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By 1. 70. 8, only a few missions were left, & in 1. Spain surrendered Florida to England. Nombre de Dios: Name of the God . Augustine, Florida: Oldest U. S. Missions in 5. Pueblo towns. In early 1. Indians. 1. 68. 0’s: Adobe & stone missions in San Antonio area known as the Alamo chain. He founded 2. 4 missions. Franciscans came in 1. San Esteban Rey de Acoma . Now San Antonio Missions National Historical Park. Lake Sonoma Valley excavations identified as Amacha. Elder Kashia- Pomo remember their grandfathers hid out from oncoming immigrants in the mid- 1. Amacha. Soldiers took all the people to government lands & burned the village. Franciscan Father Jun. Rumsen Ohlone named Carmele. Kuruvungna Springs, University High School West Los Angeles, burial grounds disturbed by developers & bones broken by archeologists. Puvungna Burial Ground, birthplace of prophet Chingishnish & place of creation, at CSU Long Beach. Developers have repeatedly attempted to build a strip mall since 1. Blocked by courts after petition by the Tongva for relief (6. Chumash- Kagismuwas: Coastal Peoples enslaved & killed by Spanish missionaries. Spaniard Gabriel Moraga with 1. Suisuns: People of the South Wind . San Francisco Presidio Commandant Jos. Spaniards gain ground in present- day Fairfield & Suisun, reaching Chief Malica’s village which burst into flames. Earthquake destroyed most of mission in 1. Santa Clara: 8. 0% die in the missions over next 4. Soil used as road & tennis court fill, yard fertilizer & chicken feed. Graverobbers called pothunters. Parks District dealing with a self- published guidebook containing driving & hiking instructions to 4. Ohlone, Bay Miwok, & Northern Valley Yokut sites in violation of the 1. National Historic Preservation Act. New Agers construct shelters, fires on village sites. Chalen Ohlone named Soledad by Spaniards. Franciscan Spaniards enslave Miwok. Miwok hunted for sport by the rich. Uzumaiti: Valley of the Gaping Mouth: Yosemite Valley Miwok who gave their name to the world’s most famous natural playground, only to be run out by settlers in 1. The park bulldozes the last village (1. Tataviam named Ferna. San Diego County in First Military District . Father Ferm. San Jacinto: 2. Guide containing locations of Native American sites in area auctioned to highest bidder. Foot traffic, vandalism, graverobbing, amp; looting follow, according to Bennae Calac, cultural resources director for the Soboba Band of Luise. Marin County named after Licatiut Miwok Chief Marin. Mass grave underneath mission. Indian people at Nicasio, San Rafael. The population was persuaded to leave in the 1. Marin County curtailed funds to all Indians (except those at Marshall) who were not living at the Poor Farm, a place for indigent peoples. Smallpox: Chief Solano one of the few natives to receive a vaccination & worked at Rancho Petaluma Adobe. Sacramento Valley people (El Dorado, Placer, Sacramento- Yolo Counties) die of smallpox. Maidu: Person village of Koloma raided by James Marshall, agent to Sutter who discovers gold. Wintu forced as laborers in gold mining operations. Auburn & Napa Valley newspaper editors & politicians call for immediate extermination of Northern California Indians. Legislature reimbursed the Eel River Rangers & other volunteer militias to do the job (Sac Bee: Gold). California’s legal apprentice system allowed settlers to keep homeless or jobless Indians indentured until they were 3. A good- looking Indian girl cost $1. Marysville Appeal. Federal Indian agents negotiate 1. California tribal leaders. Congress never ratifies the treaties. California Assembly Report: Indians removed. There is no place within the territory of the United States in which to locate them .. Warner. 18. 71: United States Congress concludes tribes no longer separate, independent governments. This action freed the United States from the need to make treaties. Boarding Schools: 1. Indian names. English- only rule: Beaten, latrine duty. Reddick. 19. 24: Indian Citizenship Act: Citizenship to every Indian born within the territorial limits of the United States / US Border Patrol. Blood Quantum. 