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                Empowering others to speak up about HPV-related cancers
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                            <p>The impact of Gina’s diagnosis inspired her to help others prioritize their health</p>
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<p>After 20 years of normal cervical screenings,* Gina Esposito was confident her next routine screening wouldn’t be any different. So, when she was diagnosed with human papillomavirus (HPV)-related cervical precancer at 47 years old, she was surprised.</p>



<p>“The sinking feeling I had when I received my diagnosis was intense because I wasn&#8217;t expecting it,” she said.</p>



<p><em>*A cervical screening, often referred to as a pap test or pap smear, looks for precancers or cell changes that might become cervical cancer if not treated appropriately.</em></p>



<h2 class="wp-block-heading">The impact of HPV-related cancers and diseases</h2>



<p>More than 80% of cervical cancers are associated with HPV. For most people, HPV clears on its own. But for those who don’t clear the virus, it could cause <a href="https://www.merck.com/stories/hpv-related-cancers-what-you-need-to-know/">certain cancers and diseases</a>.</p>



<p>After her diagnosis, Esposito underwent a procedure to remove the abnormal cells from her cervix. When a follow-up test showed that there were still some abnormal cells present, she consulted with a doctor and decided to get a hysterectomy.</p>



<p>At first, she felt embarrassed by her diagnosis. As she started to share her story, she noticed that others felt ashamed to speak about HPV-related cancers and diseases. She knew something had to change.</p>



<p>“I have a newfound responsibility to take the stigma away, to say ‘the shame has to go away,’ whether you&#8217;re a woman or a man,” Esposito said.</p>



<p>Throughout her experience, she says her daughter has been a source of strength.</p>



<p>“You don&#8217;t want your child to be without you or to experience the loss of a parent. You want to be around for all of their milestones and they want you around,” Esposito said. “So, she keeps me motivated because there&#8217;s an expectation that mom&#8217;s going to be around.”</p>



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            “I try to be a positive disruptor in this space and normalize it so that people go for early screenings and routine screenings and that they get treatment if they need it.”        </h2>
        
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                <strong> &#8212; Gina Esposito</strong>
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<h2 class="wp-block-heading">The importance of routine care</h2>



<p>In some ways, Esposito considers herself lucky. Her commitment to prioritizing routine care helped her catch her disease early.</p>



<p>“I’m so glad I took the time to go to my screening – it helped catch my disease early,” she said.</p>



<p>Esposito is working to ensure her daughter also prioritizes getting routine care and understands the value of prioritizing her health, especially as she approaches adulthood.</p>



<p>“She knows you need to own your own health because no one else is going to do it for you,” she said. Esposito encourages colleagues across our company to prioritize their health, too.</p>



<p>Esposito plans to continue helping men and women feel comfortable discussing HPV-related disease and get the preventative care they need.</p>



<p>“When I talk with others, I focus on what happened to me so they can use it as an example,” Esposito said. “I get people emailing me, texting me, going, ‘I’m going to make my appointment today.’ And if we can have one person that we get early, then my job is done.”</p>


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                <a href="https://www.merck.com/" class="btn tertiary">Decline</a>
                <a href="javascript:void()" class="btn tertiary negative" title="" onclick="sessionStorage.setItem('guidance-accepted', JSON.stringify(true)); document.getElementById('fowardGuidanceModel').style.display = 'none';">Accept</a>
            </div>

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</div>
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page_type : "disease awareness and education",
page_audience : "patients and consumers",
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<script type="text/javascript">
                        /*
* FileSaver.js
* A saveAs() FileSaver implementation.
*
* By Eli Grey, http://eligrey.com
*
* License : https://github.com/eligrey/FileSaver.js/blob/master/LICENSE.md (MIT)
* source  : http://purl.eligrey.com/github/FileSaver.js
*/

