Monday, May 8, 2017

CMV BIBLIOGRAPHY WITH SOURCE LINKS


Compiled by Lisa Saunders (revised April 7, 2018)



Adler SP, Finney JW, Manganello AM, Best AM. (2004, October). Prevention of child-to-mother transmission of cytomegalovirus among pregnant women. Retrieved from National Center for Biotechnology Information: http://www.ncbi.nlm.nih.gov/pubmed/15480372
Adler SP1, Finney JW, Manganello AM, Best AM. (1996, March). Prevention of child-to-mother transmission of cytomegalovirus by changing behaviors: a randomized controlled trial. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/8852913#
Adler, S. P. (2015, September). Prevention of Maternal–Fetal Transmission of Cytomegalovirus. Volume 2, Issue 9, Pages 1027–1028. BioMedicine. Retrieved November 9, 2016, from http://www.ebiomedicine.com/article/S2352-3964(15)30098-0/fulltext
Adler, Stuart P., M.D. (1989, November 9). Cytomegalovirus and Child Day Care. New England Journal of Medicine. doi:10.1056/NEJM198911093211903
Adler, Stuart, MD, Emeritus Professor of Pediatrics and Chairman, Division of Infectious Disease. (2014, Feb. 28). Public Hearing Testimony, Raised H.B. No. 5147 . Retrieved from Connecticut General Assembly: http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Stuart%20Adler,%20Emeritus%20Professor%20of%20Pediatrics%20and%20Chairman,%20Division%20of%20Infectious%20Disease-TMY.PDF
AN ACT CONCERNING NEWBORN SCREENING FOR CYTOMEGALOVIRUS AND ESTABLISHING A PUBLIC EDUCATION PROGRAM FOR CYTOMEGALOVIRUS: Substitute House Bill No. 5147. (2014). Retrieved 2017, from State of Connecticut: https://www.cga.ct.gov/2014/FC/2014HB-05147-R000494-FC.htm
Armstrong, Farah,President and Founder, Maddie's Mission. (2014, Feb. 28). Public Hearing Testimony, Raised H.B. No. 5147 . Retrieved from Connecticut General Assembly : http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Farah,%20Armstrong-TMY.PDF
Arvin, A. et. al., . (2004). Vaccine Development to Prevent Cytomegalovirus Disease: Report from the National Vaccine Advisory Committee. Retrieved from Oxford Journals: http://cid.oxfordjournals.org/content/39/2/233.long
Babies Born with CMV (Congenital CMV Infection). (n.d.). Retrieved 2017, from Centers for Disease Control and Infection: https://www.cdc.gov/cmv/congenital-infection.html
Bailey, Jenny Meeden, Texas, baby first in Houston to receive ganciclovir treatment. (2014, Feb. 28). Public Hearing Testimony, Raised H.B. No. 5147. Retrieved from Connecticut General Assembly: http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Jenny%20Meeden%20Bailey-TMY.PDF
Balch, Brenda K., MD, AAP EHDI Chapter Champion for Connecticut. "An Often Unknown Cause of Hearing Loss in Children: Understanding and Preventing CMV in the Educational Setting" (Late Feb 2019). Supporting Success for Children with Hearing Loss. https://successforkidswithhearingloss.com/wp-content/uploads/2020/02/CMV-An-Often-Unknown-Cause-of-Hearing-Loss.pdf
Blazek, Nicole, Senior Clinical Content Editor. (2014, June 21). Educate pregnant women to prevent congenital CMV. Retrieved Reference: 1.Pina AL. “Breaking the Silence About Congenital CMV.” Presented at: AAPN 2014. Jun 17-22; Nashville, Tenn., from The Clinical Advisor: http://www.clinicaladvisor.com/educate-pregnant-women-to-prevent-congenital-cmv/article/357115/
Brown, Nellie J. (2019, November). "Occupational exposure to cytomegalovirus (CMV): preventing exposure in child care and educational settings, including OSHA advisories." Ithaca, NY: Cornell University, ILR School, Workplace Health and Safety Program.  https://digitalcommons.ilr.cornell.edu/conference/45/  (She gives permission for others to present it. Just email her at njb7@cornell.edu).