19. Repatriation Program: 5. U. S. In California they were placed in detention camps & mistreated by government officials. The commissioner of Indian affairs who inaugurated this policy, Dillon Meyer, was principally known as the man responsible for administering Japanese- American concentration camps during World War II. Public swimming pools, rest rooms, drinking fountains, & theaters were often segregated. Mexican American schoolchildren were often forbidden to speak Spanish in schools & were sometimes punished severely for doing so.’1. Native American Graves Protection & Repatriation Act: . Kolata, Ph. D., Prof. Fixico, Ph. D., Prof. Nearly half the nation’s 5. Indian tribes represented in the Bay Area alone. Hispanic Americans are Americans of Spanish- speaking descent. Many are the descendants of Mexican people who lived in the Southwest when it became part of the United States. Almost all others or their ancestors migrated to the United States from Latin America. The 3 largest Hispanic groups in the United States are Mexican Americans, Puerto Ricans, & Cuban Americans. As a group, Hispanic Americans represent a mixture of several ethnic backgrounds, including European, American Indian, & African. Residents of Puerto Rico are U. S. Census Bureau does not count the island’s native residents as part of the U. S. Garcia, Ph. D., Vice Provost for Academic Planning, Baylor University, World Book Encyclopedia . Largest government railroad land grant: vast extinguishment of Indian land titles. Engineering parties protected by George Armstrong Custer. Complete line 1. 88. W. Of course, buildings like the poor farm & its cemetery remain unknown to the historians & the history experts. So it is time that a case is made for this cemetery & the spirits that reside there. No better place to start then this Butte Evening New’s Christmas story nearly a century ago. April 1. 94. 4 im niederl. American slaveowners forced their newly- freed slaves to sign life indenture contracts. Herman Hollerith (b 1. Hollerith starts as a 1. US Census Bureau as part of his education at Columbia University. Part of International Business Machines. The Hollerith name still used in Germany. The machine uses punch cards and is first used to calculate the dead for the local health departments in Maryland, New York & New Jersey. It is then expanded to cover freight accounting for the New York Central Railroad, actuarial records for Prudential Insurance, & the US Census of 1. Between 1. 89. 0 & 1. Hollerith leases the machine at $7. Russian . In 1. 91. Hollerith sells to international commodities: arms & weapons producer Charles Flint, The Merchant of Death & Father of Trusts. Flint sells weapons to Chile, Per. Merit Cross with German Eagle Star from Adolf Hitler at the League of Nations International Chamber of Commerce Meeting in Hamburg. United States Census, Draft, Pacific, Tunisia, Sicily: IBM MRU: Machine Record Units. Endicott, New York trains 1,3. Allied soldiers. After Pearl Harbor, the United States Census Bureau uses punch- card information to identify people of Japanese Heritage. Executive Order 9. Japanese- Americans on the W. Evacuations begin in Los Angeles. The overall dimensions of punched cards used for data processing have remained the same since Herman Hollerith invented the medium: 7 3/8 inches wide by 3 1/4 inches high by . Prior to 1. 92. 9, this was a standard size for many US banknotes. Today, these dimensions are set by the EIA standard RS- 2. This standard is augmented by ANSI X3. ANSI X3. 2. 6- 1. Hollerith code to encode alphanumeric data on cards. When an urban Indian dies, the death certificate rarely lists his or her race correctly, Indian Health Service studies show. California’s urban Indians are unknown, uncountable, an enigma, said Indian Health Service statistician Lorraine Mc. Call. We rarely know who they are, where they are or the status of their health.’ (1. Sacramento Bee). Even the CDIB cards (Certification of Degree of Indian Blood) bear an eerie resemblance to the pass- books used to control non- whites in South Africa. I should stretch & give you a little more medical perspective on the mental illness. A lot of these kids come from bad gene pools. They don’t have stable parents making good decisions, or else most of them would not be in foster care – Dr. Joseph Burkett: Texas Society of Psychiatric Physicians: Houston Chronicle . While in jail, Alice Paul went on a hunger strike, similar to those in which she engaged while a member of the WSPU: Womens’ Social & Political Action Union of Great Britain, in an attempt to win concessions from the government. Brace’s Children’s Aide Society. Thie treoghana: Place that abandons the Divine Young: Orphanage. Orphan Trains for indentured servitude. Children lined up at predetermined stops to be looked over. In 1. 92. 7, 1. 2 states: Wisconsin, Illinois, Michigan, Indiana, Pennsylvania, Arkansas, Massachusetts, Rhode Island, Virginia, West Virginia, Nebraska & Kansas allowed indenture of children turned over to poor farms or county authorities. When official transporting of children ended in 1. Online dating has never been easier. Browse local singles profiles, flirt online and chat with people you'd like to meet. Date smarter with Zoosk. 