Friday, August 24, 2018

Poster: "Increasing Child Care Provider Awareness of Congenital Cytomegalovirus", "What you can do to help" and References

"Increasing Child Care Provider Awareness of Congenital Cytomegalovirus (cCMV)" 

by

Lisa Saunders, Leader of Childcare Providers Education & Outreach, National CMV Foundation; Brenda Balch, MD, American Academy of Pediatrics (AAP) Early Hearing Detection and Intervention Connecticut Chapter Champion

To be presented at the 
CMV Public Health and Policy Conference
September 23-25, 2018 (poster session: Mon., Sept 24, 2018)
DoubleTree Hotel
Burlington, Vermont: https://cmv.usu.edu/schedule.cfm

Click for poster as a PDF document or PowerPoint slide.


WHAT YOU CAN DO TO HELP

        Contact your state’s Departments of Health, Labor, OSHA, and Child Care Licensing (found at: childcareaware.org/providers), and ask for CMV education to be featured on their websites. Ask that CMV education be included in the training child care providers receive on infectious diseases.
        CMV flyer links are available at the CDC, National CMV Foundation, some state websites, and CongenitalCMV.blogspot.com. The “Staff Education and Policies on Cytomegalovirus” in Caring for Our Children can be found at: nrckids.org/CFOC/Database/7.7.1.1
        Child care directors may worry about frightening their workers. Remind them they probably already have proper sanitizing procedures in place through compliance with protocols set forth by the National Association for the Education of Young Children (NAEYC), which states, “Procedures are in place that address steps to reduce occupational hazards such as infectious diseases (e.g., exposure of pregnant staff to CMV…)" (NAEYC, 2014, p.90).
        Contact state chapters of organizations that promote the health of their members such as child care and teacher unions, NAEYC, Early Head Start programs, and child care centers. Offer CMV flyers or links to them.
        In 2015, Connecticut passed a law requiring CMV testing when an infant fails the hearing screen. Prevention education did not pass, but the Connecticut Office of Early Childhood’s Division of Licensing for Child Care Providers/Operators now includes “Congenital Cytomegalovirus” under “Disease and Prevention” on its website. We are still working on making CMV training mandatory for child care providers.

REFERENCES
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
American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. (Revised 2017). National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs. Retrieved from Caring for Our Children: http://nrckids.org/CFOC/Database/7.7.1.1
American Academy of Pediatrics. "CHILDREN IN OUT-OF-HOME CHILD CARE". Pickering LK, Baker CJ,Kimberlin DW, Long SS, eds. (2012). Red Book: Report of the Committee on Infectious Diseases (29th ed.). Elk Grove Village, IL: American Academy of Pediatrics. Retrieved from https://redbook.solutions.aap.org/DocumentLibrary/RB12_interior.pdf
Billette de Villemeur; Agathe; Gratacap-Cavallier, Bénédicte; Caseya, Romain; Baccard-Longère, Monique; Goirand, Laurence; Seigneurin, Jean-Marie; Morand, Patrice. (2011). Occupational risk for cytomegalovirus, but not for parvovirus B19 in child-care personnel in France. ScienceDirect, 457-467. Retrieved from https://www.sciencedirect.com/science/article/pii/S0163445311004592
Centers for Disease Control and Prevention (CDC). (Page last reviewed: June 6, 2018). Cytomegalovirus (CMV) and Congenital CMV Infection. Retrieved from Centers for Disease Control and Prevention (CDC): https://www.cdc.gov/cmv/clinical/features.html
Department of Labor, Occupational Employment Statistics: Childcare Workers. (2017, May). Retrieved from Bureau of Labor Statistics: https://www.bls.gov/oes/current/oes399011.htm
Department of Labor, Occupational Outlook Handbook, Childcare Workers,. (2018 , June 11). Retrieved from Bureau of Labor Statistics, U.S.: https://www.bls.gov/ooh/personal-care-and-service/childcare-workers.htm
DeWald, Olivia; Turovac, Casey; Balch, Brenda; Cienkowski, Kathleen. (2018). National Child Care Provider's Awareness of Congenital Cytomegalovirus. Poster session presented at Early Hearing Detection and Intervention (EHDI) Conference in Denver, CO.
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, Serene A; Béliveau, Claire; Muecke,Cristin J; Rahme, Elham; Soto,Julio C; Flowerdew, Gordon; Johnston, Lynn; Langille, Donald; Gyorkos, Theresa W. (2006, Sept). Cytomegalovirus as an occupational risk in daycare educators. Retrieved from PMC: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528629/
March of Dimes. (Last reviewed: Nov. 2013). Cytomegalovirus and Pregnancy. Retrieved from March of Dimes: https://www.marchofdimes.org/complications/cytomegalovirus-and-pregnancy.aspx
Modlin, John F; Arvin, Ann; Fast, Patricia; Myers, Martin; Plotkin, Stanley; Rabinovich, Regina . (2004, July 15 ). Vaccine Development to Prevent Cytomegalovirus Disease: Report from the National Vaccine Advisory Committee. Oxford Academic. Retrieved from https://academic.oup.com/cid/article-lookup/doi/10.1086/421999
NAEYC. (2014, April 1). National Association for the Education of Young Children: Early Childhood Program Standards and Accreditation Criteria & Guidance for Assessment. Retrieved from National Association for the Education of Young Children: https://s3.amazonaws.com/fwk-interactives/0Early+Childhood+Studies/Assessments+/EP004/CECS+EP004_Assessment_Criteria+and+Standards.pdf
Nesti,Maria M. M. and Goldbaum, Moisés . (2007, July/Aug). Infectious diseases and daycare and preschool education. Jornal de Pediatria, 83(40). Retrieved from http://www.scielo.br/pdf/jped/v83n4/en_v83n4a04.pdf
Occupational Safety and Health Administration. (Revised 2016). Workers' Rights Booklet. Retrieved from Department of Labor: Occupational Safety and Health Administration: https://www.osha.gov/Publications/osha3021.pdf
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
Queensland Government (Australia). (Last Updated 04 April 2017). 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
Saint Louis, Catherine . (2016, Oct. 24). CMV Is a Greater Threat to Infants Than Zika, but Far Less Often Discussed. New York Times. Retrieved from https://www.nytimes.com/2016/10/25/health/cmv-cytomegalovirus-pregnancy.html
Stowella, Jennifer D; Forlin-Passoni, Daniela; Radford, Kay; Bate, Sheri L; Dollard, Sheila C; Bialek, Stephanie R.; Cannon, Michael J; Schmid, D. Scott . (2014, January). Cytomegalovirus Survival and Transferability and the Effectiveness of Common Hand-Washing Agents against Cytomegalovirus on Live Human Hands. American Society for Microbiology, 80(2 455-461). Retrieved from http://aem.asm.org/content/80/2/455.full
Stranzinger J, Kozak A, Schilgen B, et al. (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/
Thackeray, Rosemary; Magnusson, Brianna M. (2016, April). Child Care Provider Awareness and Prevention of Cytomegalovirus and Other Infectious Diseases. Child & Youth Care Forum, 45(2), 301–314. Retrieved from http://link.springer.com/article/10.1007%2Fs10566-015-9325-y
Adler refers to five prevention education studies in his article, “Prevention of Maternal–Fetal Transmission of Cytomegalovirus” (2015). They are:
  1. Adler, S.P., Finney, J.W., Manganello, A.M., and Best, A.M. Best prevention of child-to-mother transmission of cytomegalovirus by changing behaviors: a randomized controlled trial. Pediatr. Infect. Dis. J. 1996; 15: 240–246
  2. Adler, S.P., Finney, J.W., Manganello, A.M., and Best, A.M. Prevention of child-to-mother transmission of cytomegalovirus among pregnant women. J. Pediatr. 2004; 145: 485–491
  3. Finney, J.W., Miller, K., and Adler, S.P. Changing protective and risky behaviors to prevent child-to-parent transmission of cytomegalovirus. J. Appl. Behav. Anal. 1993; 26: 471–472 
  4. Revello, M.G., Tibaldi, C., Masuelli, G., Frisina, V., Sacchi, A., Furione, M., Arossa, A., Spinillo, A., Klersy, K., Ceccarelli, M., Gerna, G., Todros, T., and the CCPE Study Group. Prevention of primary cytomegalovirus infection in pregnancy.EBioMedicine. 2015; 2: 1205–1210 
  5. Vauloup-Fellous, C., Picone, O., Cordier, A.G. et al. Does hygiene counseling have an impact on the rate of CMV primary infection during pregnancy? Results of a 3-year prospective study in a French hospital. J. Clin. Virol. 2009;46: S49–S53 

