The impact of the COVID-19 pandemic on child health

Most Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in children are mild or asymptomatic. Severe Coronavirus Disease 2019 (COVID-19) in children is infrequent. An estimated 0.3–1.3% of children with SARS-CoV-2 infection were admitted to hospital, and of these 13–23% needed c...

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Autor principal:	Nijman Ruud G.
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2021
Materias:	child child health covid-19 multisystem inflammatory syndrome in children (mis-c) sars-cov-2 social distancing measures Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/bb0415fa94f9490795d139d311f4b9a8
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spelling	oai:doaj.org-article:bb0415fa94f9490795d139d311f4b9a82021-12-05T14:10:52ZThe impact of the COVID-19 pandemic on child health2567-94302567-944910.1515/labmed-2021-0128https://doaj.org/article/bb0415fa94f9490795d139d311f4b9a82021-12-01T00:00:00Zhttps://doi.org/10.1515/labmed-2021-0128https://doaj.org/toc/2567-9430https://doaj.org/toc/2567-9449Most Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in children are mild or asymptomatic. Severe Coronavirus Disease 2019 (COVID-19) in children is infrequent. An estimated 0.3–1.3% of children with SARS-CoV-2 infection were admitted to hospital, and of these 13–23% needed critical care. SARS-CoV-2 related deaths were very rare in children, estimated at 2 per million. The vast majority of admitted children had one of shortness of breath, fever, and cough, but atypical symptoms are more common in children. Cases of Multisystem Inflammatory Syndrome in Children (MIS-C) have been linked to SARS-CoV-2 infection. Cardinal symptoms include prolonged fever, clinical signs of inflammation, gastro-intestinal symptoms, and cardiac dysfunction. Twenty two to 80% of patients with MIS-C needed critical care; mortality of MIS-C is around 2%. Six to 24% of children with MIS-C had coronary artery dilatation or cardiac aneurysms. Equipoise still exists between first-line treatment with immunoglobulins and steroids. Outcomes for children with MIS-C are generally very good in those recognised early and started on appropriate treatment. Vaccination schemes for children are rapidly expanding, with the benefits of preventing severe COVID-19 disease and MIS-C and reducing community transmission outweighing the risks of adverse events of, amongst others, myocarditis temporally related to COVID-19 vaccination in children and young adults. The imposed social distancing measures reduced the overall number of children with acute illness or injury presenting to urgent and emergency care facilities worldwide. No clear signal was seen that large numbers of children had a delayed presentation to emergency care departments with a serious illness. The social distancing measures negatively impacted the mental health of children.Nijman Ruud G.De Gruyterarticlechildchild healthcovid-19multisystem inflammatory syndrome in children (mis-c)sars-cov-2social distancing measuresMedical technologyR855-855.5ENJournal of Laboratory Medicine, Vol 45, Iss 6, Pp 249-258 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	child child health covid-19 multisystem inflammatory syndrome in children (mis-c) sars-cov-2 social distancing measures Medical technology R855-855.5
spellingShingle	child child health covid-19 multisystem inflammatory syndrome in children (mis-c) sars-cov-2 social distancing measures Medical technology R855-855.5 Nijman Ruud G. The impact of the COVID-19 pandemic on child health
description	Most Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections in children are mild or asymptomatic. Severe Coronavirus Disease 2019 (COVID-19) in children is infrequent. An estimated 0.3–1.3% of children with SARS-CoV-2 infection were admitted to hospital, and of these 13–23% needed critical care. SARS-CoV-2 related deaths were very rare in children, estimated at 2 per million. The vast majority of admitted children had one of shortness of breath, fever, and cough, but atypical symptoms are more common in children. Cases of Multisystem Inflammatory Syndrome in Children (MIS-C) have been linked to SARS-CoV-2 infection. Cardinal symptoms include prolonged fever, clinical signs of inflammation, gastro-intestinal symptoms, and cardiac dysfunction. Twenty two to 80% of patients with MIS-C needed critical care; mortality of MIS-C is around 2%. Six to 24% of children with MIS-C had coronary artery dilatation or cardiac aneurysms. Equipoise still exists between first-line treatment with immunoglobulins and steroids. Outcomes for children with MIS-C are generally very good in those recognised early and started on appropriate treatment. Vaccination schemes for children are rapidly expanding, with the benefits of preventing severe COVID-19 disease and MIS-C and reducing community transmission outweighing the risks of adverse events of, amongst others, myocarditis temporally related to COVID-19 vaccination in children and young adults. The imposed social distancing measures reduced the overall number of children with acute illness or injury presenting to urgent and emergency care facilities worldwide. No clear signal was seen that large numbers of children had a delayed presentation to emergency care departments with a serious illness. The social distancing measures negatively impacted the mental health of children.
format	article
author	Nijman Ruud G.
author_facet	Nijman Ruud G.
author_sort	Nijman Ruud G.
title	The impact of the COVID-19 pandemic on child health
title_short	The impact of the COVID-19 pandemic on child health
title_full	The impact of the COVID-19 pandemic on child health
title_fullStr	The impact of the COVID-19 pandemic on child health
title_full_unstemmed	The impact of the COVID-19 pandemic on child health
title_sort	impact of the covid-19 pandemic on child health
publisher	De Gruyter
publishDate	2021
url	https://doaj.org/article/bb0415fa94f9490795d139d311f4b9a8
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The impact of the COVID-19 pandemic on child health

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