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9/26/2014  |   4:30 PM - 6:00 PM   |  

Status of congenital cytomegalovirus surveillance in the United States

Congenital cytomegalovirus (cCMV) infection is not currently a nationally notifiable condition in the United States. The extent to which states have initiated efforts to conduct surveillance for cCMV is not well understood. To describe state-level efforts to monitor cCMV trends and disease burden, we reviewed state health department websites to identify states where cCMV was a reportable condition and contacted those states to learn about cCMV surveillance practices. As of 2012, cCMV was a reportable condition in 10 states through their communicable diseases system (3 states) or birth defects registries (7 states). In these states, cCMV had been a reportable condition for a range of 9 to 32 years. Surveillance in these 10 states is based on passive reporting, with most cases reported by hospitals. The type of data collected for reported cases included maternal and infant’s demographics, birth statistics, infant’s clinical history and laboratory information. Only 3 states required laboratory confirmation as part of their case definition. Individual states received an average of 8-20 cCMV reports annually. Follow-up of cCMV cases was not routinely conducted; however, 2 states were planning to or partnered with other groups (e.g., high-risk and hearing programs) for follow-up of cCMV cases. In 2013, one state (Montana) dropped cCMV from the list of reportable conditions. In the absence of wider adoption of surveillance for cCMV, routine cCMV screening programs could provide data to monitor trends in cCMV. Screening programs, such as the one implemented in Utah where cCMV is not currently a notifiable condition, may provide data to better understand cCMV-related disease burden.

Tatiana Lanzieri (Point of Contact,Primary Presenter,Author), uyk4@cdc.gov;
Tatiana Lanzieri is an epidemiologist in the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention.

ASHA DISCLOSURE:

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.

Adriana S. Lopez (Author), ail7@cdc.gov;
Adriana S. Lopez is an epidemiologist in the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention

Stephanie Bialek (Author), zqg7@cdc.gov;
Stephanie Bialek is the lead epidemiologist for the Herpes Virus Team in the Division of Viral Diseases in the National Center for Immunization and Respiratory Diseases at the Center for Disease Control and Prevention.

Presentation:
305StephanieBialek.pdf

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