U.S. Teens More Vulnerable to Genital Herpes, Study Suggests10/17/13
THURSDAY, Oct. 17 (HealthDay News) -- Today's teens may be at
higher risk than ever of contracting genital herpes because they
don't have enough immune system antibodies to shield them against
the sexually transmitted virus, a new study suggests.
This increase in risk may be the result of fewer teens being
exposed in childhood to the herpes simplex virus type 1 (HSV-1), a
common cause of cold sores, researchers reported Oct. 17 in the
online edition of the
Journal of Infectious Diseases.
"HSV-1 now is the predominant herpes strain causing genital infection," explained Dr. David Kimberlin, chair of infectious diseases at the University of Alabama at Birmingham School of Medicine, and the author of a journal editorial.
According to Kimberlin, the new findings suggest that almost one
in 10 adolescents who a decade ago would have already acquired
HSV-1 and built up some immunity may now encounter HSV-1 when they
first become sexually active. That could leave them more
susceptible to genital herpes than young people were in the
"This [also] has potentially significant consequences on neonatal herpes transmission," which occurs when a baby contracts the herpes virus from a genitally infected mother, Kimberlin said. "We must continue to monitor these changes and watch for shifts in neonatal herpes infection that possibly could result."
Of the eight types of herpes, the two that are most important in
terms of disease transmission are HSV-1 and herpes simplex virus
type 2 (HSV-2), both of which cause lifelong infections with no
known cure. These viruses can have dormant periods after an initial
outbreak. HSV-1 is usually contracted in childhood, by skin-to-skin
contact with an infected adult, whereas HSV-2 is most often
However, recent research indicates that HSV-1 is becoming a
major cause of genital herpes in industrialized countries. One
study found nearly 60 percent of genital herpes infections were
caused by HSV-1, the researchers noted.
A shift by young people toward participation in oral sex might
help explain the trend, experts said, since the herpes virus can
easily be transmitted in this way from the mouth to the
"I tell patients herpes is like your credit history -- whatever you did you can never get rid of," said one expert not connected to the study, Dr. Marcelo Laufer, a pediatric infectious disease specialist at Miami Children's Hospital.
"Every year the proportion of patients who get infected with HSV-1 through oral sex is increasing," he said. "Adolescents who reach that age without being exposed to HSV-1 might, through oral sex, be more susceptible to the infection."
The virus is usually passed through saliva, but in more recent
years better hygiene may have kept the virus from spreading to
young children, Laufer theorized. That means that fewer children
are now exposed and are producing antibodies against HSV.
HSV-1 and HSV-2 can also cause significant problems for newborn
infants, who don't yet have mature immune systems capable of
fighting the viruses. As many as 30 percent of infected babies die
from this infection if they have the most severe form of the
disease, Kimberlin noted.
In the new study, a team of researchers led by Heather Bradley
of the U.S. Centers for Disease Control and Prevention used data
from federal government surveys to track the prevalence of herpes
among 14- to 49-year-olds in the United States.
Overall, they found that 54 percent of Americans in this age
range were infected with HSV-1.
Among 14- to 19-year-olds, however, the prevalence of protective
HSV-1 antibodies fell by nearly 23 percent from 1999 to 2010, the
research team found.
Among those aged 20 to 29, HSV-1 prevalence dropped more than 9
percent. HSV-1 prevalence remained stable among those in their 30s
These data suggest that more teens lack HSV-1 antibodies at
their first sexual encounter now than in decades past, and so are
more susceptible to genital herpes.
"In combination with increased oral sex behaviors among young people, this means that adolescents may be more likely than those in previous time periods to genitally acquire HSV-1," the researchers concluded.
There's more on genital herpes at the
Centers for Disease Control and Prevention.
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