// The one and only way of getting global scope in all environments
// https://stackoverflow.com/q/3277182/1008999
var _global = typeof window === 'object' && window.window === window
  ? window : typeof self === 'object' && self.self === self
  ? self : typeof global === 'object' && global.global === global
  ? global
  : this

function bom (blob, opts) {
  if (typeof opts === 'undefined') opts = { autoBom: false }
  else if (typeof opts !== 'object') {
    console.warn('Deprecated: Expected third argument to be a object')
    opts = { autoBom: !opts }
  }

  // prepend BOM for UTF-8 XML and text/* types (including HTML)
  // note: your browser will automatically convert UTF-16 U+FEFF to EF BB BF
  if (opts.autoBom && /^\s*(?:text\/\S*|application\/xml|\S*\/\S*\+xml)\s*;.*charset\s*=\s*utf-8/i.test(blob.type)) {
    return new Blob([String.fromCharCode(0xFEFF), blob], { type: blob.type })
  }
  return blob
}

function download (url, name, opts) {
  var xhr = new XMLHttpRequest()
  xhr.open('GET', url)
  xhr.responseType = 'blob'
  xhr.onload = function () {
    saveAs(xhr.response, name, opts)
  }
  xhr.onerror = function () {
    console.error('could not download file')
  }
  xhr.send()
}

function corsEnabled (url) {
  var xhr = new XMLHttpRequest()
  // use sync to avoid popup blocker
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  return xhr.status >= 200 && xhr.status <= 299
}

// `a.click()` doesn't work for all browsers (#465)
function click (node) {
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    node.dispatchEvent(new MouseEvent('click'))
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    var evt = document.createEvent('MouseEvents')
    evt.initMouseEvent('click', true, true, window, 0, 0, 0, 80,
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    node.dispatchEvent(evt)
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}

// Detect WebView inside a native macOS app by ruling out all browsers
// We just need to check for 'Safari' because all other browsers (besides Firefox) include that too
// https://www.whatismybrowser.com/guides/the-latest-user-agent/macos
var isMacOSWebView = /Macintosh/.test(navigator.userAgent) && /AppleWebKit/.test(navigator.userAgent) && !/Safari/.test(navigator.userAgent)

var saveAs = _global.saveAs || (
  // probably in some web worker
  (typeof window !== 'object' || window !== _global)
    ? function saveAs () { /* noop */ }

  // Use download attribute first if possible (#193 Lumia mobile) unless this is a macOS WebView
  : ('download' in HTMLAnchorElement.prototype && !isMacOSWebView)
  ? function saveAs (blob, name, opts) {
    var URL = _global.URL || _global.webkitURL
    var a = document.createElement('a')
    name = name || blob.name || 'download'

    a.download = name
    a.rel = 'noopener' // tabnabbing

    // TODO: detect chrome extensions & packaged apps
    // a.target = '_blank'

    if (typeof blob === 'string') {
      // Support regular links
      a.href = blob
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      a.href = URL.createObjectURL(blob)
      setTimeout(function () { URL.revokeObjectURL(a.href) }, 4E4) // 40s
      setTimeout(function () { click(a) }, 0)
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  }

  // Use msSaveOrOpenBlob as a second approach
  : 'msSaveOrOpenBlob' in navigator
  ? function saveAs (blob, name, opts) {
    name = name || blob.name || 'download'

    if (typeof blob === 'string') {
      if (corsEnabled(blob)) {
        download(blob, name, opts)
      } else {
        var a = document.createElement('a')
        a.href = blob
        a.target = '_blank'
        setTimeout(function () { click(a) })
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    } else {
      navigator.msSaveOrOpenBlob(bom(blob, opts), name)
    }
  }