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Search the world's information, including webpages, images, videos and more. Google has many special features to help you find exactly what you're looking for. The City could potentially face a shortfall of $5. Parking Violations Bureau are not realized. Police overtime costs could potentially be over budget by as much as $2. The City plans to borrow up to $1. Social Security tax payments are underestimated by approximately $8. The City's adopted budget does not include a contingency appropriation, which leaves the City vulnerable to unexpected events. With the 2. 01. 7- 1. City will have exhausted 9. City's ability to increase property taxes may be limited in future years if property values do not increase. Over the last 1. 0 years, the City's outstanding debt has grown 1. City's debt service payments have risen 3. Audit No: 2. 01. 7M- 6. Audit Year: 2. 01. Release Date: 0. 7/0. Audit Name: Village of Old Westbury . However, they did not perform bank reconciliations or accountability analyses on a monthly basis during the audit period. As a result, two of the three Judges had cash overages totaling $1,7. In addition, all bail moneys were not deposited into the bank accounts of each Justice or into a joint bail account but instead were deposited into one Justice's account. Also, five of nine bail receipts tested totaling $6. As a result, it is more difficult to track bail moneys and the Court is more susceptible to the unauthorized use, disposition or theft of cash collected. Audit No: 2. 01. 7M- 5. Audit Year: 2. 01. Release Date: 0. 7/0. Audit Name: Village of Southampton . Our review of the length of service award program (LOSAP) records for 4. Department's 1. 38 active volunteers showed that at least 2. LOSAP points. As a result of these deficiencies, volunteer firefighters may not be properly receiving LOSAP points for certain qualifying activities. Twelve of the 4. 7 volunteer firefighters did not meet the 5. LOSAP service credit, which may result in their potential loss of future benefits or, conversely, in the Village incurring more LOSAP costs than necessary. Audit No: 2. 01. 5M- 1. Audit Year: 2. 01. Release Date: 0. 7/0. Audit Name: Stockport Volunteer Fire Company No. The Treasurer did not prepare monthly reports including a list of all moneys received and deposited and the list of bills presented or paid. The Board did not conduct a biannual audit of the Treasurer's books, as required by the Company's bylaws. We also found 2. 7 bank withdrawals and transfers, totaling $2. Company officials also do not require detailed fundraising reports showing the revenues and expenses of each fundraising event. Officials do not issue press- numbered receipts for collecting revenues and do not require any supporting documentation for reimbursing fundraising expenses. Because of these control weaknesses, the Company either underreported or under collected $1,9. The lack of proper Committee oversight increases the risk of fraud, waste or abuse. Audit No: 2. 01. 7M- 7. Audit Year: 2. 01. Release Date: 0. 6/3. Audit Name: Buffalo City School District . The District bills based on nonresident tuition rates calculated by the New York State Education Department (NYSED), but the District's actual costs are generally greater than NYSED rates. In addition, the District is not billing for special education services provided to nonresident students who attend nonpublic schools. We also reviewed the District's process for identifying students and calculating costs to claim Excess Cost Aid and found it was generally reasonable and adhered to NYSED guidelines. However, the District does not include assistive technology purchases or rentals in the calculation of costs. These costs are considered eligible expenditures in the year the purchase is made and should be added to the total cost for students claimed for Excess Cost Aid. We found no material discrepancies. Grant expenditures appeared to be for appropriate purposes and were properly supported. The District generally reported grant activity to grantors properly and accurately. Audit No: 2. 01. 7M- 5. Audit Year: 2. 01. Release Date: 0. 