How Many Ppl Have Herpes
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How Many Ppl Have Herpes
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Massive proportion of world’s population are living with herpes infection
Billions worldwide living with herpes
1 May 2020
Sexually transmitted infections (STIs)
22 November 2021
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About half a billion people worldwide are living with genital herpes, and several billion have an oral herpes infection, new estimates show.
Authored by staff at the University of Bristol, World Health Organization (WHO), and Weill Cornell Medical College-Qatar, and published in the Bulletin of the World Health Organization , the new study estimates the global infection prevalence and incidence of herpes simplex
virus types 1 and 2 (HSV-1 and HSV-2) in 2016.
“Herpes infection affects millions of people across the globe and can have far-reaching health effects. We need more investment and commitment to develop better treatment and prevention tools for this infection.” says Dr Sami Gottlieb, Medical
Officer at WHO and an author of the study.
An estimated 491.5 million people were living with HSV-2 infection in 2016, equivalent to 13.2% of the world’s population aged 15 to 49 years. HSV-2 is almost exclusively sexually transmitted, causing infection in the genital or anal area (genital
herpes).
An estimated 3.7 billion people had HSV-1 infection during the same year – around 66.6% of the world’s population aged 0 to 49. HSV-1 is mainly transmitted by oral to oral contact to cause infection in or around the mouth (oral herpes). However,
HSV-1 can also be transmitted to the genital area through oral-genital contact – during oral sex – to cause genital herpes. Most HSV-1 infections were oral; however, between 122 million to 192 million people were estimated to have genital
HSV-1 infection, depending on the assumptions used in the estimation model.
Because herpes is a lifelong infection, estimated prevalence increased with age; HSV-2 prevalence was also higher among women and in the WHO African Region.
Most people living with herpes, caused by either HSV-1 or 2, are unaware they have the infection.
When symptoms do occur however, oral herpes infection can lead to painful sores around the mouth (“cold sores”). Genital herpes infection can cause recurring, often painful, genital sores, often referred to as genital ulcer disease.
WHO and partners published a study in March 2020 estimating that around 5% of the world’s population (187 million people) suffered from at least one episode of herpes-related
genital ulcer disease in 2016 (1). Most of these episodes were due to HSV-2, which can recur frequently over many years.
Recurrent symptoms of genital herpes can lead to stigma and psychological distress, and can have an important impact on quality of life and sexual relationships. However, in time, most people with herpes adjust to living with the infection.
“Genital herpes is a substantial health concern worldwide – beyond the potential pain and discomfort suffered by people living with the infection, the associated social consequences can have a profound effect on sexual and reproductive health”
says Dr Ian Askew, Director of the Department of Sexual and Reproductive Health and Research at WHO.
A strong association exists between HSV-2 infection and HIV infection. In 2019, WHO commissioned a modeling study to estimate
how much HSV-2 infection might contribute to HIV incidence. The study estimated that almost 30% of new sexually acquired HIV infections in 2016 worldwide were likely attributable to HSV-2 infection (2).
Evidence shows that people with HSV-2 infection are at least three times more likely to become infected with HIV, if exposed. HSV-2 leads to inflammation and small breaks in the genital and anal skin that can make it easier for HIV to cause infection.
In addition, people with both HIV and HSV-2 infection are more likely to spread HIV to others.
Women have higher biologic susceptibility to both HSV-2 and HIV. Women living in the WHO Africa Region have the highest HSV-2 prevalence and exposure to HIV – putting them at greatest risk of HIV infection, with negative implications for their health
and well-being.
For people living with HIV (or who are living with other conditions that compromise their immune systems) as well as HSV-2, the symptoms of herpes can be more severe and more frequent.
Neonatal herpes can occur when an infant is exposed to HSV in the genital tract during delivery. This is a rare condition, occurring in an estimated 10 out of every 100,000 births globally, but can lead to lasting neurologic disability or death. The risk
for neonatal herpes is greatest when a mother acquires HSV infection for the first time in late pregnancy. Women who have genital herpes before they become pregnant are at very low risk of transmitting HSV to their infants.
There is no cure for herpes. At present, antiviral medications, such as acyclovir, famciclovir, and valacyclovir, can help to reduce the severity and frequency of symptoms but cannot cure the infection.
As well as increasing awareness about HSV infection and its symptoms, improved access to antiviral medications and heightened HIV prevention efforts for those with genital HSV symptoms are needed globally.
In addition, development of better treatment and prevention interventions is needed, particularly HSV vaccines. WHO and partners are working to accelerate research to develop new strategies for prevention and control of HSV infections. Such research includes
the development of HSV vaccines and topical microbicides. Several candidate vaccines and microbicides are currently being studied.
“A vaccine against HSV infection would not only help to promote and protect the health and well-being of millions of people, particularly women, worldwide – it could also potentially have an impact on slowing the spread of HIV, if developed
and provided alongside other HIV prevention strategies” says Dr Meg Doherty, Director of the WHO Department of Global HIV, Hepatitis, and STI Programmes.
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People are often surprised to learn how common genital herpes is. And looking at the data, about 48 million Americans would be in for a surprise if they got tested today. So how common is herpes? These genital herpes statistics focus on HSV-2 rates in the United States. Fortunately, the data also shows that herpes is highly manageable and people who have it can still have healthy love and sex lives.
Medically reviewed by Meagan Fleming, RN on Jan. 1, 2019 — Written by Editorial Staff
Planned Parenthood states that 1 in 6 Americans has genital herpes. ( 1 ) According to the American Sexual Health Organization, close to 90% of Americans don’t know they have genital herpes. ( 2 ) And according to the CDC, the statistic of infected people who don’t know is 87.4%. ( 3 )
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Female genitals are more susceptible to infection due to their exposed soft tissue.