Cannon MJ, Westbrook K, Levis D, Schleiss MR, Thackeray R, Pass RF. . (2012, May). Awareness of and behaviors related to child-to-mother transmission of cytomegalovirus. Retrieved January 9, 2015, from National Center for Biotechnology Information, U.S. National Library of Medicine : http://www.ncbi.nlm.nih.gov/pubmed/22465669
Cannon, Michael J.; Davis, Katherine Finn. (2005, June 20). Washing our hands of the congenital cytomegalovirus disease epidemic. Retrieved from BMC Public Health: http://www.biomedcentral.com/1471-2458/5/70
Carlson, A. M., Norwitz, E. R., & Stiller, R. J. (Fall 2010). Cytomegalovirus Infection in Pregnancy: Should All Women Be Screened? 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
Centers for Disease Control and Prevention (CDC). (n.d.). State and Territorial Data. Retrieved from Centers for Disease Control and Prevention (CDC): http://www.cdc.gov/nchs/fastats/state-and-territorial-data.htm
CHILD CARE CENTER/GROUP INSPECTION FORM. (2017, January 2). Retrieved from Connecticut Office of Early Childhood: http://www.ct.gov/oec/lib/oec/licensing/childcare/cdcc_gdch_inspection.pdf
Childcare Workers. (n.d.). Retrieved January 1, 2017, from United States Department of Labor: Bureau of Labor Statistics: https://www.bls.gov/ooh/personal-care-and-service/childcare-workers.htm
Childcare Workers: Contacts for More Information. (n.d.). Retrieved 2017, from United States Department of Labor: https://www.bls.gov/ooh/personal-care-and-service/childcare-workers.htm#tab-9
Children's Hearing and Speech Services. (n.d.). Retrieved from Utah Department of Health: http://www.health.utah.gov/cshcn/CHSS/CMV.html
CMV Risks. (2016, October 31). Retrieved from Early Childhood Collaborative of Southington [Connecticut]: http://www.southingtonearlychildhood.org/cmv-risks/
Cody, S. (2015, May 6). CT Now. Retrieved from CT Moms Fight for CMV Legislation : "Connecticut Moms Fight for CMV Legislation":http://www.ctnow.com/family/ctnow-ct-moms-fight-for-cmv-legislation-20150505,0,3850658.column
Cody, S. (2015, May 27). New law in Connecticut to fight number one viral cause of birth defects. Retrieved from Fox CT: http://foxct.com/2015/05/27/new-law-in-connecticut-to-fight-number-one-viral-cause-of-birth-defects/
Congenital Cytomegalovirus Infection Time To Test Newborns. (2014, July 1). Retrieved December 6, 2014, from ENT Today: http://www.enttoday.org/article/congenital-cytomegalovirus-infection-time-to-test-newborns/
Connecticut Department of Public Health. (n.d.). Retrieved 2017, from Early Hearing Detection and Intervention Program: Congenital Cytomegalovirus (CMV): http://www.ct.gov/dph/cwp/view.asp?a=3138&q=527824
Cytomegalovirus (CMV) and Pregnancy. (2014, September 20 ). Retrieved from MotherToBaby.org: http://mothertobaby.org/fact-sheets/cytomegalovirus-cmv-pregnancy/
Cytomegalovirus (CMV) education bill on hold for now. (2014, May 8). Retrieved from Fox CT: http://foxct.com/2014/05/08/cytomegalovirus-cmv-education-bill-on-hold-for-now/
Cytomegalovirus. (2017). Retrieved from Daycare.com: https://www.daycare.com/fastfacts/illness/cytomegalovirus.html
Cytomegalovirus and Pregnancy. (n.d.). Retrieved from March of Dimes: https://www.marchofdimes.org/complications/cytomegalovirus-and-pregnancy.aspx
CYTOMEGALOVIRUS AND YOUR BABY. (n.d.). Retrieved from March of Dimes: https://www.marchofdimes.org/complications/cytomegalovirus-and-your-baby.aspx
Cytomegalovirus Infection. (n.d.). Retrieved 2017, from National Organization for Rare Disorders (NORD): https://rarediseases.org/rare-diseases/cytomegalovirus-infection/
(2015, June). Cytomegalovirus, Parvovirus B19, Varicella Zoster, and Toxoplasmosis in Pregnancy. The American College of Obstetricians and Gynecologists (ACOG). Retrieved 2016, from American College of Obstetricians and Gynecologists (ACOG): https://access.acog.org/eweb/ACOGResponsivePage.aspx?WebCode=LoginRequired&Site=congress&urlReq=http://www.acog.org/Resources%20And%20Publications/Practice%20Bulletins/Committee%20on%20Practice%20Bulletins%20Obstetrics/Cytomegalovirus%20Parvovirus%20B19%2
