averting likely complications. Likewise, Pap test is the most credible way of screening Hpv, which is specifically premeditated to discover cervical cancer in its initial stage and can also uncover abnormal and HPV cells. In combination with the Pap test, the HPV test can be employed in older women to aid in detecting HPV infection.

When pooled with a Pap test in women of this age cluster, the HPV test is improved at identifying women at peril for developing cervical cancer than the Pap test only. In principal, it has been established there is no sure way that Hpv can be contained if any given individual is to be sexually active. Thus, if an individual opts to shun all sexual activities, there are possibilities that one could avoid Hpv, yet very few people are willing to take that channel, therefore, making sound choices as far as sex is concerned is important in that in one way or the other it could definitely have diverse impacts on an individual’s life. Clinically, it is recommended that, practicing safe sex, be it oral, vaginal or manual is crucial, this helps in that, the transmission of Hpv and other STDs is greatly minimized, however, it is wholly established that using condom alone cannot decrease the risk of infection.

Reducing the number of sexual partners helps in checking the spread of this infection among the peers and reduces the cost of funds to be used in case of treatment. This is not a strategy to say everyone should be monogamous. However, if you are with sexual cohorts who you have faith in, the stakes of being infected with Hpv are high, meaning you are significantly mounting your risks. Nevertheless, some of the preventive measures include encouraging girls and young women to get the HPV vaccine as a good gesture to prevent the potential swell of cervical cancer. As an alternative of paying for costly vaccines, funds should be exhausted making sure women and youth get regular pap smears – a test that is incredibly efficient in exposing cervical cancer.

Also abstinence programs instead of medical treatments are a superior way of preventing the swelling of the HPV virus. Information about the HPV vaccine should be incorporated in health education program in the schools.

Epidemiologic researches have revealed that HPV produces type-specific immunity. Every HPV type will generate a neutralizing agent that is efficient against only that type of HPV virus. There are a number of excellent candidates out there for a vaccine. The one that is most considered currently involves virus-like elements. Virus-like elements are purely the capsid proteins of the HPV virus devoid of any of the infective genetic mechanism being there.  Hence, it emerges that, spermicidal foams, creams or jellies are not effective against any sexually transmitted disease (STD), including HPV. Therefore, most governments are advising youths that using vaginal contraceptives having nonoxynol-9 can raise vaginal irritation, which could result or mount the risk of infection. Additionally, having oral sex, they suggested, use of dental dam, plastic enclose or a split and compacted unlubricated condom. These resources present a moisture wall between the mouth and the vagina or anus for the duration of oral sex. Shun brushing or flossing your teeth before having oral sex, which may possibly rip the lining of the mouth. More so, be cautious about giving out sexual toys. It's potential that HPV could be passed through sexual toys that are inserted in the vagina but aren't comprehensively cleaned prior to being used by another person.

Human papillomavirus infections are a severe problem and like many other kind of viral diseases, its disease infections are persistent. The challenges posed by most viral diseases are that they are mostly incurable and therefore its prevention measures are much vital in the struggle to alleviations of their impacts. The treatment of HPV infections is sophisticated and in most cases they end up exasperating both the victims and the medical practitioners. As established, treatment prevents the occurrence severe conditions associated with the HPV infection.

It has been overt that treatment of HPV involves the treatment of its associated ailments which includes the genital warts and cervical cancers. The elimination of these problems takes various methods comprising of physical removal, freezing and painting. The methodology to be applied is determined by certain factors which on clinical considerations entail type and the magnitude of the warts.

In the painting methods, podophyllin and podophyllotoxin solutions are commonly used and applied on the infected part. Sometimes a colorless solution known as trichloracetic acid is also applied on external warts rendering the virus an unfavorable environment for growth and development. Though safe and less costly method, its prolong treatment duration is cumbersome to victims, and together with much discomfort that results from its use, such disadvantages makes it to be of less importance to victims.  Painting and freezing or (cryosurgery) methods are only effective when treating premature warts. Instead of painting and cryosurgery techniques, electrocautery, which is a burning process, is occasionally used to clear small warts. However, the above methods are said to ineffective for larger wart and therefore the removal techniques are used. Generally, these are traditionally used methods, which even today are used by most healthcare providers.

With the advancement in technology, it has been possible in prevention of the HPV problem through the application of drug which boosts the immune systems.