6/3. Audit Name: Rockville Centre Housing Authority . The Board did not ensure that an audit of claims was performed in compliance with Authority bylaws, which authorize the Treasurer to review all Authority bills and advise the Board concerning the accuracy of such claims. Instead the Director audits all claims (after the clerk assembles the claims packets and prepares the warrant). The Director also signs the checks and approves all purchases. However, these duties (i. Director has the ability to procure and pay for goods or services that may not be for valid Authority purposes. The Board did not adopt policies and written procedures for the Authority's cash receipt process. The clerk's duties were not adequately segregated because she was responsible for collecting receipts, recording transactions in the financial software, preparing and making bank deposits and preparing bank reconciliations. Authority officials did not implement compensating controls, such as providing additional oversight or routinely reviewing the clerk's work, to ensure that all collections received are reconciled with the amounts recorded and deposited. Audit No: 2. 01. 7M- 4. Audit Year: 2. 01. Release Date: 0. 6/3. Audit Name: Town of Orangetown . The Board and Town officials did not develop overtime budgets based on known needs and historical trends. Each year, officials adopted overtime budgets with appropriations that were significantly less than the actual overtime expenditures of preceding years for the Police, Highway and Sewer departments. Officials did not adequately monitor adopted budgets and allowed them to be over- expended each year. We also found that although the Police Department's CBA allows officers to accumulate up to 8. Town officials did not adhere to those limits. Moreover, overtime and other payroll information was not accurately and consistently recorded, causing significant discrepancies in overtime records. Our review of work schedules, time sheets and payroll summaries for two payroll periods disclosed discrepancies between these three records in 2. Audit No: 2. 01. 7M- 7. Audit Year: 2. 01. Release Date: 0. 6/3. Audit Name: Westchester Community College . The fixed asset policies and procedures establish the minimum cost to determine when assets should be recorded in the inventory records. The College's policies also identify the individuals responsible for tagging assets, adding them to the inventory records and disposing of the assets. We commend College officials for establishing effective fixed asset policies and procedures. Audit No: 2. 01. 7M- 6. Audit Year: 2. 01. Release Date: 0. 6/2. Audit Name: Pavilion Central School District . The Board and District officials prepared budgets for the 2. District officials appropriated $2. District's budgeting practices produced operating surpluses totaling $2. When unused appropriated fund balance was added back, the District's recalculated unrestricted fund balance exceeded the statutory limit by up to 4 percentage points. In addition, the District's reserves, totaling approximately $6. June 3. 0, 2. 01. However, the Board and District officials did not take appropriate action to address the reasonableness of reserves. Although the Board adopted a reserve fund policy, the policy did not stipulate the maximum funding levels for each reserve, the conditions necessary for using reserves to finance related costs or the circumstances under which reserve funds will be replenished. We found that three of the District's six reserves appear overfunded. Audit No: 2. 01. 7M- 4. Audit Year: 2. 01. Release Date: 0. 6/2. Audit Name: Town of Portland . By reducing unaccounted- for water, the Town could save money; each million gallons of water purchased costs approximately $5,7. The annual water accountability analysis prepared by the Supervisor did not enable Town officials to monitor water loss throughout the year and take appropriate action. Although officials identified some water leaks, we found that inaccurate master meters (which measure water provided to the districts), customer meters and customer underbillings have contributed to the unaccounted- for water and to the deteriorating financial condition of the Town's water districts. Audit No: 2. 01. 7M- 3. Audit Year: 2. 01. Release Date: 0. 6/2. Audit Name: Village of Fleischmanns . The Board did not adopt effective budgets because it did not receive accurate and sufficient financial information from the Clerk- Treasurer. As a result, the general fund experienced operating deficits in two of the three most recent years and the water fund experienced operating deficits in all of the three most recent years. In addition, unpaid property taxes ($1. Village's financial condition. Village officials are actively addressing this issue. As a result, the financial reports provided to the Board were not accurate. The Clerk- Treasurer, and the account clerk, made numerous and various billing errors related to real property taxes and water rents. In addition, the Clerk- Treasurer and a laborer were paid the wrong hourly wage. Both were paid a lower hourly wage than was included in the budget. However, with their unbudgeted overtime, they both received more than the budgeted amount for their respective positions. The Clerk- Treasurer has not filed the Village's 2. AUDs with our office. Finally, although the Mayor was aware of the annual audit requirement, the Board did not conduct, or cause to conduct, an audit of the Clerk- Treasurer's records and reports. Audit No: 2. 