An interesting note about HSV-2 transmission is that it’s often contracted within long-term relationships rather than through other high-risk considerations ( 9 ).
According to studies done by Valtrex, these are the rates of transmission per year of regular sex :
Though this article focuses on genital herpes caused by HSV-2, oral herpes is extremely common. In fact, many cases of genital herpes are caused by oral herpes, nothing more than a cold sore or contagious period that passed to the genitals through oral sex.
The big takeaways from these numbers are that:
1. Herpes is more common than many might think , and a lot of people are unaware they are infected and may not even have symptoms to tip them off. Unfortunately, when clinicians give “standard” STI check-ups, they don’t include tests for HSV-1 or HSV-2, unless it is specifically requested.
2. Many couples have a healthy sex life and still never transmit it to the uninfected partner. Taking precautions like avoiding sex during and around the time of an outbreak, using condoms and taking antiviral medication like valacyclovir (Valtrex) or Acyclovir drastically reduces the likelihood of transmission. The statistics indicate that it’s possible to get your chances of transmitting HSV-2 down to as low as 2.1% with condoms and antiviral medications.
3. Take charge of your sexual health and get regularly screened for STIs. You can specifically request a herpes test if the practitioner does not include it in standard checkups and you feel you need treatment. You can even order tests online:
Note: Not all genital herpes statistics are consistent from study to study. Most say 25% of American women have the virus, and 20% of American males. Other studies show slightly lower numbers. The studies with slightly lower numbers refer to people from 14 to 49 , while the higher number studies are based on all people over 12 . As populations age, there is a higher incidence of STIs.
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Positive Singles is a safe, supportive community to meet others with HSV! Profiles, blogs, forums, Q&As and more. Check it out FREE here .
Herpes is not the end — 3 out of 4 of us have a type. Get common compassion for a common condition. Most articles are medically reviewed. It’s just herpes!
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Information on this site is general in nature and cannot take the place of medical evaluation, diagnoses, and treatment by a health care provider. These statements have not been evaluated by the Food and Drug Administration.
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Genital herpes is a common STD, and most people with genital herpes infection do not know they have it.
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Genital herpes is a sexually transmitted disease (STD) caused by the herpes simplex virus type 1 (HSV-1) or type 2 (HSV-2).
Genital herpes infection is common in the United States. CDC estimated that there were 572,000 new genital herpes infections in the United States in a single year. 1 Nationwide, 11.9 % of persons aged 14 to 49 years have HSV-2 infection (12.1% when adjusted for age). 2 However, the prevalence of genital herpes infection is higher than that because an increasing number of genital herpes infections are caused by HSV-1. 3 Oral HSV-1 infection is typically acquired in childhood; because the prevalence of oral HSV-1 infection has declined in recent decades, people may have become more susceptible to contracting a genital herpes infection from HSV-1. 4
HSV-2 infection is more common among women than among men; the percentages of those infected during 2015-2016 were 15.9% versus 8.2% respectively, among 14 to 49 year olds. 2 This is possibly because genital infection is more easily transmitted from men to women than from women to men during penile-vaginal sex. 5 HSV-2 infection is more common among non-Hispanic blacks (34.6%) than among non-Hispanic whites (8.1%). 2 A previous analysis found that these disparities, exist even among persons with similar numbers of lifetime sexual partners. Most infected persons may be unaware of their infection; in the United States, an estimated 87.4% of 14 to 49 year olds infected with HSV-2 have never received a clinical diagnosis. 6
The age-adjusted percentage of persons in the United States infected with HSV-2 decreased from 18.0% in 1999–2000 to 12.1% in 2015-2016. 2
Infections are transmitted through contact with HSV in herpes lesions, mucosal surfaces, genital secretions, or oral secretions. 5 HSV-1 and HSV-2 can be shed from normal-appearing oral or genital mucosa or skin. 7 ,8 Generally, a person can only get HSV-2 infection during genital contact with someone who has a genital HSV-2 infection. However, receiving oral sex from a person with an oral HSV-1 infection can result in getting a genital HSV-1 infection. 4 Transmission commonly occurs from contact with an infected partner who does not have visible lesions and who may not know that he or she is infected. 7 In persons with asymptomatic HSV-2 infections, genital HSV shedding occurs on 10.2% of days, compared to 20.1% of days among those with symptomatic infections. 8
Most individuals infected with HSV are asymptomatic or have very mild symptoms that go unnoticed or are mistaken for another skin condition. 9 When symptoms do occur, herpes lesions typically appear as one or more vesicles, or small blisters, on or around the genitals, rectum or mouth. The average incubation period for an initial herpes infection is 4 days (range, 2 to 12) after exposure. 10 The vesicles break and leave painful ulcers that may take two to four weeks to heal after the initial herpes infection. 5,10 Experiencing these symptoms is referred to as having a first herpes “outbreak” or episode.
Clinical manifestations of genital herpes differ between the first and recurrent (i.e., subsequent) outbreaks. The first outbreak of herpes is often associated with a longer duration of herpetic lesions, increased viral shedding (making HSV transmission more likely) and systemic symptoms including fever, body aches, swollen lymph nodes, or headache. 5 ,10 Recurrent outbreaks of genital herpes are common, and many patients who recognize recurrences have prodromal symptoms, either localized genital pain, or tingling or shooting pains in the legs, hips or buttocks, which occur hours to days before the eruption of herpetic lesions. 5 Symptoms of recurrent outbreaks are typically shorter in duration and less severe than the first outbreak of genital herpes. 5 Long-term studies have indicated that the number of symptomatic recurrent outbreaks may decrease over time. 5 Recurrences and subclinical shedding are much less frequent for genital HSV-1 infection than for genital HSV-2
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