  // Fallback to using FileReader and a popup
  : function saveAs (blob, name, opts, popup) {
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    // Mostly only available on user interaction and the fileReader is async so...
    popup = popup || open('', '_blank')
    if (popup) {
      popup.document.title =
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    }

    if (typeof blob === 'string') return download(blob, name, opts)

    var force = blob.type === 'application/octet-stream'
    var isSafari = /constructor/i.test(_global.HTMLElement) || _global.safari
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    if ((isChromeIOS || (force && isSafari) || isMacOSWebView) && typeof FileReader !== 'undefined') {
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      var reader = new FileReader()
      reader.onloadend = function () {
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        url = isChromeIOS ? url : url.replace(/^data:[^;]*;/, 'data:attachment/file;')
        if (popup) popup.location.href = url
        else location = url
        popup = null // reverse-tabnabbing #460
      }
      reader.readAsDataURL(blob)
    } else {
      var URL = _global.URL || _global.webkitURL
      var url = URL.createObjectURL(blob)
      if (popup) popup.location = url
      else location.href = url
      popup = null // reverse-tabnabbing #460
      setTimeout(function () { URL.revokeObjectURL(url) }, 4E4) // 40s
    }
  }
)

_global.saveAs = saveAs.saveAs = saveAs

if (typeof module !== 'undefined') {
  module.exports = saveAs;
}

/*! ics.js Wed Sept 14 2017 */
var ics=function(e,t){"use strict";{if(!(navigator.userAgent.indexOf("MSIE")>-1&&-1==navigator.userAgent.indexOf("MSIE 10"))){void 0===e&&(e="default"),void 0===t&&(t="Calendar");var r=-1!==navigator.appVersion.indexOf("Win")?"\r\n":"\n",n=[],i=["BEGIN:VCALENDAR","PRODID:"+t,"VERSION:2.0"].join(r),o=r+"END:VCALENDAR",a=["SU","MO","TU","WE","TH","FR","SA"];return{events:function(){return n},calendar:function(){return i+r+n.join(r)+o},addEvent:function(t,i,o,l,u,s){if(void 0===t||void 0===i||void 0===o||void 0===l||void 0===u)return!1;if(s&&!s.rrule){if("YEARLY"!==s.freq&&"MONTHLY"!==s.freq&&"WEEKLY"!==s.freq&&"DAILY"!==s.freq)throw"Recurrence rrule frequency must be provided and be one of the following: 'YEARLY', 'MONTHLY', 'WEEKLY', or 'DAILY'";if(s.until&&isNaN(Date.parse(s.until)))throw"Recurrence rrule 'until' must be a valid date string";if(s.interval&&isNaN(parseInt(s.interval)))throw"Recurrence rrule 'interval' must be an integer";if(s.count&&isNaN(parseInt(s.count)))throw"Recurrence rrule 'count' must be an integer";if(void 0!==s.byday){if("[object Array]"!==Object.prototype.toString.call(s.byday))throw"Recurrence rrule 'byday' must be an array";if(s.byday.length>7)throw"Recurrence rrule 'byday' array must not be longer than the 7 days in a week";s.byday=s.byday.filter(function(e,t){return s.byday.indexOf(e)==t});for(var c in s.byday)if(a.indexOf(s.byday[c])<0)throw"Recurrence rrule 'byday' values must include only the following: 'SU', 'MO', 'TU', 'WE', 'TH', 'FR', 'SA'"}}var g=new Date(l),d=new Date(u),f=new Date,S=("0000"+g.getFullYear().toString()).slice(-4),E=("00"+(g.getMonth()+1).toString()).slice(-2),v=("00"+g.getDate().toString()).slice(-2),y=("00"+g.getHours().toString()).slice(-2),A=("00"+g.getMinutes().toString()).slice(-2),T=("00"+g.getSeconds().toString()).slice(-2),b=("0000"+d.getFullYear().toString()).slice(-4),D=("00"+(d.getMonth()+1).toString()).slice(-2),N=("00"+d.getDate().toString()).slice(-2),h=("00"+d.getHours().toString()).slice(-2),I=("00"+d.getMinutes().toString()).slice(-2),R=("00"+d.getMinutes().toString()).slice(-2),M=("0000"+f.getFullYear().toString()).slice(-4),w=("00"+(f.getMonth()+1).toString()).slice(-2),L=("00"+f.getDate().toString()).slice(-2),O=("00"+f.getHours().toString()).slice(-2),p=("00"+f.getMinutes().toString()).slice(-2),Y=("00"+f.getMinutes().toString()).slice(-2),U="",V="";y+A+T+h+I+R!=0&&(U="T"+y+A+T,V="T"+h+I+R);var B,C=S+E+v+U,j=b+D+N+V,m=M+w+L+("T"+O+p+Y);if(s)if(s.rrule)B=s.rrule;else{if(B="rrule:FREQ="+s.freq,s.until){var x=new Date(Date.parse(s.until)).toISOString();B+=";UNTIL="+x.substring(0,x.length-13).replace(/[-]/g,"")+"000000Z"}s.interval&&(B+=";INTERVAL="+s.interval),s.count&&(B+=";COUNT="+s.count),s.byday&&s.byday.length>0&&(B+=";BYDAY="+s.byday.join(","))}(new Date).toISOString();var H=["BEGIN:VEVENT","UID:"+n.length+"@"+e,"CLASS:PUBLIC","DESCRIPTION:"+i,"DTSTAMP;VALUE=DATE-TIME:"+m,"DTSTART;VALUE=DATE-TIME:"+C,"DTEND;VALUE=DATE-TIME:"+j,"LOCATION:"+o,"SUMMARY;LANGUAGE=en-us:"+t,"TRANSP:TRANSPARENT","END:VEVENT"];return B&&H.splice(4,0,B),H=H.join(r),n.push(H),H},download:function(e,t){if(n.length<1)return!1;t=void 0!==t?t:".ics",e=void 0!==e?e:"calendar";var a,l=i+r+n.join(r)+o;if(-1===navigator.userAgent.indexOf("MSIE 10"))a=new Blob([l]);else{var u=new BlobBuilder;u.append(l),a=u.getBlob("text/x-vCalendar;charset="+document.characterSet)}return saveAs(a,e+t),l},build:function(){return!(n.length<1)&&i+r+n.join(r)+o}}}console.log("Unsupported Browser")}};