Cytomegalovirus-CMV: H.B. 81 (2013) Public Health Initiative in conjunction with the Utah Department of Health. (n.d.). Retrieved from Utah Department of Health: http://www.health.utah.gov/prl/PDF/Utah_CMV_Public_Flyer_2013.pdf
Demmler-Harrison,Gail, MD,Director, Congenital CMV Disease Registry and Research Program. (2015, Feb. 20). Public Hearing Testimony, Raised H.B. No. 5525. Retrieved from Connectictut General Assembly: http://www.cga.ct.gov/2015/PHdata/Tmy/2015HB-05525-R000220-Gail%20Demmler%20Harrison,%20MD-TMY.PDF
Demmler-Harrison, Gail, MD. (2016, December 2). Cytomegalovirus: The Virus All Pregnant Women Should Know About Now. Retrieved from Medscape.com: http://www.medscape.com/viewarticle/872452
Doutre, S. M. (2015, October 19 ). Reducing congenital cytomegalovirus infection through policy and legislation in the United States. Retrieved from Microbiology Australia: http://microbiology.publish.csiro.au/?paper=MA15058
Doutre, Sara, co-founder, Utah CMV Council; Menlove,Ronda, Utah House of Representatives,. (n.d.). Retrieved from Utah CMV Council: http://www.utahcmvcouncil.org/about-us/
Elizabeth Ann Saunders. (2006, February 11). The Journal News. Retrieved from Jo: http://www.legacy.com/obituaries/lohud/obituary.aspx?n=elizabeth-ann-saunders&pid=149413661
Goderis, Julie, MD, et al. (2014, October 27). Hearing Loss and Congenital CMV Infection: A Systematic Review. Retrieved from Pediatrics: http://pediatrics.aappublications.org/content/early/2014/10/21/peds.2014-1173.abstract#aff-1
Greenlee, Janelle, President and Founder, Stop CMV. (2014, Feb. 28). Public Hearing Testimony, Raised H.B. No. 5147 . Retrieved from Connecticut General Assembly: http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Janelle%20Greenlee,%20President%20and%20Founder,%20Stop%20CMV-TMY.PDF
H.B. 81 Second Substitute Cytomegalovirus Public Health Initiative. (2013 General Session). Retrieved from Utah State Legislature: http://le.utah.gov/~2013/bills/static/hb0081.html
H.B. No. 5147. (2014). Retrieved from Connecictut General Assembly : http://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=5147&which_year=2014
Griffiths, P. (2012). The Stealth Virus. Great Britain. Retrieved from https://www.amazon.com/dp/B009L4EA6G/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1
Griffiths, P. (2016, December 15). Reviews in Medical Virology: Medical practice driven by legislators rather than by regulators. Retrieved from Wiley Online Library: http://onlinelibrary.wiley.com/doi/10.1002/rmv.1922/full
Griffiths, P. D. (2017, February 7). Making dollars and sense out of a screening programme. Retrieved from Wiley Online Library: http://onlinelibrary.wiley.com/doi/10.1002/rmv.1925/full
Infectious Diseases American Academy of Pediatrics. (2012, 2015). Children in Out-of-Home Care. In B. C. Pickering LK, Red Book (pp. 145 (2012); 144-145 (2015)). Elk Grove Village, IL: American Academy of Pediatrics. Retrieved December 30, 2016, from https://redbook.solutions.aap.org/DocumentLibrary/RB12_interior.pdf
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/
Kimberlin, David W., M.D., et al. (2015, March 5). Valganciclovir for Symptomatic Congenital Cytomegalovirus Disease. Retrieved from The New Enland Journal of Medicine: http://www.nejm.org/doi/full/10.1056/NEJMoa1404599
Knowledge and Awareness of Congenital Cytomegalovirus Among Women. (2006, December 28). Retrieved from National Center for Biotechnology Information: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1779612/
Knowledge and Practices of Obstetricians and Gynecologists Regarding Cytomegalovirus Infection During Pregnancy --- United States, 2007. (n.d.). Retrieved from Centers for Disease Control and Prevntion (CDC): http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5703a2.htm
Licensing Information for Child Care Providers/Operators. (n.d.). Retrieved 2017, from Connecticut Office of Early Childhood: http://www.ct.gov/oec/cwp/view.asp?a=4542&q=545170
Lopez, Adriana, M.H.S., et al. (n.d.). Preventing Congenital Toxoplasmosis . Retrieved February 7, 2015, from CDC: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4902a5.htm
