- Centers for Disease Control and Prevention provides an excellent flyer: Talking with Pregnant Patients about CMV: A Resource for Healthcare Providers: https://www.cdc.gov/cmv/downloads/pregnant-patients-cmv.pdf
1."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.
2. National CMV Foundation features several types of CMV flyers for downloading and hanging on your wall.
3. Centers for Disease Control and Prevention (CDC) has a video and posters on handwashing procedures and what to do if soap and water are not available. CMV info:
English: About CMV: https://www.cdc.gov/cmv/overview.html
Español: Acerca del citomegalovirus, https://www.cdc.gov/cmv/overview-sp.html
4. CMV is a Bloodborne Pathogen. Occupational Safety and Health Administration (OSHA) has policies in place.
5. MotherToBaby.org provides factsheet on cytomegalovirus (CMV) and mentions daycare workers.
6. Daycare.com: Cytomegalovirus webpage.
7. Congenital CMV Disease Research Clinic and Registry, Department of Pediatrics, Baylor College of Medicine, provides expert advice. Information also in Spanish. Contact: Gail J Demmler-Harrison, MD.
8. 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)..."9. Article, “The Danger of Spreading CMV: How We Can Protect Our Children” (ChildCare Aware of America).
9. Germ Prevention Coloring Book, Once Upon a Placemat: A Table Setting Tale by Lisa Saunders
THE COST OF NOT PROVIDING CMV PREVENTION EDUCATION:
Children disabled by congenital CMV are estimated to cost the U.S. healthcare system, $1.86 billion annually at $300,000/year each. (Modlin et al., 2004).
In 2015, Arizona saw 38,886 births. Assuming 1 out 750 (.001) are born permanently disabled by CMV, then you have 38,886 x .001= 38.88 or 39 babies born disabled by cCMV in Arizona each year. Estimated at costing the U.S. healthcare system $300,000 per child per year means that your state is spending $11,665,800 annually in medical costs. Since prevention education studies show greater than 75% effectiveness, that is a lot of money being spent on preventable medical expenses.
Connecticut requires each newborn that fails the newborn hearing screening to be tested for congenital CMV.
Although prevention education didn't pass in Connecticut because of funds, the Connecticut Department of Public Health now provides the following information and flyers:
1. Connecticut Department of Public Health (DPH) website, Congenital Cytomegalovirus (CMV): http://portal.ct.gov/dph/Family-Health/EHDI/Home-page--Early-Hearing-Detection-and-Intervention-Program-Home-Page%20
2. CT DPH and National CMV Foundation flyer: Are You Pregnant? http://www.ct.gov/dph/lib/dph/ehdi/ncmvf_awareness_flyer_ct_dph.pdf
3. Flyer includes info for childcare providers from CT DPH on back: https://drive.google.com/file/d/0B9Klfxar2CmjemlkcElQQkZfQWs/view
4. Flyer FOR OBSTETRIC HEALTH CARE PROVIDERS: http://www.ct.gov/dph/lib/dph/ehdi/about_cmv_obs.pdf
5. Flyer: TESTING FOR OBSTETRIC HEALTH CARE PROVIDERS: http://www.ct.gov/dph/lib/dph/ehdi/cmv_testing_info_obs.pdf
According to my calculations, providing prevention education could annually save several million dollars in the State of Connecticut alone. Children disabled by congenital CMV are estimated to cost the U.S. healthcare system, $1.86 billion annually at $300,000/year each. (Modlin et al., 2004).
In 2015, Connecticut’s annual cost to the healthcare system of caring for children disabled by congenital CMV can be calculated at 35,746 total births x .001 congenital CMVdisabled = 36 disabled babies X $300,000/year = $10,800,000 annually.
Connecticut Organizations that care:
CT Child Care Association and Educational Playcare, http://www.ctcca.org/
Gerry Pastor, Gerry@educationalplaycare.co
Eda diBiccari, Child Care Union
CSEA SEIU Local 2001
Hawaii: requires the state to educate the public and professionals about congenital CMV
Idaho has legislation
Illinois has legislation that requires both education and screening.
Iowa has legislation that requires both education and screening.
MAINEIn 2017, Maine proposed universal newborn CMV screening. While the legislation did not pass, the legislature established a committee to investigate universal CMV screening to provide a recommendation to the state in 2018.
TENNESSEETennessee requires healthcare providers to educate women of childbearing age.
Michigan proposed legislation.
Minnesota proposed legislation.
Education and Screening: New York
New York based health websites provide CMV information:
- 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/
My work on the Connecticut CMV testing bill was featured in Cornell’s Alumni Magazine out of Ithaca, NY.
Legislation (2017-2018): https://www.nysenate.gov/legislation/bills/2017/s2816/amendment/original#yes
New York Organizations that care:
CSEA in Albany, AFCME, 518-257-1000
CSEA in Albany, AFCME, 518-257-1000
Tammie Miller, Chapter Chair
UFT Family Child Care Providers
Oregon has legislation that requires both education and screening.
Pennsylvania Proposed Legislative Mandates
Texas has legislation. Texas Medical Association asks, “Have you talked with your pregnant patients about congenital CMV?” See its downloadable fact sheet
Utah has legislation that requires both education and screening.