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There are simple steps you can take to reduce your risk of HPV: Getting the HPV vaccine , which helps prevent infection even if you are already sexually active Limiting your number of sexual partners to reduce your overall exposure to new viral strains Using condoms and dental dams consistently and correctly during oral contact Avoiding smoking , as tobacco use may worsen oral viral infections and head and neck cancers Attending regular health screenings , including cervical cancer screening, an anal Pap smear, or an anal swab test if recommended Looking after your health does not require drastic changes

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The precise setting of the novel is unclear

California and Hawaii have reported huge increases, with the latter seeing the rate of middle schoolers using e-cigs jump from 2 percent in 2011 to 12 percent in 2014

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5,396,911 to Casey, III et al