Wednesday, March 15, 2017

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

By the numbers: #1 birth defects virus--congenital CMV

Want a healthy baby? Want your friends to have one? Then know the numbers of congenital (present at birth) Cytomegalovirus (CMV), the #1 viral cause of birth defects. The New York Times states,"CMV is a Greater Threat to Infants Than Zika, but Far Less Often Discussed."

Mothers of toddlers in daycare and child care workers are at increased risk for contracting CMV.

Congenital CMV by the Numbers:
The American Academy of Pediatrics states: "Spread of CMV from an asymptomatic infected child in child care to his or her mother or to child care providers is the most important consequence of child care-related CMV infection."  (Red Book: Infectious Diseases American Academy of Pediatrics, pp. 145, 2012)

Despite the above numbers, CMV prevention education is not part of a doctor's "standard of care," and in many states, CMV prevention education is not included on the Department of Health websites or in the required training for licensed daycare providers. This is because many people working for these agencies have never heard of congenital CMV (please tell them by directing them to the CDC website at: https://www.cdc.gov/cmv/clinical/features.html)

ASK YOUR LOCAL DAYCARE FACILITY AND HOUSE OF WORSHIP 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:
Note: Above image from Surviving Loss: The Woodcutter's Tale--inspired by a girl with congenital cytomegalovirus (CMV).

SOURCES




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

LOUIS, C. S. (2016, Oct. 24). CMV Is a Greater Threat to Infants Than Zika, but Far Less Often Discussed. The New York Times. Retrieved from http://www.nytimes.com/2016/10/25/health/cmv-cytomegalovirus-pregnancy.html?_r=0

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

Schleiss, M. R. (2008). Cytomegalovirus Vaccine Development. Retrieved Januarary 14, 2015, from US National Library of Medicine: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831992/

No comments: