Tuesday, March 14, 2017

8- 20% of female child care providers contract CMV infection every year


Want a healthy baby? Want your friends to have one? Then know the numbers associated with congenital (present at birth) Cytomegalovirus (CMV), #1 viral cause of birth defects, so you can reduce your chances of contracting it. Birth defects from congenital CMV include microcephaly, hearing loss, mental impairment, blindness, cerebral palsy, and epilepsy.

According to the New York TimesCMV is a Greater Threat to Infants Than Zika, but Far Less Often Discussed.

Child care workers and mothers of toddlers in daycare are at increased risk for contracting CMV.

Congenital CMV by the Numbers:
ASK YOUR LOCAL DAYCARE FACILITY AND CHURCH NURSERY IF THEY FOLLOW THESE RECOMMENDATIONS:
The  American Academy of Pediatrics, co-authored Standard 7.7.1.1Staff Education and Policies on Cytomegalovirus (CMV)which states childcare workers of childbearing age should be informed about their increased probability of exposure to CMV and:
· Hygiene measures (especially handwashing and avoiding contact with urine, saliva, and nasal secretions) aimed at reducing acquisition of CMV;
· The availability of counseling and testing for serum antibody to CMV to determine the caregiver/teacher’s immune status... 

Additional numbers:
Above image from Surviving Loss: The Woodcutter's Tale--inspired by a girl with congenital cytomegalovirus (CMV).

SOURCES

Congenital CMV Disease Research, Clinic & Registry 

National CMV Foundation 

American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. (n.d.). Standard 7.7.1.1: Staff Education and Policies on Cytomegalovirus (CMV). Retrieved from National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs: Caring for Our Children: http://cfoc.nrckids.org/StandardView/7.7.1.1

American Academy of Pediatrics . (2012, 2015). Children in Out-of-Home Care. In B. C. Pickering LK, Red Book: Infectious Diseases American Academy of Pediatrics (pp. 145 (2012); Elk Grove Village, IL. Retrieved December 30, 2016, from https://redbook.solutions.aap.org/DocumentLibrary/RB12_interior.pdf
Carlson, A. M., Norwitz, E. R., & Stiller, R. J. (Fall 2010). Cytomegalovirus Infection in Pregnancy: Should All Women Be Screened? Reviews in Obstetrics and Gynecology. Retrieved from National Center for Biotechnology Information: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046747/
Centers for Disease Control and Prevention. (n.d.). Retrieved from Congenital CMV Infection Trends and Statistics: http://www.cdc.gov/cmv/trends-stats.html
Centers for Disease Control and Prevention (CDC). (n.d.). Cytomegalovirus (CMV) and Congenital CMV Infection. Retrieved from Centers for Disease Control and Prevention (CDC): http://www.cdc.gov/cmv/index.html
Centers for Disease Control and Prevention (CDC). (n.d.). Infant Health. Retrieved from Centers for Disease Control and Prevention (CDC): http://www.cdc.gov/nchs/fastats/infant-health.htm
Doutre, S. M. Barrett, T. S. Greenlee, J. & White, K. R. . (2016). Losing Ground: Awareness of Congenital Cytomegalovirus in the United States. Journal of Early Hearing Detection and Intervention, 1(2), 9-48. Retrieved from http://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1035&context=jehdi
Joseph, MSc, Serene A, et al. (2006, Sept). Cytomegalovirus as an occupational risk in daycare educators. Retrieved from PMC: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528629/
Harrison, Gail Demmler MD. (2016, December 2). Cytomegalovirus: The Virus All Pregnant Women Should Know About Now. Retrieved from Medscape.com: http://www.medscape.com/viewarticle/872452
Lanzieri,Tatiana M., Chung, Winnie, Flores,Marily, Blum, Peggy, Caviness, A. Chantal, Bialek, Stephanie R., Grosse,Scott D., Miller, Jerry A., Demmler-Harrison, Gail. (2017, February ). Congenital Cytomegalovirus Longitudinal Study Group. Pediatrics. Retrieved from http://pediatrics.aappublications.org/content/early/2017/02/14/peds.2016-2610
Pass, Robert F. M.D.; Hutto, Cecelia M.D.; Ricks, Rebecca M.S.N., R.N.; and Cloud, Gretchen A. M.S. (1986, May 29). Increased Rate of Cytomegalovirus Infection among Parents of Children Attending Day-Care Centers. New England Journal of Medicine. Retrieved 2017, from New England Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJM198605293142204
Saunders, L. (2013). Surviving Loss: The Woodcutter's Tale. CreateSpace Independent Publishing Platform. Retrieved from https://www.amazon.com/Surviving-Loss-Woodcutters-Lisa-Saunders/dp/1482315505/ref=asap_bc?ie=UTF8