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
Maminta, J. (2015, March 3). Mystic mom raising awareness about potentially deadly virus. Retrieved from News 8: http://wtnh.com/2015/03/03/mystic-mom-raising-awareness-about-potentially-deadly-virus/
Mother on a mission to stop birth defects. (2014, April 28). Retrieved from Fox CT : http://foxct.com/2014/04/28/mother-on-a-mission-to-stop-birth-defects/
Muldoon KM, Armstrong-Heimsoth A, Thomas J (2017) Knowledge of congenital
cytomegalovirus (cCMV) among physical and occupational therapists in the United States. PLoS
ONE 12(10): e0185635. https://doi.org/10.1371/journal.pone.0185635
National Congenital CMV Disease Registry . (n.d.). Retrieved from Baylor College of Medicine: https://www.bcm.edu/pedi/infect/cmv/
Ofgang, E. (2015, June). Mystic Mom 'Overwhelmed' by Governor Signing Law on ‘Stealth Virus’ That Can Catch Pregnant Women Unaware. Retrieved from Connecticut Magazine: http://www.connecticutmag.com/Blog/Health-Wellness/February-2015/Mystic-Mom-Raises-Awareness-of-Stealth-Virus-That-Can-Catch-Pregnant-Women-Unawares/
Parent Fact Sheet on Caries Bacteria. (n.d.). Retrieved January 1, 2017, from American Academy of Pediatric Dentistry (AAPD): http://www.mychildrensteeth.org/education/parent_fact_sheet_on_caries_bacteria/
Pass RF, Hutto C. (1986, Jul-Aug 8). Group day care and cytomegaloviral infections of mothers and children. Retrieved from National Center for Biotechnology Information: http://www.ncbi.nlm.nih.gov/pubmed/3018892
Pereira, Lenore, PhD, Founder, Congenital CMV Foundation. (n.d.). Retrieved from Congenital CMV Foundation: http://www.congenitalcmv.org/foundation.htm
Preventing Congenital CMV During Pregnancy. (2015, Feb 9). Retrieved Feb 2015, 17, from News 8's Connecticut Style: http://wtnh.com/2015/02/09/preventing-congenital-cmv-during-pregnancy/
Protect Your Baby From A Tot-Borne Virus. (2008, June/July). Retrieved 2017, from FitPregnancy.com: http://www.fitpregnancy.com/baby/baby-care/protect-your-baby-tot-borne-virus
Queensland Government (Australia). (n.d.). Cytomegalovirus (CMV) in early childhood education and care services. Retrieved January 1, 2017, from Workplace Health and Safety: https://www.worksafe.qld.gov.au/injury-prevention-safety/workplace-hazards/hazardous-exposures/biological-hazards/cytomegalovirus-cmv-in-early-childhood-education-and-care-services
Revello MG1, Tibaldi C2, Masuelli G2, Frisina V2, Sacchi A2, Furione M3, Arossa A1, Spinillo A1, Klersy C4, Ceccarelli M5, Gerna G6, Todros T2; CCPE Study Group. (2015, August 6). Prevention of Primary Cytomegalovirus Infection in Pregnancy. Retrieved from PubMed.gov: https://www.ncbi.nlm.nih.gov/pubmed/26501119
Robert F. Pass, M.D., Cecelia Hutto, M.D., Rebecca Ricks, M.S.N., R.N., and Gretchen A. Cloud, 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
S.Res.215 - A resolution designating the month of June 2011 as "National Cytomegalovirus Awareness Month": 112th Congress (2011-2012). (2011). Retrieved from Congress.gov: https://www.congress.gov/bill/112th-congress/senate-resolution/215
Saunders, L. (2009). Anything But a Dog! The perfect pet for a girl with congenital CMV (cytomegalovirus). Retrieved from http://www.amazon.com/Anything-But-Dog-Congenital-Cytomegalovirus/dp/1588329968/ref=sr_1_1?s=books&ie=UTF8&qid=1340644532&sr=1-1&keywords=anything+but+a+dog+lisa+saunders
Saunders, L. (2014, April 28). Parent representative, Congenital Cytomegalovirus Foundation, and Dr. Brenda Balch of Mystic, CT. Fox CT: Mommy Minute. (S. Cody, Interviewer) https://www.youtube.com/watch?v=4lT2GpwzaMU&feature=youtu.be
Saunders, L. (2018). Childcare Providers: FREE Tool Kit to Fight CMV, #1 Birth Defects Virus. Retrieved from CongenitalCMV.Blogspot.com: https://congenitalcmv.blogspot.com/2018/02/free-resources-to-help-childcare.html
Saunders, L. (2018, March). Help Childcare Providers Fight CMV: Free pdf of Manuscript. Retrieved from CongenitalCMV.blogspot.com: https://drive.google.com/file/d/1Ch-dy8Nkgpa7VBSFAVp_1fVis5cYSxW1/view
