HPV education crucial to preventing oropharyngeal cancers, says ENT specialist

By Tracy Moore

Strengthening public education on human papillomavirus (HPV) and improving awareness among high-risk groups will be essential if Barbados is to curb rising rates of oropharyngeal cancers, according to ENT specialist at the Queen Elizabeth Hospital, Dr Salonee Shenoy.

Speaking during the question and answer segment of the Barbados Association of Medical Practitioners (BAMP) annual medical conference, Dr Shenoy said yesterday that research shows an emerging pattern in HPV-related cancers.

“Recent studies have shown that the male-to-male-to-female ratio is not extremely significant, but they have still carried out studies to identify risk groups. But more so in females. Young adults, young female adults than males,” she said.

She explained that while medical practitioners continue to investigate the demographic shifts, the greater risk emerging among young women underscores the need for widespread prevention measures.

Asked whether Barbados should adopt a more aggressive stance against HPV, Dr. Shenoy said the emphasis must be placed squarely on public education: “I think the key is patient education and bringing about awareness about existing HPV diseases as well as creating knowledge and awareness in the general population so that they can be screened or stratified into high-risk groups.”

She noted that diagnostic options do exist, but their high cost makes routine screening unrealistic.

“There are tumour markers that can be screened for, but again, they are very expensive in terms of screening. So, I think it is more knowledge and awareness rather than screening.”

During the exchange, participants raised the issue of universal HPV vaccination as a potential long-term strategy to reduce cancer risk in the population. Asked directly whether Barbados should pursue this, Dr Shenoy was unequivocal: “I think vaccines should be made mandatory and included in the routine immunisation protocol. Because that would be significantly helpful in reducing the risk of developing cancer and symptoms of oropharyngeal cancers going forward.”

Her comments highlight growing clinical concern worldwide, as HPV strains 16 and 18 – the same high-risk types associated with cervical cancer – continue to drive a rising proportion of oropharyngeal tumours.

She reaffirmed that early education, behavioural awareness, and vaccination are the most dependable defence Barbados currently has.