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Gardasil, also known as Gardisil or Silgard,is a vaccine to prevent certain types of human papillomavirus, specifically HPV types 16, 18, 6, and 11. HPV types 16 and 18 currently cause about 70% of cervical,26% of head and neck and many vulvar, vaginal, penile, and anal cancer cases. HPV types 6 and 11 cause about 90% of genital warts cases.Gardasil can only prevent, not treat, HPV infections, so to be effective it must be given before HPV infection occurs. Some HPV strains are sexually transmitted. HPV-16 has a 60% per- couple transmission rate. The U.S. Food and Drug Administration recommends vaccination before adolescence and potential sexual activity