“…The high-risk HPV types (oncogenic) includes genotypes 16, 18, 31, 33, 35, 39, 45, 51, 52, and 58 that are associated with cervical, vulvar, vaginal, and anal cancer progression, while low-risk types such as 6, 11, 40, 42, 43, 44, 53, 54 and 74 are associated with warts and low-grade anal lesions [5]. Puerto Rico is the region with the lowest cervical cancer screening rates in the US, which has also substantial economic and access barriers to preventive strategies and treatments [6], and a higher prevalence of HPV than compared to those in the US (34% vs 27%) [7, 8].…”