Epidemiology
Although
many people infected with HSV develop labial or genital lesions, the
majority are either undiagnosed or display no physical symptoms—individuals
with no symptoms are described as asymptomatic or as having subclinical
herpes. In many infections, the first symptom a person will have of
their own infection is the horizontal transmission to a sexual partner
or the vertical transmission of neonatal herpes to a newborn at term.
Since most asymptomatic individuals are unaware of their infection,
they are considered at high risk for spreading HSV. Many studies have
been performed around the world to estimate the numbers of individuals
infected with HSV-1 and HSV-2 by determining if they have developed
antibodies against either viral species. This information provides population
prevalence of HSV viral infections in individuals with or without active
disease.