2010
DOI: 10.1071/sh10006
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Unresolved questions concerning human papillomavirus infection and transmission: a modelling perspective

Abstract: Abstract. Mathematical transmission models are widely used to forecast the potential impact of interventions such as vaccination and to inform the development of health policy. Effective vaccines are now available for the prevention of cervical cancer and other diseases attributable to human papillomavirus (HPV). Considerable uncertainties remain regarding the characterisation of HPV infection and its sequelae, infectivity, and both vaccine-conferred and naturallyacquired immunity. In this review, we discuss t… Show more

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Cited by 9 publications
(5 citation statements)
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References 95 publications
(102 reference statements)
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“…Nevertheless, it may be possible that infections occurred in the vaccinated (without leading to disease) and whether these infections can be transmitted is unknown. 52 The effect of vaccine efficacy on cost-effectiveness was not consistent in the four studies in which sensitivity analyses were conducted for this endpoint. 40,42,47,49 This might be due to the effect of herd protection masking the benefit of higher efficacy.…”
Section: ) a Linear Relationship Was Seen Between The Proportional Cmentioning
confidence: 94%
“…Nevertheless, it may be possible that infections occurred in the vaccinated (without leading to disease) and whether these infections can be transmitted is unknown. 52 The effect of vaccine efficacy on cost-effectiveness was not consistent in the four studies in which sensitivity analyses were conducted for this endpoint. 40,42,47,49 This might be due to the effect of herd protection masking the benefit of higher efficacy.…”
Section: ) a Linear Relationship Was Seen Between The Proportional Cmentioning
confidence: 94%
“…Despite extensive study, there remains considerable uncertainty regarding aspects of the natural history of HPV and the patterns of sexual behaviour that underpin transmission . Furthermore, many studies have not been designed with transmission models in mind, so the processes and phenomena they measure cannot always be applied directly and/or their interpretation in the context of transmission is not clear.…”
Section: Background On Modelling Human Papillomavirus and Relevance Tmentioning
confidence: 99%
“…Assessment of the adequacy of vaccine coverage achieved can be assisted by mathematical modelling, and models for the Australian setting continue to be refined. 11,12 Because the target group for the HPV vaccination program fell outside the age range of the Australian Childhood Immunisation Register, a specific strategy to estimate agespecific vaccine coverage from the program was required. The National HPV Vaccination Program Register (NHVPR), which is owned by the Australian Government Department of Health and Ageing and operated by the Victorian Cytology Service, was established to meet this need, as well as to assist in administering the program and for monitoring and evaluation (for details about the NHVPR, please see the accompanying paper 13 ).…”
Section: Assess Age-specific Hpv Vaccination Coverage Achieved In Thementioning
confidence: 99%