Surprisingly that there are more than hundred types of HPV, around thirty of these types are said to cause STD infections to human beings, but of all these types, only four types can be prevented through immunization. Sources about this vaccine show that it’s effective for the prevention of infections from 16 and 18 HPV strains. However, these are said to be the most notorious strains causing about 70% of the cervical cancer infections in women. Of the most worrying things is the developed vaccine is only applicable to limited number of women. As revealed of the GARDASIL vaccine, it can only be received by ladies aged nine and twenty six years. With research showing that most girls are engaging in risky active sexually activities as early as six years and extending similar behavior to ages of thirty, then it means that a large number of female are still vulnerable to HPV infections.

Finally, the most important way in preventing HPV is by avoiding physical or direct skin contacts with people who are infected. Moreover, use of drugs and foods which contains elements necessary to augment the immune system is also highly recommended as a way of alleviating the chances of HPV infections. Foods rich in folic acid, iron and vitamins plays major role in the prevention of disease infection and these substances are useful in fight of HPV infections. Lentils, peas, oranges are some of foods that can lower HPV problem through immune system boosting.

LindaMiller - About the Author:
The author Linda Miller has academic writing experience of over ten years. She holds a PHD in education from Harvard. She has been assisting students in writing professional academic papers including thesis, dissertations, research papers and term papers. braviaresearchpapers.com


Monday, February 15, 2010

What you Can Do About Genital Hpv


There are a few things that you can do about genital HPV and for a list of treatments available, both medical and alternative, Here though what I’ve tried to do, is to give you a reasonable understanding of what you can do about your genital HPV during and after any treatment that you might have.

• It begins with getting a proper medical checkup to make certain that you do indeed have genital HPV and not something else
• After successful removal of your warts, you should keep any follow up appointments that you have as they can recur and you want to be ready if they do
• Have a pap smear every six months, or every three months if cervical dysplasia has been detected, until you have at least three normal tests in a row
• Go for regular screening for not only genital HPV, but other sexually transmitted diseases
• Take all the necessary precautions to avoid developing genital warts
• As far as possible, maintain a healthy stress free lifestyle
• Cut down on alcohol consumption and cigarette smoking

 
Muna wa Wanjiru - About the Author:
Muna wa Wanjiru is a web administrator and Has Been Researching and Reporting on Curing Genital Warts for Years. For More Information on Genital HPV, Visit His Site at Genital HPV


Sunday, February 14, 2010

Hpv- What You Need to Know

You have probably heard about recent HPV vaccines for teenage girls. You may have even been diagnosed with this virus or most likely have known or will someone who has. Most sexually active people will contract this at some point during the course of their lives. Most will never even know it because the virus usually doesn’t cause any symptoms. Often, the human body can clear the infection on it’s own in about 2 years.

The HPV types that cause genital warts are low risk for cervical cancer. Some are categorized as high risk Over the past few decades, experts found a link between human papilloma virus and cervical or genital cancer. There are more than 100 different kinds, 30 of which can cause genital warts, the other 70 or so can cause infections on the warts and hands. Cervical cancer is rare in the U.S. because the majority of women get regular annual exams which include pap smears. The smear comes back abnormal and it is the first sign of HPV. The doctor may then perform a colposcopy in which a lighted magnifier is used to take a closer look at any abnormal cells that be removed before they turn into cancer.

The chances of getting HPV increases when you have had many sexual partners, if you’re between the ages of 20-24, or women who are sexually active with men who have other partners at the same time. The virus can be transmitted to people through genital contact so a condom will not protect against it. To avoid it, avoid contact with another human being. To reduce your chances of getting it, try to stay in a monogamous relationship with an uninfected partner. In 2006, a vaccine was approved for use in girls and women aged 9-26 and may eventually be approved for boys as well. Another one was approved by the FDA in 2007 so hopefully widespread vaccination in the not so distant future will help prevent the spread of this virus.


Lyla Feldman - About the Author:
Lyla Feldman writes articles about striving towards a healthy lifestyle. Some of her favorite passions include writing about energy drinks and natural sleep aids.

Saturday, February 13, 2010

What you Can Do About Genital Hpv

There are a few things that you can do about genital HPV and for a list of treatments available, both medical and alternative, Here though what I’ve tried to do, is to give you a reasonable understanding of what you can do about your genital HPV during and after any treatment that you might have.