Saunders, L. (2018). Help Childcare Providers Fight CMV: Protect Newborns from #1 Birth Defects Virus. Mystic, Connecticut . Retrieved from https://www.amazon.com/Help-Childcare-Providers-Fight-CMV/dp/1984328697?SubscriptionId=AKIAJ2F6RDUSIYCWQMFQ&tag=sa-sym-new-20&linkCode=xm2&camp=2025&creative=165953&creativeASIN=1984328697
Saunders, Lisa, Parent Representative, Congenital CMV Foundation. (2014, Feb. 28). Public Hearing Testimony, Raised H.B. No. 5147. Retrieved from Connecticut General Assembly: http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Lisa%20Saunders,%20Parent%20Representative,%20Congenital%20CMV%20Foundation-TMY.PDF
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/
Shapiro, Eugene, M.D., Professor of Pediatrics, Epidemiology and Investigative Medicine, Yale University. (2014, Feb. 28). Public Hearing Testimony, H.B. No. 5147. Retrieved from Connecticut General Assembly: http://www.cga.ct.gov/2014/PHdata/Tmy/2014HB-05147-R000228-Eugene%20Shapiro,%20M.D.,%20Professor%20of%20Pediatrics,%20Epidermiology%20and%20Investigative%20Medicine,%20Yale%20University-TMY.PDF
Shipman, M. (2018, Feb 14). Why does CMV get so much less news coverage than Zika — despite causing far more birth defects? Retrieved from Healthnewsreview.org: https://www.healthnewsreview.org/2018/02/cmv-get-much-less-news-coverage-zika-despite-causing-far-birth-defects/
Soren Gantt, MD, PhD, MPH1,2,3; Francois Dionne, PhD4; Fred K. Kozak, MD3,5; et al. (2016, October 10). Cost-effectiveness of Universal and Targeted Newborn Screening for Congenital Cytomegalovirus Infection. Retrieved from http://jamanetwork.com/journals/jamapediatrics/article-abstract/2557388
Stranzinger J, Kozak A, Schilgen B, et al.9. (2016). Are female daycare workers at greater risk of cytomegalovirus infection? A secondary data analysis of CMV seroprevalence between 2010 and 2013 in Hamburg, Germany. Retrieved from GMS Hygiene and Infection Control: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844919/
Substitute for H.B. No. 5525: An Act Concerning Cytomeglovirus. (2015). Retrieved from Connecticut General Assembly: https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&which_year=2015&bill_num=5525+
Tanner, L. (2014, May 17). Silent virus a rare, dangerous risk for the unborn. Retrieved from Associated Press: http://bigstory.ap.org/article/silent-virus-rare-dangerous-risk-unborn
Unintended Pregnancy Prevention. (2016, December 31). Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/reproductivehealth/UnintendedPregnancy/
Vaccines for the 21st Century: A Tool for Decisionmaking--CMV. (1999, March 1). Retrieved from Institute of Medicine: http://www.iom.edu/Reports/1999/Vaccines-for-the-21st-Century-A-Tool-for-Decisionmaking.aspx
Vauloup-Fellous,Christelle; Picone,Olivie; Cordier,Anne-Gaëlle; Parent-du-Châtelet,Isabelle;Senat,Marie-Victoire; Frydman,René; Grangeot-Keros, Liliane. (December 2009). Does hygiene counseling have an impact on the rate of CMV primary infection during pregnancy. Retrieved from Journal of Clinical Virology: http://www.journalofclinicalvirology.com/article/S1386-6532(09)00419-3/abstract
What Childcare Providers Need to Know about CMV. (n.d.). Retrieved January 2, 2017, from Utah Department of Health, Children with Special Healthcare Needs, Children's Hearing and Speech Services: http://health.utah.gov/cshcn/pdf/CMV/CMV%20What%20Childcare%20Providers%20Need%20to%20know.pdf
What Women Should Know About Cytomegalovirus (CMV). (n.d.). Retrieved from Congenital Cytomegalovirus Foundation: http://congenitalcmv.org/CDCbrochure.pdf
Yamamoto AY1, Mussi-Pinhata MM, Cristina P, Pinto G, Moraes Figueiredo LT, Jorge SM. (2001, March ). Congenital cytomegalovirus infection in preterm and full-term newborn infants from a population with a high seroprevalence rate. The Pediatric Infectious Disease Journal, 20(2), 188-92 . Retrieved from https://www.researchgate.net/publication/12106300_Congenital_cytomegalovirus_infection_in_preterm_and_full-term_newborn_infants_from_a_population_with_a_high_seroprevalence_rate

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