function GenerateICS(title, description, start, end) {
    let cal = new ics();
    cal.addEvent(decodeURIComponent(title), decodeURIComponent(description), "", start, end);
    cal.download(decodeURIComponent(title));
}
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<script id="MCC-scripts-js-extra">
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            <div class="forward-guidance-content">
                <p id="externalLinkModalMessage" style="max-width: 31.25rem;"></p>
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            <div class="btn-container text-center">
                <button class="btn tertiary" id="externalLinkCancelBtn" title=""></button>
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        </div>
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</div>

<script>
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    var anchorLinks = [].slice.call(document.links);
    var documentLinks = linkedContainers.concat(anchorLinks);

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    var configuredExternalLinks = ([{"title":"You are leaving Merck.com","message":"The link you have selected will direct you to a site outside of www.merck.com. We are Merck & Co. Inc., Rahway, NJ, USA known as MSD outside the United States and Canada. ","cancelBtnText":"Cancel","continueBtnText":"Proceed","domains":["*"]}] || []);


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     * This function processes internal links for the Three Column Content Block.
     */
    function makeThreeColumnContentClickable(link, href, target) {
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        link.addEventListener('click', function(e) {

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            // Check if it's a protocol (e.g., tel:, mailto:, javascript:)
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            allowedDomain = stripHttpsWWW(allowedDomain);
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        })) {
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        return false;
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    try {
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        const pageMutatedHandler = function(mutationsList) {
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</script>
<div id="ukUserModal" class="popup" style="display: none;">
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            <h3></h3>

            <div class="forward-guidance-content">
                <p style="max-width: 31.25rem;"></p>
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            <div class="btn-container text-center">
                <a target="_blank" class="btn tertiary negative" id="externalLinkModalBtn" onclick="AcceptUKMessage();">
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            </div>

        </div>
    </div>
</div>

<script type="text/javascript">
    function AcceptUKMessage() {
        try {
            let accepted = {
                expire: new Date(new Date().getTime() + 60 * 60 * 24 * 1000)
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</script>



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    function openA6tab(allA6Tabs, accordionControl)
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    // Output the number
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    function idLinkScrollFix(hash) {
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        }, 500);
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</script>
</body>

</html>
