Published 19 November 2008, doi:10.1136/bmj.a2553
Cite this as: BMJ 2008;337:a2553

Letters

(Not) warts and all

"Annoyance" of genital warts

The first 150 words of the full text of this article appear below.

As Hammond said,1 and my website shows in the wart section (www.chestersexualhealth.co.uk), genital warts are not just an annoying nuisance. Both human papillomavirus (HPV) vaccines are so far equally effective for HPV 16 and 18, but it will be many years before we know whether one has longer efficacy than the other. The Department of Health estimated the cost of wart treatment at an all time low of £134 per patient. The cost is around £423 per patient in my clinic, where even first visit payment by results is £153 and follow-up £90; most warts need a few visits.

Despite GSK’s assertion of winning eligible contracts, I am not aware of any country that has chosen Cervarix as the national vaccine. Also, why won’t the Food and Drug Administration approve it? Has it concerns that the British don’t know about? Now that top- up payments are in the . . . [Full text of this article]

Colm O’Mahony, consultant in sexual health1

1 Countess of Chester Hospital, Chester CH2 3AF

colm.omahony@coch.nhs.uk


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(Not) warts and all
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