title: Neonatal herpes should be a reportable disease.
abstract: Neonatal herpes is a devastating disease, the most serious complication of genital herpes, one of the most common serious congenital or perinatal infections, and the most frequent complication of sexually transmitted infections among children. Nevertheless, neonatal herpes is not reportable to health authorities in most states. The potential for prevention has been enhanced by recent diagnostic and therapeutic advances, and the disease meets widely accepted criteria for reporting, including incidence rates that exceed those of comparable conditions, epidemiologic instability, disease severity, direct and indirect socioeconomic costs, concern by persons at risk, the potential for prevention by public health interventions, and the prospect that the resulting data would influence public health policy. The absence of national surveillance contributes to beliefs by healthcare providers and the public health community that genital and neonatal herpes are uncommon conditions that affect small segments of society, beliefs that directly interfere with prevention. Neonatal herpes should be a reportable condition.
authors.affiliation: University of Washington, Center for AIDS and STD, Harborview Medical Center, Seattle, Washington 98104, USA. hhh@u.washington.edu
authors.forename: H Hunter
authors.initials: HH
authors.lastname: Handsfield
authors.forename: Ann B
authors.initials: AB
authors.lastname: Waldo
authors.forename: Zane A
authors.initials: ZA
authors.lastname: Brown
authors.forename: Lawrence
authors.initials: L
authors.lastname: Corey
authors.forename: Joan L
authors.initials: JL
authors.lastname: Drucker
authors.forename: Charles W
authors.initials: CW
authors.lastname: Ebel
authors.forename: Peter A
authors.initials: PA
authors.lastname: Leone
authors.forename: Lawrence R
authors.initials: LR
authors.lastname: Stanberry
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Whitley
mesh_terms: D000998:Antiviral Agents / Q000008:administration & dosage; D002490:Central Nervous System / Q000473:pathology; D005123:Eye / Q000473:pathology; D005260:Female; D006561:Herpes Simplex / Q000175:diagnosis / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D018259:Herpesvirus 1, Human; D018258:Herpesvirus 2, Human; D006801:Humans; D007231:Infant, Newborn; D008403:Mass Screening; D009055:Mouth / Q000473:pathology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000188:drug therapy / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D011295:Prenatal Care
chemical_list: D000998:Antiviral Agents