Serogroup or serotype distribution (for serogroup- or serotype-specific vaccines)

Currently 12 HPV types are defined as high-risk (oncogenic) and cause cancer in humans (types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59); type 68 is classified as probably causing cancer. Oncogenic risk varies by type, with type HPV16 being the most oncogenic. Go to footnote 1
The most common HPV genotypes found in invasive cervical cancer are HPV16 and HPV18, together accounting for about 77% of cases. Other significant high-risk types include HPV31, 33, 35, 45, 52, and 58, which collectively contribute to nearly 95% of cases globally. Go to footnote 2
To note that 2010 data is seen as a historical baseline. Given that the existing _HPV vaccines cover HPV-16 and HPV-18 types, measuring the "natural" seroprevalence burden for these two types (16 and 18) will no longer be possible, as they start to disappear due to vaccination. Go to footnote 3
A more recent metaanalysis of HPV among men showed a global pooled prevalence of 31% (95% CI 27–35) for any HPV. Pooled prevalence estimates were similar for the regions of Europe and Northern America, Sub-Saharan Africa, Latin America and Oceania, while estimates for Eastern and South-Eastern Asia were half that of the other regions. Go to footnote 4

Sources
  • Go back to footnote reference 1

    Bruni L, Diaz M, Castellsagué X, et al. (2010). Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J Infect Dis. 202(12):1789–1799. doi:10.1086/657321.

  • Go back to footnote reference 2

    Wei F, Georges D, Man I, Baussano I, Clifford GM (2024). Causal attribution of human papillomavirus genotypes to invasive cervical cancer worldwide: a systematic analysis of the global literature. Lancet. 404(10451):435–444. doi:10.1016/S0140-6736(24)01097-3.

  • Go back to footnote reference 3

    Gray P, Kann H, Pimenoff V, Adhikari I, Eriksson T, Surcel H, Vänskä S, Dillner J, Faust H, Lehtinen M (2020). Long‐term follow‐up of human papillomavirus type replacement among young pregnant Finnish females before and after a community‐randomised HPV vaccination trial with moderate coverage. Int J Cancer. 147:3511–3522. https://doi.org/10.1002/ijc.33169 (accessed 19 June 2025).

  • Go back to footnote reference 4

    Bruni L, Albero G, Rowley J, Alemany L, Arbyn M, Giuliano AR, Markowitz LE, Broutet N, Taylor M (2023). Global and regional estimates of genital human papillomavirus prevalence among men: a systematic review and meta-analysis. Lancet Glob Health. 11(9):e1403–e1414. https://doi.org/10.1016/S2214-109X(23)00305-4 (accessed 19 June 2025).