Birth data collected from Nebraska Medicine (including Bellevue) for 2014 show 2,660 births with 2,592 infants passing the hearing screen and 43 (1.6%) infants being referred There is no system in place to track how many of these children then failed further testing, how many were tested for cCMV, or how many were diagnosed with cCMV. The Nebraska Birth Defects Registry, maintained by the Department of Health and Human Services (DHHS), has sparse data on the number of babies identified with cCMV going back to 2007 and the data is as follows: 2 cases in 2007, 2 in 2009, 1 in 2011, and 1 in 2013. The mechanism by which the registry receives the data is through birth certificate clerk entry and the data is most certainly not complete.In order to be treated for cCMV with valgancyclovir diagnosis of cCMV must be made within 14 days of birth and treatment initiated by 30 days of life; a timeframe currently not feasible for the majority of infants currently identified by the current status quo with follow-up hearing evaluation performed weeks and sometimes months after initial referral on newborn hearing screen.