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Josephine feels that Elizabeth is being far too graphic, but Elizabeth wants her information to be highly effective and visually dramatic, so she is going to leave it up to the doctors to decide. She talks to people about STDs almost every day and everyone seems to have the impression that the person they are intimate with doesn’t have an STD, or that because this is a small town STDs are not really a problem, or that it just won't happen to them. She really wants to dispel these notions. Just in case Josephine is correct, Elizabeth decides to start over with the basic facts first. Genital warts are caused by __________.