• It begins with getting a proper medical checkup to make certain that you do indeed have genital HPV and not something else
• After successful removal of your warts, you should keep any follow up appointments that you have as they can recur and you want to be ready if they do
• Have a pap smear every six months, or every three months if cervical dysplasia has been detected, until you have at least three normal tests in a row
• Go for regular screening for not only genital HPV, but other sexually transmitted diseases
• Take all the necessary precautions to avoid developing genital warts
• As far as possible, maintain a healthy stress free lifestyle
• Cut down on alcohol consumption and cigarette smoking


Muna wa Wanjiru - About the Author:
Muna wa Wanjiru is a web administrator and Has Been Researching and Reporting on Curing Genital Warts for Years. For More Information on Genital HPV, Visit His Site at Genital HPV

Thursday, February 11, 2010

HPV Warts - Why You Should Be Worried About Getting Them

HPV warts are one of the most common types of skin infection that exists today. They are so common that they can affect anyone regardless of age, gender and location. This medical condition got its name from the Human Papilloma virus which causes it. This virus is present in almost any place as long as there is water and moisture in it. Anyone who then comes in contact with the virus will have a high possibility of acquiring any of the many forms of HPV warts.
Contrary to what many believe, these types of warts are not restricted to the genital area. Any wart, no matter where it is on your body is caused by HPV. So, those regular old warts that you see on peoples hands, knees and elbows are caused by HPV.
Once the virus gets into the skin, it will then cause the skin cells on the outer layer to grow at an incredibly abnormal rate. This causes the infected skin area to appear rough and bumpy. Some type of warts may also appear as small fingerlike growths while some possess flat and smooth surfaces. Whatever the case, all of them appear ugly and abnormal as compared with the normal type of skin that is present among all of us.
They are not that generally dangerous because they are usually benign in structure. This means that they don't have the tendency to develop into other more severe medical conditions like cancer. However, the high rate of infection that they possess is enough to make them undesirable for anyone who has them. The fact that they are also unsightly doesn't help a lot into making HPV warts more acceptable and endearing.

The good thing is that these warts have the tendency to disappear on their own after a couple of weeks or months. This makes it convenient for anyone who doesn't want to waste their time and effort in treating this insignificant skin condition. However, various methods of treatments are available for anyone who wants fast and effective relief from warts.

Some methods you might use include electrosurgery, cryosurgery and laser surgery. These treatments must be done in your doctors office and work at removing the entire wart and thus the virus that causes it. The treatment must remove the layers of skin that have the virus or your warts will simply return. The good thing about these treatments is that your wart will be gone immediately, the bad thing is that they may cause some discomfort and might leave a scar.

HPV warts can also be treated with natural methods. One method that is reputed to be effective is to crush up a clove of garlic and apply the paste directly to the wart. Put a bandage over this and leave for 1 week. Repeat until the wart is gone. A similar remedy involves the same procedure but with crushed vitamin C. Other remedies that you can apply directly to the wart include aloe vera, tea tree oil, lemon oil, papaya, dandelion and milkweed.

Sheri Cole - About the Author:



If you have HPV warts and want to learn more as well as discover a method that might help you get rid of them in just 3 days, visit http://www.howtogetridofwartsnow.com
Source: http://www.articlesbase.com/medicine-articles/hpv-warts-why-you-should-be-worried-about-getting-them-744513.html

Wednesday, February 10, 2010

All About Hpv and Gardasil -- a College Girl's Guide

The introduction of the HPV vaccine, Gardasil, has been accompanied by healthy doses of both good and bad news. The good news is that the vaccine's arrival has brought the virus into the spotlight by giving it the press it deserves. But the bad news is that myths and misconceptions about the virus and the vaccine abound, and these can and have caused considerable harm. For example, one prevalent myth is that promiscuity is the main reason why people get HPV infections. The fact is, it's possible to get an HPV infection even from a monogamous relationship. Here are some more common questions about HPV, the vaccine, and how they can affect teens' lives.


The Facts of HPV:

So what is HPV, really?

HPV is the human papilloma virus. It is the most common sexually transmitted virus. It isn't the same as HIV (Human Immunodeficiency Virus) or HSV (Herpes Simplex Virus), and it's not a new virus -- it's just often overlooked in discussions of common sexually transmitted diseases. There are more than a 100 types of HPV that can cause a variety of diseases, but we'll focus on its most significant manifestation -- genital HPV. Sexual contact is the most common way to transmit genital HPV, including not only sexual intercourse, but also sexual contact without intercourse and oral sex. HPV is a silent infection, meaning that many people are unaware that they are infected and can transmit the virus to their sexual partners without even knowing.


Who gets HPV?

Anyone can get HPV infections. It is estimated that at least 50 percent of sexually active men and women will acquire a genital HPV infection at some point in their lives. Most infections clear up on their own without any medical treatment in 12-24 months. People at the highest risk of getting HPV infections are those who engage in high-risk sexual behavior such as having multiple partners, having unprotected sex, and starting to have sex at an early age. Also, having a weak immune system due to poor nutrition, stress, and smoking can make existing HPV infections persist in the body for a longer period of time and cause HPV-related diseases.

