CMV prevention education works according to several studies. The New York Times stated, “pregnant mothers shown a video and offered hygiene tips were much less likely to get CMV (5.9 percent) than those not given information on prevention (41.7 percent)” (Saint Louis, 2016). Five CMV prevention education studies published between 1993 and 2015 were analyzed in the article, Prevention of Maternal–Fetal Transmission of Cytomegalovirus: “In each report, the efficacy of hygienic precautions has been [greater than] 75%” (Adler, 2015).
- "Staff Education and Policies on Cytomegalovirus (CMV)," American Academy of Pediatrics (AAP) et al., Caring for Our Children: http://cfoc.nrckids.org/StandardView/126.96.36.199
- Fact sheet from MotherToBaby.org on CMV includes child care providers.
- National CMV Foundation features several types of CMV flyers for downloading.
- Daycare.com: Cytomegalovirus
- The Danger of Spreading CMV: How We Can Protect Our Children (ChildCare Aware of America, 2017).
- NAEYC: National Association for the Education of Young Children and its "Early Childhood Program Standards and Accreditation Criteria and Guidance for Assessment (10.D.01, p.91)," includes: "a. steps to reduce occupational hazards such as infectious diseases (e.g., exposure of pregnant staff to CMV [cytomegalovirus], chicken pox)..."
2. Flyer: Are You Pregnant? http://www.ct.gov/
3. Flyer FOR OBSTETRIC HEALTH CARE PROVIDERS: http://www.ct.gov/
4. Flyer: TESTING FOR OBSTETRIC HEALTH CARE PROVIDERS: http://www.ct.gov/
Just FYI, this is what a few other countries do about CMV in daycare:
Wash Away CMV: Protect Your Pregnancy!
Childcare Providers Have Another Good Reason to Wash Their Hands
by Lisa Saunders*
You can access the flyer, "Are You Pregnant?", for handing out or hanging on your wall, by clicking here:
According to the Connecticut Department of Public Health**:
- Persons who work with children should follow standard hand washing procedures after contact with body fluids, such as urine and saliva, which could contain CMV.
- Over half of adults have already been infected with CMV by the age of 40 years. Adults who have not had CMV and who work with young children, especially children 1 to 2 ½ years of age, may be exposed to CMV and can become infected.
- Healthy adults face little risk of getting seriously sick from CMV infection. However, if a woman who has never had CMV infection becomes infected with CMV while pregnant; there is a risk that her fetus will also become infected. Infants born with CMV infection are at risk for CMV-related complications.
- Persons who work closely with children in settings, such as child care facilities, may be at greater risk of CMV infection than persons who do not work in such settings. There are certain steps everyone can take to reduce their risk of exposure to CMV and other infection.
- Women who are pregnant or plan to become pregnant and who have close contact with young children should discuss their risk for CMV infection with their medical provider. Also see Pregnant Women(http://www.cdc.gov/cmv/risk/preg-women.html) .
- Although CMV is spread through contact with infected body fluids, including urine and saliva, the risk of CMV infection among healthcare workers appears to be no greater than that among the general public. This may be due in part to adherence to standard precautions by healthcare providers when handling body fluids and the lower amount of personal contact in the healthcare setting.
- Wash your hands often with soap and water for 15-20 seconds, especially after:
- Changing diapers
- Feeding a young child
- Wiping a young child’s nose or drool
- Handling children’s toys
- Do not share food, drinks, or eating utensils used by young children.
- Do not put a child’s pacifier in your mouth.
- Do not share a toothbrush with a young child.
- Avoid contact with saliva when kissing a child.
- Clean toys, countertops, and other surfaces that come into contact with children’s urine or saliva.
- Pregnant women working in child care facilities should minimize direct exposure to saliva…Hugging is fine and is not a risk factor, (NY Dept. of Health)
- This NYC website states: "Pregnant women working in child care facilities should minimize direct exposure to saliva and avoid kissing babies or young children on the mouth." Find that comment at: https://www1.nyc.gov/site/doh/
The American Academy of Pediatrics states: "Staff of childbearing age who care for infants and children should be provided the following information:
- The increased probability of exposure to cytomegalovirus (CMV) in the child care setting;
- The potential for fetal damage when CMV is acquired during pregnancy;
- The importance of hand hygiene measures (especially handwashing and avoiding contact with urine, saliva, and nasal secretions) to lower the risk of CMV;
- The availability of counseling and testing for serum antibody to CMV to determine the caregiver/teacher’s immune status" (Caring for Our Children, 2011).
As with anything, the effectiveness of the hygiene measures is impacted by how well individuals follow appropriate protocol. The CDC provides instructions on when and how to wash your hands, and what to do if soap and water are not available, at: https://www.cdc.gov/handwashing/when-how-handwashing.html
Here is the link to a sample letter to childcare providers for social media: http://congenitalcmv.
1."Staff Education and Policies on Cytomegalovirus (CMV)," American Academy of Pediatrics (AAP) et al., Caring for Our Children: http://cfoc.nrckids.org/StandardView/188.8.131.52
2."Situations that Require Hand Hygiene" (AAP et al., Caring for Our Children): http://cfoc.nrckids.org/StandardView/3.2.2
3. National CMV Awareness Flyer with the Connecticut Department of Public Health (DPH) logo found under the "Information for Healthcare Providers” section at: http://www.ct.gov/dph/cwp/view.asp?a=3138&q=527824
4. Fact sheet from MotherToBaby.org on CMV includes child care providers.
5.Connecticut Department of Public Health posts on its website: CDC Recommendations for People Who Care for Infants and Children
6.National CMV Foundation features several types of CMV flyers for downloading.
7.Congenital CMV Disease Research Clinic and Registry provides resources for women of childbearing age.
8. CMV prevention brochure specifically for child care providers: Utah's brochure for childcare providers).
9.For students and families: Free CMV Teaching Tool Kit: "Once Upon a Placemat: A Table Setting Tale" by Lisa Saunders—Educational coloring book and fairytale emphasizes hand-washing and refraining from sharing cups/utensils. Click the following for the free pdf version of Once Upon a Placemat: A Table Setting Tale
11. Congenital CMV Foundations that help women of childbearing age protect their pregnancies.
12. Connecticut CMV Law: "Update on Statewide Neonatal CMV Screening" (December 8, 2015): "New legislation that requires screening for congenital CMV infection in neonates who fail their hearing tests... In this talk we will review the background to the legislation as well as the rationale behind CMV screening and the limitations of the available literature in guiding management. The steps that should occur as part of the CMV screening process will be outlined and discussed." Meeting Materials:
NAEYC: National Association for the Education of Young Children and its "Early Childhood Program Standards and Accreditation Criteria and Guidance for Assessment (10.D.01, p.91)," includes: "a. steps to reduce occupational hazards such as infectious diseases (e.g., exposure of pregnant staff to CMV [cytomegalovirus], chicken pox)..."