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Background: Congenital Cytomegalovirus (cCMV) is a serious global public health issue that can cause irreversible fetal and neonatal congenital defects in symptomatic or asymptomatic newborns at birth. In absence of universal cCMV screening, the retrospective diagnosis of cCMV infection in children is only possible by examining Dried Blood Spot (DBS) samples routinely collected at birth and stored for different time spans depending on the newborn screening regulations in force in different countries. In this article, we summarize the arguments in favor of long-term DBS sample storage for detecting cCMV infection. Main text: CMV infection is the most common cause of congenital infection resulting in severe defects and anomalies that can be apparent at birth or develop in early childhood. Sensorineural hearing loss is the most frequent consequence of cCMV infection and may have a late onset and progress in the first years of life. The virological diagnosis of cCMV is essential for clinical research and public health practices. In fact, in order to assess the natural history of CMV infection and distinguish between congenital or acquired infection, children should be diagnosed early by analyzing biological samples collected in the first weeks of life (3 weeks by using viral culture and 2 weeks by molecular assays), which, unfortunately, are not always available for asymptomatic or mildly symptomatic children. It now seems possible to overcome this problem since the CMV-DNA present in the blood of congenitally infected newborns can be easily retrieved from the DBS samples on the Guthrie cards routinely collected and stored within 3 days from birth in the neonatal screening program for genetic and congenital diseases. Early collection and long-term storage are inexpensive methods for long-term bio-banking and are the key points of DBS testing for the detection of cCMV. Conclusion: DBS sampling is a reliable and inexpensive method for long-term bio-banking, which enables to diagnose known infectious diseases - including cCMV - as well as diseases not jet recognized, therefore their storage sites and long-term storage conditions and durations should be the subject of political decision-making.

Legislative Decree 152/2006 requires Public Authorities to identify the subjects who are responsible for soil and groundwater contamination. In highly urbanized areas with a long industrial history and an elevated number of potential contaminant sources, as in N-W Milano Functional Urban Area (FUA), their identification can be difficult. Since the groundwater flow has showed consistent changes in the last 30 years as in Milan, the problem became even more complicate. The Public Authorities put in charge by the law, i.e., Regione Lombardia and Città Metropolitana Milanese, need new methodologies to assist them in finding the source locations and implementing remediation actions. The aim of this study is, coupling unsteady flow with fate and transport model of Chlorinated Hydrocarbons, to reconstruct the potential impact of a former chemical plant on public wells in the N-W area of Milano. The proposed methodology consists in (a) reconstruction of the piezometric trend over time (1980-2018) by means of a transient flow model (MODFLOW2005 + Parameter Estimation - PEST) and (b) simulation of transport as a function of the flow variations in time. The obtained results were compared with the previous ones obtained with a quasi-steady model (no changes in time-dependent parameters). Finally, a predictive scenario was performed to assess the potential evolution of tetrachloroethylene (PCE) in groundwater; on this frame, strategies to monitor and remediate the contamination were proposed.