01. 7M- 1. Audit Year: 2. 01. Release Date: 0. 6/1. Audit Name: Chestertown Volunteer Fire Company . Bella Hadid suffers wardrobe malfunction at Cannes gala. Her Cannes red carpet looks often have one thing in comment - wardrobe malfunctions. Thursday evening was no exception for Bella Hadid as she headed to the glitzy amf. AR Gala Cannes 2. Hotel du Cap- Eden- Roc during the annual film festival - where she sported not one, but two lingerie- flashing ensembles. The 2. 0- year- old first rocked a sheer white number by Ralph and Russo with intricate adornments, yet the perilous slash on the gown flashed her lingerie - shortly before she changed into a golden gown - and suffered exactly the same fate. Scroll down for video One Bella of a look! Thursday evening was no exception for Bella Hadid and her wardrobe malfuctions as she headed to the amf. AR Gala Cannes 2. Hotel du Cap- Eden- Roc during the annual film festival - where she sported not one, but two lingerie- flashing ensembles. Last year, Bella stole the show at the Unknown Girl premiere on 1. May 2. 01. 6 as she sported the red gown which showed off her endless legs, perky cleavage and ultimately her lingerie when she unwittingly flashed the world's press. She admitted after the appearance that wearing the gown was 'a bit scary' yet she was delighted to have 'so much nice feedback which was exciting.' It seems Bella got the bug for baring all, as her first amf. AR look was possibly the sauciest to date as she sizzled in the racy getup - complete with a boned corset, modesty- protecting nude underwear and a perilous slash. The acres of sheer material building up the train and the delicate yet stunning beadwork complete with jewels and sequins being the only detail atop the totally sheer body and waist- enhancing corset. Thursday evening was no exception for Bella Hadid as she headed to the glitzy amf. AR Gala Cannes 2. Hotel du Cap- Eden- Roc during the annual film festival. Strutting her stuff: As she transformed into the next look, she was displaying the marks of her shoes from earlier in the night Eek! The stunning star was flashing nearly everything she had in the risque gown Hold on! The 2. 0- year- old supermodel looked phenomenal in a sheer white number adorned with intricate jewelled adornments, yet the embellishment did nothing to protect her bare bust while the slashed leg gave a glimpse of her entire frame. All eyes on me: The stunning star dazzled in her slinky getup as she made her way through the party Sizzling: While she is typically seen pulling brooding stares and moody pouts, Bella gave a rare glimpse at her dazzling smile Help! Despite becoming something of a connoisseur in risque splits, she still seemed to battle with the racy slash which showed off the entirety of her leg. Woah there! She once again ensured she commanded full attention in the sizzling gown Favourite pose: She was rocking her striking pose as she glared over her shoulder with one foot astride Oh dear! The stunning star was flashing more than she anticipated no doubt. Racy! Her third outfit of the night seemed to entice Nicki, who was licking her neck Woo! She certainly seemed to let her hair down within the bash as she wooped and cheered while guzzling champagne with her fellow model pals. Her perky bust was on display for the entire red carpet, with her assets flattered and enhanced by the stiff shape of the top of the gown. One strap of the gown sat on her slender shoulder, while the other cascaded neatly off her frame to best flaunt even more skin. Despite becoming something of a connoisseur in risque splits, she still seemed to battle with the racy slash which showed off the entirety of her leg. She added height to her already staggering stature with the addition of silver heels complete with a racy tie at the ankle. The stunning star oozed body confidence while sashaying along the red carpet Legs eleven: The gown flaunted every inch of her famous frame complete with long legs and nipped in waist Legs eleven: She seemed overjoyed to make her mark on the event. Woo! When she partied inside, Bella felt less that inhibited as she generously shared out champagne among her pals. Tucking in: As she drank from her glass, she was joined