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REVIEW

Unresolved questions concerning human papillomavirus infection and transmission: a modelling perspective

David G. Regan A C , David J. Philp B and Edward K. Waters A
+ Author Affiliations
- Author Affiliations

A The National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, Building CC4, 45 Beach Street, Coogee, NSW 2034, Australia.

B School of Public Health and Community Medicine, The University of New South Wales, Sydney, NSW 2052, Australia.

C Corresponding author. Email: dregan@nchecr.unsw.edu.au

Sexual Health 7(3) 368-375 https://doi.org/10.1071/SH10006
Submitted: 21 January 2010  Accepted: 3 June 2010   Published: 19 August 2010

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 naturally-acquired immunity. In this review, we discuss the key knowledge gaps that impact on our ability to develop accurate models of HPV transmission and vaccination.

Additional keywords: dynamic model, infectiousness, knowledge gaps, mathematical transmission model, vaccination.


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