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My husband and I are walking 360 miles across New York to raise awareness of the leading viral cause of birth defects, congenital cytomegalovirus (CMV). If you feel inspired to protect unborn children from CMV, contact your Assembly member and share: "Memo of Support" "Elizabeth's Law" - A7560 (Rosenthal. L.) / S6287A (Mannion, J.)
TITLE: AN ACT to amend the social services law, in relation to requiring child care providers to be trained on the impacts and dangers of congenital cytomegalovirus infection and the treatments and methods of prevention of cytomegalovirus infection; and to amend the public health law, in relation to requiring certain physicians to distribute informational materials concerning cytomegalovirus.
PROBLEM: Congenital Cytomegalovirus (cCMV) is acquired in utero and can result in serious birth defects in the baby. cCMV is the most common congenital (present from birth) infection in the U.S. About 1 in every 200 babies is born with a cCMV infection. Of these babies, around 1 in 5 will have long-term health problems (i) such as hearing and vision loss, microcephaly (small head), developmental and motor delays, and seizures (CDC). (ii)
In New York, every year an estimated 222 babies are born permanently disabled by cCMV (iii) "CMV can be spread by contact with an infected child's urine or other body fluids. Pregnant women who work with young children, such as day care workers or health care workers, should take steps to prevent infection...(American College of Obstetricians and Gynecologists (ACOG)). "Pregnant women with young children at home also are at risk and should take these steps"(ACOG)).(iv) "Nearly half of women have been infected with CMV before their first pregnancy. Of women who have never had a CMV infection, it is estimated that 1 to 4% of them will be infected during pregnancy."(v) OSHA recognizes CMV as a "hazard" for childcare workers (vi) and the American Academy of Pediatrics (AAP) states, "With regard to child-to-staff transmission, studies have shown increased rates of infection with CMV in caregivers/teachers ranging from 8% to 20%."(vii) Women who have young children in group child care are at an increased risk for CMV. (viii) Racial and ethnic minorities are at higher risk for CMV. (ix) "The risk of CMV infection in hospital workers is not greater than it is in others in the community and is probably low because of careful hand washing practices. In daycare centers, where hand washing practices may not be as good, there may be a greater risk of infection."(x) cCMV is largely preventable, but 91% of women do not know about the disease or prevention. (xi) SOLUTION: "You may be able to lessen your risk of getting CMV by reducing contact with saliva and urine from babies and young children. The saliva and urine of children with CMV have high amounts of the virus. You can avoid getting a child's saliva in your mouth by, for example, not sharing food, utensils, or cups with a child. Also, you should wash your hands after changing diapers."(xii)
SUPPORT A7560 / S6287A , "Elizabeth's Law": Dr. Howard A. Zuckers, New York State Commissioner of Health, stated, "it is imperative that we give women of reproductive age the information they need to make informed decisions for themselves and their families."(xiii)
Supporters of cCMV prevention include: CDC, OSHA, AAP, ACOG and NY Commissioner of Health. The NY Senate/Assembly proclaimed June 2021 Cytomegalovirus Awareness Month. The NY Senate passed "Elizabeth's Law" in 2021.
REFERENCES i https://www.cdc.gov/cmv/awareness-month.html ii https://www.cdc.gov/cmv/congenital-infection.html iii In 2019, 221,539 babies were born in NY, with an estimated 1,108 born with cCMV. Using CDC's averages, 222 of those babies were born permanently disabled from cCMV. iv https://www.acog.org/womens-health/faqs/reducing-risks-of-birth-defects v https://www.cdc.gov/cmv/clinical/overview.html vi https://www.osha.gov/cytomegalovirus/hazards vii https://nrckids.org/CFOC/Database/7.7.1.1 viii https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046747/ ix https://pubmed.ncbi.nlm.nih.gov/29784513/ x https://www.health.ny.gov/diseases/communicable/cytomegalovirus/fact_sheet.htm xi https://digitalcommons.usu.edu/jehdi/vol1/iss2/6/ xii https://www.cdc.gov/cmv/fact-sheets/parents-pregnant-women.html xiii https://health.ny.gov/commissioner/letters/docs/2018-08.pdf
### ABOUT LISA SAUNDERS: Lisa Saunders is a founding member of New York Stop CMV and volunteers with the National CMV Foundation. She was the mother of Elizabeth born severely disabled by congenital cytomegalovirus (CMV) in 1989. Until Elizabeth's birth, Lisa was unaware of CMV and although she was a licensed, in-home child care provider, a church nursery volunteer and the mother of a toddler--all activities that put her at high risk for CMV--she was not educated about CMV. Email her at: LisaSaunders42@gmail.com
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