Although the HPV vaccine is not strictly a travel vaccination, HPV is found worldwide and is easily spread through sexual contact. Gardasil 9 is recommended for:

• Teenagers and adults up to their 45th birthday who have not received the vaccine before
• Anyone about to travel or move abroad, especially to areas with limited cervical screening or high rates of HPV
• Individuals starting new relationships, particularly with partners from regions where HPV is common
• Anyone wishing to reduce their risk of genital warts or HPV-linked cancers

HPV vaccination is available through the NHS for young people, and privately at clinics in London and across the UK. It can be given at the same time as other vaccines, including travel vaccines.

Most HPV infections do not cause any symptoms and people are often unaware they have the virus. However, certain types of HPV can cause:

• Cervical cancer (the most common outcome)
• Other cancers such as of the anus, penis, vagina, vulva, and oropharynx (throat)
• Genital warts, which may appear as small bumps or growths on the genitals
• Less commonly, warts in the mouth or throat

Most infections are cleared by the immune system, but persistent infection with high-risk strains can lead to serious health problems, sometimes years after exposure.

Gardasil 9 is given as an injection, most commonly in the upper arm:

• People under 25 years: One single dose of HPV vaccine is recommended
• People aged 25 + : Two doses, given at least 6 months apart
• People with weakened immune systems (any age): Three doses given over a 12-month period
• Safety: Generally very well tolerated. Common mild side effects include soreness, swelling or redness at the injection site, mild fever, or headache.
• Effectiveness: Offers protection against nine HPV types, covering about 90% of cervical cancer cases, most HPV-related cancers, and genital warts.
• Length of protection: Immunity is known to last at least 10 years, and likely much longer.
• Convenient timing: The HPV vaccine can be given at the same time as other vaccinations, including travel vaccines.