According to the New York Times "CMV Is a Greater Threat to Infants Than Zika, but Far Less Often Discussed."
If you work in day care, have a child in day care, are pregnant or might become pregnant, there are 10 things you need to know (or do) about CMV (cytomegalovirus)
1. The article, "Group day care and cytomegaloviral infections of mothers and children," indicates that between 44 to 100% of two year olds at a single given time were shedding CMV. CMV is usually harmless to toddlers, but pregnant can contract it from them and pass it along to their unborn child.
2. CMV is the leading viral cause of birth defects. It causes mental retardation, liver disease, cerebral palsy, and deafness, causing more disabilities than Down syndrome, as a result of infection in pregnant women. Between 50% and 80% of adults in the U.S. are infected with CMV by 40 years of age. According to the CDC, in the U.S.: "About one out of every 150 babies are born with congenital CMV infection...about one in five babies with congenital CMV infection will be sick from the virus or will have long-term health problems." (See: http://www.cdc.gov/cmv/congenital-infection.htm)
3. According to the Centers for Disease Control and Prevention (CDC), "People who care for or work closely with young children may be at greater risk of CMV infection than other people because CMV infection is common among young children..." (see: http://www.cdc.gov/cmv/
5. Daycare.com does provide helpful CMV prevention tips and advice for daycare workers at: https://www.daycare.com/
6. The National CMV Foundation provides the following CMV prevention tips for "Care Giver Health" at: https://www.nationalcmv.org/cmv-prevention/caregiver-health.aspx
7. Will it make a difference if women are educated on CMV prevention?
Yes! According to two studies in the U.S, "Prevention of child-to-mother transmission of cytomegalovirus among pregnant women" (https://www.ncbi.nlm.nih.gov/
Dr. Stuart Adler of the CMV Research Foundation Inc., Richmond, VA, states, "Pregnant childcare employees should be informed about CMV, assess their risk by serologic testing or avoid if possible caring for children less than 2 years age for the duration of pregnancy," in his article,"Prevention of Maternal–Fetal Transmission of Cytomegalovirus" at http://www.
"There are pregnant teachers and other care givers at our school who work closely with children known to have CMV infection. For their safety, should these employees be relieved from their duties in caring for these children?"
According to the National Congenital CMV Disease Registry: “Changing the duties of a teacher or care giver from children known to have CMV infection to other children may not reduce their risk of acquiring CMV. It is a common virus in all children. In fact, studies reveal that between 30 and 80% of children between the ages of 1-3 years of age who attend some form of group care are excreting CMV. In this setting transmission of CMV is usually transmitted from child-to-child by direct contact with bodily fluids such as saliva or urine. It also may be transmitted to care givers. Therefore it is wise for care givers in this type of setting to be aware of CMV and consider knowing their CMV antibody status. If results are negative, they are susceptible to catching CMV for the first time and it is a potential risk to the fetus if they are pregnant. On the other hand, if results of a CMV antibody titer (IgG) is positive, they have already acquired CMV at some time in their life and their risk is greatly reduced. Additionally, it is important for all care givers to practice good hygienic measures. This is achieved by hand washing with soap and water, especially after diaper changes and any contact with a child's bodily fluids. Kissing and sharing food or drink also should be avoided.”
ADDITIONAL NOTES FROM LISA SAUNDERS:
I am still trying to get Connecticut's day care licensing webpage to include CMV prevention under its Disease and Prevention Section (http://www.ct.gov/oec/cwp/view.asp?a=4542&q=545170). I am also asking the national Occupational Safety and Health Administration (OSHA) office to provide a CMV prevention message for day care workers, the way they do for outdoor workers in regard to Zika (they sent out a newsletter stating: "QuickCards offer guidance on protecting outdoor workers from Zika virus").
tory secretions), as well as avoidance of sharing utensils
Perhaps these following daycare organizations will post CMV prevention information:
Perhaps some of these will?
514 Diane Lane, Richmond, VA 23227, Phone: (804) 264-8296
Cytomegalovirus Registry Background
Data analysis and sharing