"Occupational exposure to cytomegalovirus (CMV): preventing exposure in child care and educational settings, including OSHA advisories."
Brown, N. 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. Retrieved from: https://
Managing Infectious Disease - Full Curriculum - Instructor and participant manuals are available through the American Academy of Pediatrics (AAP). Click for Webinar video. See online learning module: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/healthy-child-care/Pages/Curriculum-for-Managing-Infectious-Diseases.aspx?utm_source=MagMailfirstname.lastname@example.org&utm_content=Healthy%20Futures%20%2D%20MID%20Webinar%203%2E11%2E2020&utm_campaign=Healthy%20Futures%20%2D%20Managing%20Infectious%20Disease%20Webinar
Letters to medical community:
CT Department of Public Health (DPH) About CMV For Obstetric Health Care Providers and About CMV Testing for Obstetric Health Care Providers.
12. Article: "An Often Unknown Cause of Hearing Loss in Children: Understanding and Preventing CMV in the Educational Setting" by Balch, Brenda K., MD, AAP EHDI Chapter Champion for Connecticut (Late Feb 2019). Found at: Supporting Success for Children with Hearing Loss. https://successforkidswithhearingloss.com/wp-content/uploads/2020/02/CMV-An-Often-Unknown-Cause-of-Hearing-Loss.pdf
13.Song for mothers who learned too late about protecting their unborn child from congenital CMV--"Had I Known (about CMV): by Debra Lynn Alt: https://drive.google.com/file/
16. Daycare.com: Cytomegalovirus webpage: https://www.daycare.com/fastfacts/illness/cytomegalovirus.html
17. Need CMV studies? See my Bibliography at: http://congenitalcmv.
2) Give each childcare employee/volunteer a CMV brochure (see Utah's brochure for childcare providers).
3) CMV prevention added to a childcare center’s handbook. See Staff Education and Policies on Cytomegalovirus(Caring for Our Children, AAP, et al.): "Female employees of childbearing age should be referred to their primary health care provider or to the health department authority for counseling about their risk of CMV infection. This counseling may include testing for serum antibodies to CMV to determine the employee’s immunity against CMV infection...it is also important for the child care center director to inform infant caregivers/teachers of the increased risk of exposure to CMV during pregnancy.” Print "Staff Education and Policies on CMV" by clicking "Save as PDF" at: nrckids.org/CFOC/Database/188.8.131.52
4) CMV information added to a New Staff Orientation Form. The form should be signed to show the childcare provider read and understood they should consult their healthcare provider about their risk for CMV. See sample wording in Model Child Care Health Policies, which has a sample document to be signed by staff (paid or volunteer) to show “Acceptance of Occupational Risk by Staff Members,” which includes “exposure to infectious diseases (including infections that can damage a fetus during pregnancy)” (American Academy of Pediatrics, Pennsylvania Chapter, Aronson, SS, ed., 2014, p. 116).
5) The Child Care and Development Block Grant Act of 2014 has created regulatory changes. The Administration for Children and Families published Caring for our Children Basics (based on Caring for Our Children) in 2015 to “align basic health and safety efforts across all early childhood settings." In the section, “Prevention of Exposure to Blood and Body Fluids,” it states: “Caregivers and teachers are required to be educated regarding Standard Precautions [developed by CDC] before beginning to work in the program and annually thereafter. For center-based care, training should comply with requirements of the Occupational Safety and Health Administration (OSHA).”
7) Consider the protocol posted on the website in Queensland, Australia. They relocate workers who are pregnant, or “expect to become pregnant, to care for children aged over two to reduce contact with urine and saliva.” See their list of safety measures in “Cytomegalovirus (CMV) in early childhood education and care services,” on the Workplace Health and Safety webpage.
8) Examples of CMV Protocols in Other Countries:
In Queensland, Australia, suggested control measures include: "relocating workers who are pregnant, or who expect to become pregnant, to care for children aged over two to reduce contact with urine and saliva" (Queensland Government).
In Germany, to protect day care workers from primary CMV infection, their “CMV serostatus must be checked at the beginning of their pregnancy.” If the worker “is seronegative, she is excluded from professional activities with children under the age of three years” (Stranzinger et al., 2016).
Note from me, Lisa Saunders:
I am the leader of the Child Care Providers Education Committee, National CMV Foundation. Using the song,"Had I Known (about CMV)," by Debra Lynn Alt, I created a public service announcement (PSA) on Congenital CMV: Music Video--"Had I Known (about CMV)". The video is geared to those who care for young children. YouTube version at https://youtu.be/1WoGjfieRhY. You are welcome to share this on TV, online, in presentations, etc.
Above-sink wall flyer for hand-washing, "Diaper Wipes Don't Kill CMV"
Click here for free, two-pages of story and placemat for coloring.
- Bag (paper or reusable insulated bag).
- Plate, cup, napkin, fork, spoon, knife.
- Crayons or washable markers.
- Placemat with tableware characters (free pdf for coloring and possible laminating).
- Picnic food (homemade or prepackaged that would use all utensils, such as peanut butter, crackers, applesauce and cake).
- Hand sanitizer or sanitizing wipes.
- Sink hand-washing sign and tri-fold flyer on CMV prevention to take home (found on blog post: https://congenitalcmv.blogspot.com/2018/05/free-cmv-prevention-tool-kit-for.html)
- If funds are available, give a child their own bound copy of Once Upon a Placemat: A Table Setting Tale to color and share with their families so their parents can reinforce the table-setting lesson and learn how to prevent CMV, the #1 birth defects virus, as well as other diseases (book available on Amazon for $5.38).