Many of my patients have asked me if two people in a monogamous relationship can get HPV. The short answer is, unfortunately, yes. Even if you are currently in a monogamous relationship, you or your partner could have acquired HPV from a previous sexual relationship; the disease can lie dormant in the body for many years and can become active at any time. The only way to prevent HPV is for both partners in a monogamous relationship to have never had prior sexual partners or to abstain from sexual contact altogether.

What are the consequences of having HPV?

There are three possible results of HPV infection. First, it is possible to become a carrier of HPV and never show symptoms for the rest of your life. Second, you could develop genital warts, which are irritating, visually unpleasant, embarrassing, and often require repeated treatments to get rid of them. Third, you could develop a HPV related cancer, the most serious of which is cervical cancer. In addition, HPV can be a cause for tremendous emotional issues, such as feelings of guilt, blame and shame.


Should you get the vaccine?

There are now two vaccines available to prevent most HPV related diseases. Only one, Gardasil, is currently available in the United States. The vaccine is preventative in nature, meaning it can only prevent and not treat existing HPV infections. The vaccine protects against four different types of HPV, two of which cause 70% of cervical cancers, and the other two which cause most genital warts.

The CDC recommends the vaccine for girls at ages 11-12 years for maximum benefit. However, if you didn't receive the vaccine at this age, you can still get it up until the age of 26, even if you are sexually active. This is because even if you have already been exposed to some types of HPV, the vaccine will still prevent against any of the four types that you haven't. It is important to note that the vaccine does not prevent against pregnancy or other sexually transmitted diseases such as HIV/AIDS, Chlamydia or Gonorrhea. Therefore, it's crucial to continue to be abstinent or practice safer sex even after receiving the vaccine.

Should you get the Pap test?

A Pap test (also called a Pap smear) detects abnormal cell changes in the cervix, some of which if not treated, can progress to cancer. Therefore, once the abnormal changes are detected, they sometimes require close follow-ups and uncomfortable procedures. Pap tests, no doubt, have dramatically reduced the rates of cervical cancer in this country. But the vaccine, on the other hand, prevents these abnormal changes from occurring in the first place. Obviously, prevention is preferable to detection and treatment. But as the vaccine only protects against 70 percent of cervical cancer, it's important to keep getting Pap tests to detect the other 30 percent. Consult your health care provider to find out when you should start getting Pap tests.

What are the ways to prevent and fight HPV infections?

There are some basic tips to follow to keep healthy and avoid HPV infections.

Follow the "ABCDE" rules of prevention: Abstinence, Being monogamous, Consistent condom use, Delayed sexual activity and Education.

Avoid drugs and excessive alcohol: These activities can lead to risky sexual behavior that make getting HPV more likely.

Get vaccinated: Getting the Gardasil vaccine before you become sexually active can protect you from HPV strains that cause 90% of genital warts and 70% of cervical cancers. If you are already sexually active and haven’t been vaccinated, you should still consider getting vaccinated, as this can protect you from the vaccine strains that you may not have been exposed to.

Boost your immune system:

• Quit smoking: Smoking weakens your immune system and makes HPV hang around longer in your body which can then cause disease.

• Reduce stress: Look into techniques such as exercise that help you relax and make you feel good about yourself.

• Eat healthy: Add foods rich in Vitamins C and E such as fruits and vegetables that have cancer-fighting properties to your diet. In addition, it's a good idea to take a multivitamin daily.

HPV can be a potentially serious and chronic disease that can have tremendous medical, psychological and sexual consequences. It can turn your life upside down overnight. One chance encounter is all it takes to be potentially infected by the HPV virus. By seeking accurate information and taking productive steps, you can prevent the spread of HPV. Knowledge and education about HPV infections will help contain the spread of infection -- ignorance will not.

©2008 Shobha S. Krishnan, M.D.


Author Bio
Shobha S. Krishnan, M.D., is a board certified gynecologist and family practice physician at Barnard College, Columbia University. Her new book, "The HPV Vaccine Controversy: Sex, Cancer, God and Politics: A Guide to parents, women, men and teenagers" was published on August 30, 2008, by Greenwood Publications. The book presents the most up to date information about the vaccine without the influence of pharmaceutical companies or other interest groups.


Shobha S. Krishnan, M.d. - About the Author:
Visit http://www.greenwood.com/catalog/C35011.aspx for more information. The book can also be purchased at Amazon.com, Barnes and Noble.com and Borders.com.