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What is Which of the following Human papilloma virus subtypes are not covered by Quadrivalent Anti- cervical cancer vaccine? and explain in detail?
HPV VACCINE : - Quadrivalent vaccine - Gardasil - Protects against strains 6 ,11,16 & 18. - Bivalent vaccine - Cervarix - Protects against strains 16,18 - These prevent cervical insitu neoplasia grade 2, 3 & adenocarcinoma in situ - Gardasil also prevents serotype related genital was, vaginal & vulvar intraepithelial neoplasia - Both vaccines are immunogenic at 9-14yrs of age & protection persists for atleast 5yrs