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Trends of Anogenital Warts Among Sexually Transmitted Disease Clinic Patients - Sexually Transmitted Disease Surveillance Network, United States, 2010-2016.

Background: Approximately 90% of genital warts are caused by human papillomavirus (HPV) types 6 and 11. In the US, HPV vaccination has been recommended for females ≤26 years; and since 2011, males ≤21 years and gay, bisexual, and other men who have sex with men (MSM) ≤26 years.

Methods: Data were obtained from 27 clinics participating in the STD Surveillance Network (SSuN). Trends in the annual prevalence of anogenital warts (AGW) from 2010-2016 were described by sex and sex of sex partners.

Results: From 2010-2016, significant declines in the prevalence of AGW were observed in women aged <40 years; men who have sex with women only (MSW) <40 years; and among all age categories of MSM. An inflection in trend was noted for MSW aged 20-24 and 25-29 years and MSM aged 20-24 years in 2012.

Conclusions: The observed declines in AGW suggest that HPV morbidity is declining among populations attending STD clinics, including MSW, MSM, and women. Declines in younger age groups are consistent with what would be expected following the implementation of HPV vaccination. However, declines were also observed in older age groups, and are not likely to be the result of vaccination.

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