by new mum Irina Bella scraped her raven tresses into a tight bun pulled into a taut chignon at the top of her head to make the most of her pretty features and flawless bone structure. Her make- up was minimal - no doubt to provide full impact of the gown - as she smudged a silver eyeliner in the corner of her eyes and a pink gloss on her lip. When she partied inside, Bella felt less that inhibited as she generously shared out champagne among her pals. Bella is certainly becoming the queen of the racy red carpet looks, although she admitted with her first foray into her saucy Cannes vibes was a struggle. After the furore over last year's look, Bella, who is younger sister to Gigi, told Glamour magazine: 'I'm usually very simple with my red carpet looks'Having a laugh: Bella was having a riot inside the bash with her pals including hunky model Jordan Barrett After the furore over last year's look, Bella, who is younger sister to Gigi, told Glamour magazine: 'I'm usually very simple with my red carpet looks - I tend to just wear black - so this was a big risk. I was sort of scared about it, but I've had so much nice feedback which was exciting.'Calling the gown the 'riskiest thing' she'll wear in a while, Bella added that she would probably 'tone down' her next few outfits. And when asked how she navigated the tricky problem of underwear - commentators speculated that she might have gone commando - Bella revealed that she was actually wearing an extremely high- waisted leotard. Legs eleven: Her legs proved exactly why she is one of the world's most esteemed supermodels. Oh my! Both last week and last year (left- right), Bella sent temperatures soaring in two Alexandre Vauthier gowns complete with perilous splits Perky! Her assets were on sight for all to see through the sheer bodice. Woo! Bella looked giddy as she dished out the booze to her pals. Chrissy Teigen celebrates husband John Legend's Tonys win. Best Score. Come From Away, David Hein and Irene Sankoff. Dear Evan Hansen, Benj Pasek and Justin Paul - WINNERGroundhog Day, Tim Minchin. Natasha, Pierre & The Great Comet of 1. Dave Malloy. Best Book of a Musical. Come From Away, David Hein and Irene Sankoff. Dear Evan Hansen, Steven Levenson - WINNERGroundhog Day, Danny Rubin. Natasha, Pierre & The Great Comet of 1. Dave Malloy. Best Direction of a Musical. Christopher Ashley, Come From Away - WINNERRachel Chavkin, Natasha, Pierre & The Great Comet of 1. Michael Greif, Dear Evan Hansen. Matthew Warchus, Groundhog Day. Jerry Zaks, Hello, Dolly! 25 years after the Premier League was created, here is a whole load of weird stuff about Premier League football we guarantee* you've never heard before (*guarantee. Best Direction of a Play. Sam Gold, A Doll's House, Part 2. Ruben Santiago- Hudson, August Wilson's Jitney. Bartlett Sher, Oslo. Daniel Sullivan, Lillian Hellman's The Little Foxes. Rebecca Taichman, Indecent - WINNERBest Choreography. Singer John Legend married supermodel Chrissy Teigen Saturday. Here are some important facts to know about the new Mrs. John Legend. John Legend on Writing Romantic Song 'Start' for Obamas Biopic. Grammy-winning singer talks family history, WGN series 'Underground'. Andy Blankenbuehler, Bandstand - WINNERPeter Darling and Ellen Kane, Groundhog Day. Kelly Devine, Come From Away. Denis Jones, Holiday Inn. Sam Pinkleton, Natasha, Pierre & The Great Comet of 1. Best Orchestrations. Bill Elliott and Greg Anthony Rassen, Bandstand. Larry Hochman, Hello, Dolly! Alex Lacamoire, Dear Evan Hansen - WINNERDave Malloy, Natasha, Pierre & The Great Comet of 1. Best Costume Design of a Musical. Linda Cho, Anastasia. Santo Loquasto, Hello, Dolly! Schmidt, The Front Page. Michael Yeargan, Oslo. Best Lighting Design of a Musical. Howell Binkley, Come From Away. Natasha Katz, Hello, Dolly! Bradley King, Natasha, Pierre & The Great Comet of 1. WINNERJaphy Weideman, Dear Evan Hansen. Best Lighting Design of a Play. Christopher Akerlind, Indecent - WINNERJane Cox, August Wilson's Jitney. Donald Holder, Oslo. Jennifer Tipton, A Doll's House, Part 2. Genital warts are caused by a virus HPV (human papillomavirus). HPV is caught during sexual contact with someone who is already infected with it. If you develop genital warts, try not to feel too upset remember they are very common and lots of people have them, they are not dangerous and there are many effective ways of treating them. But in fact that person may not know that he or she had HPV for the following two reasons. In fact 1. 5–4. 