Reviewer ’s report  
 
Title:  CERVICAL cancer risk perception, sexual behaviors and sexually transmitted infections 
amon g Ugandan girls 5 years after Human Papillomavirus vaccine project  
 
Version: 1 Date: 30 Jan 2017 
 
Reviewer:  Camille  Ragin  
 
Reviewer’s report:  
 
Page 5 line 46 -51: "Thirdly, potential epide miological changes may occur as a result of HPV 
vaccination e.g. changes in disease causing HPV str ains fit enough to evade the immune 
responses generated by the HPV vaccination." This is highly unlikely as there has not been 
evidence of immune evasion from HPV vaccine clinical trials. However, since there are other 
HR HPVs that are not covered by the c urrent vaccines it is possible that epidemiological changes 
may indeed occur by transitioning to disease caused by HR HPVs not represented by HPV 
vaccination. This is an important point that should be mentioned.   
 
The introduction is quite long. A lot of the text could have been more appreciated in the 
discussion section of the manuscript.  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further 
assessment in your comments to the editors.  
 
I am able to assess the statisti cs 
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an 
organisation that may in any way gain or lose financially from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any  stocks or shares in an organisation that may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing in terests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below. If your reply is yes to any, please give details below.  
 
'I declare that I have no competing interests'  
 
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