“…By the mid-1990s, the percentage of primary cases of genital herpes caused by HSV-1 had doubled to 20% (54). In other parts of the world, HSV-1 accounts for an even larger percentage of genital herpes cases, with rates in excess of 40% reported from Singapore, Sweden, England, Norway, and Japan (13,25,57,65,75,87). Genital HSV-1 infections can result from either genital-genital contact or oral-genital contact with an infected person who is actively shedding virus.…”