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We found no nationwide monitoring of HPV prevalence.
For monitoring of HPV persistence, even greater potential for misuse exists.
Monitoring of HPV infections for persistence or clearance involves several practical considerations.
These findings highlight the importance of future monitoring of HPV genotypes in women with cervical cancer and the screening population.
Taken together, those studies suggest, that careful monitoring of HPV positive women in the post-partum period may be warranted.
Further monitoring of HPV vaccine safety is warranted in other populations when use and coverage has increased.
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Long-term surveillance of the effects of HPV vaccination in the population commenced in Scotland in 2008 and incorporates the study of both HPV prevalence in residual liquid-based cytology samples from screening (Kavanagh et al, 2013), and the monitoring of HPV-associated disease through national screening and colposcopy services.
Persistent infection with HR-HPV and expression of the viral oncogenes E6 and E7 are critical for malignant transformation (Zur Hausen, 2009), making detection and monitoring of HR-HPV carriers upon primary detection of abnormal cervical cytology an attractive approach (Nobbenhuis et al, 1999; Brismar et al, 2009).
In monitoring the effect of HPV vaccination, the use of genotyping assays will be very important.
Key indicators in the early evaluation of an HPV vaccination program are provided by monitoring the distribution of HPV types.
In the future, repeat cross-sectional surveys of the type reported here will provide an ongoing mechanism of monitoring the impact of HPV vaccination in New Zealand.
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