0% of people under 4. HPV, though it is less common in older people. In most people who carry HPV, it goes away in a year or two. Similarly, a woman can have a wart on the cervix (that is, deep inside the vagina) that she does not know about. This is because the surface of a wart is teeming with the virus. After infection, warts can develop 3 weeks to a year later (3 months is the average), so do not assume that you caught them from a recent sexual contact. The figures (Archives of Dermatology 1. In men, genital warts often occur just under the foreskin, but can be anywhere on the penis, on the scrotum, in the groin or around the anus. The figures (Archives of Dermatology 1. What warts look like. In women, genital warts begin as small, gritty- feeling growths, which then enlarge and become more frond- like. They can join together so they resemble miniature cauliflowers. Occasionally they are flat, like warts on the fingers. They are not painful, but can feel itchy or vaguely uncomfortable. In men, warts on the scrotum or shaft of the penis usually resemble the ordinary warts that occur on the hands. Under the foreskin and round the anus, they are usually a shiny pinkish- white. A lone wart may also occur inside the opening of the urethra (pee hole); here it will be a pinkish colour and may look speckled. Health news with a focus on fitness news, wellness coverage and living a healthy Southern California life. Excerpt from The No Contact Rule: Dealing with . August 16, 2013 By NATALIE Reading Time: 7 Minutes. An individual may have dozens of warts, or just one or two. The advantage of going to a genitourinary medicine clinic is that you will have tests for other infections; 1 in 5 people with genital warts has another infection that they are probably unaware of. Also, the staff are very used to diagnosing and treating warts. You do not need a referral from your doctor and you simply phone the clinic yourself (see Useful contacts). The usual treatments because they are simple and effective are podophyllotoxin or imiquimod. Other treatments (such as freezing, burning with acid or laser treatment) are sometimes used, depending on the type and size of wart. This is because the treatments destroy the wart itself, but cannot get rid of the HPV in the skin beneath the wart. Podophyllotoxin is a plant extract that comes as a liquid or cream.
The clinic will show you how to use it and may give you a supply to take home. You usually have to apply it twice a day for 3 days, followed by a break of 4 days. You then repeat this process until the wart disappears (maximum of 4–5 weeks treatment). The cream is easier to use than the liquid for warts in awkward places (such as around the anus). It can sometimes cause redness and a burning sensation, and should not be used if you are pregnant or trying to get pregnant. Imiquimod is a cream that the clinic may suggest if podophyllotoxin does not work. It is applied three times a week before you go to sleep so it can remain on the skin for about 8 hours before being washed off next morning. It seems to work by stimulating the body's own immune system to destroy the warts. On average, women need 8 weeks of treatment and men need 1. The disadvantage is that itching, redness and soreness often occur. Its effect is slow and it may be several weeks before you notice any improvement. Each type has been given a number to identify it. Visible genital warts are usually caused by HPV types 6 and 1. In fact, about 7. HPV 1. 6 and 1. 8. These types of HPV seem to agitate the cells of the cervix (neck of the womb) and encourage pre- cancerous changes. But HPV 1. 6 and 1. Therefore if you have genital warts, you are not at a particularly increased risk of cervical cancer. At present, you cannot be tested under the NHS in the UK to see if you are a carrier of types 1. Department of Health is investigating the possibility. Unfortunately, podophyllotoxin may harm the baby, and it is not known whether imiquimod is safe in pregnancy. If very troublesome, they can be treated by freezing (cryotherapy). The good news is that, after the baby is born, genital warts often become smaller or disappear. There are two different vaccines against HPV, Gardasil and Cervarix. Gardasil protects against HPV types 6 and 1. Cervarix is the vaccine used in the UK vaccination programme. It protects against only types 1. The Department of Health will decide later whether boys and older females should receive the vaccine. If you are in the age group for the vaccine, it is very important that you receive all three doses. Written by: Dr Margaret Stearn. Edited by: Dr Margaret Stearn. Last updated. Wednesday, June 1. Useful contacts for Genital warts. Click to see all the contacts that you may find useful in relation to genital warts. Tell us your thoughts. Did you find what you were looking for? |