Links to read the PREVENTION STUDIES listed in Adler's 2015 summary paper, 

"Prevention of Maternal–Fetal Transmission of Cytomegalovirus"
  1. Adler, S.P., Finney, J.W., Manganello, A.M., and Best, A.M. Best prevention of child-to-mother transmission of cytomegalovirus by changing behaviors: a randomized controlled trial. Pediatr. Infect. Dis. J. 199615240–246
  2. Adler, S.P., Finney, J.W., Manganello, A.M., and Best, A.M. Prevention of child-to-mother transmission of cytomegalovirus among pregnant women. J. Pediatr. 2004145485–491
  3. Finney, J.W., Miller, K., and Adler, S.P. Changing protective and risky behaviors to prevent child-to-parent transmission of cytomegalovirus. J. Appl. Behav. Anal. 199326471–472 
  4. View in Article 
  5. Crossref
  6.  
  7. PubMed
  8.  
  9. Scopus (18)
  10.  | 
  11. Google Scholar
  12. Revello, M.G., Tibaldi, C., Masuelli, G., Frisina, V., Sacchi, A., Furione, M., Arossa, A., Spinillo, A., Klersy, K., Ceccarelli, M., Gerna, G., Todros, T., and the CCPE Study Group. Prevention of primary cytomegalovirus infection in pregnancy.EBioMedicine201521205–1210 
  13. View in Article 
  14. Abstract
  15.  
  16. Full Text
  17.  
  18. Full Text PDF
  19.  
  20. Scopus (42)
  21.  | 
  22. Google Scholar
  23. Vauloup-Fellous, C., Picone, O., Cordier, A.G. et al. Does hygiene counseling have an impact on the rate of CMV primary infection during pregnancy? Results of a 3-year prospective study in a French hospital. J. Clin. Virol. 2009;46S49–S53 
  24. View in Article 
  25. Abstract
  26.  
  27. Full Text
  28.  
  29. Full Text PDF
  30.  
  31. PubMed
  32.  
  33. Scopus (122)
  34.  | 
  35. Google Scholar





For more information, contact: 

Lisa Saunders, PO Box 389, Mystic, CT 06355, LisaSaunders42@gmail.com, CongenitalCMV.blogspot.com