What one study from China tells us about COVID-19 and children

As we try to predict what will happen here in the US with COVID-1 9, it’s natural to look at the experience in China, where the epidemic began. In a study published in the magazine Pediatrics, we learn lessons from how the pandemic feigned children.

What this study tells us

The study looked at information about 2,143 children with COVID-1 9 illness that were reported to China’s Centers for Disease Control from January 16 to February 8 of this year. Of the infections, about a third were confirmed with a laboratory test for COVID-1 9. The others were diagnosed based on manifestations and the results of other evaluations, such as x-rays.

The best report in this study is that 90% of the children had illness that was asymptomatic, mild, or moderate — as opposed to severe or critical. While 4.4% were reported as asymptomatic, in recognition of the fact that simply a third had laboratory testing, it’s very likely that the actual number of asymptomatic illness in children during that time period was higher. Exclusively one child died.

In adults, it appears that more like 80% have mild to moderate infections. We don’t know why children appear to have milder disease overall. It’s likely a combination of factors related to body chemistry, immune purpose, and even social influences such as how children are cared for and spend the working day. But whatever the reason, it’s good news.

What else is important to know

However, there is a part of the study we need to pay attention to: younger children are at higher danger of running into trouble. Among children less than a year aged, 10.6% had severe or critical infection. For children senilities 1 to 5, that figure was still high at 7.3%. It fallen to 4.2% for 6-to-10-year-olds, 4.1% for 11 -to-1 5-year-olds, and 3% for those 16 and older. Interestingly, the only child who died was 14 years old.

It’s not really surprising that the youngest children, especially infants, are most vulnerable. In most outbreaks, such as influenza, it’s the very young and the very old that have the highest risk.

How can the information requirements help us?

How can we use this information? Aside from all the advice already given to parents about pas moisten, social distancing, and maintaining healthy dress, parents of young children should make additional care.

Be peculiarly careful about who has contact with your young children

Choose caregivers carefully. Limit the figure overall, and choice everyone else who has limited linked with other parties and who can be trusted to practice social distancing, dry their hands regularly, and stay away if they feel at all sick. Limit the number of people who have contact with or prop young children. To the extent that it is possible, retain young children at home. If you make them out, keep them inside strollers or otherwise restraint what they stroke. Wash their hands even more often. They just can’t stop themselves from touching things and stroking their face.

Be peculiarly watchful should young children get sick

Call your doctor for opinion rather than bringing your child in for mild or moderate illness( there’s nothing your doctor can do at the power, and you are just adding the risk of more shows ). However, you should perfectly seek medical care if your child has

any trouble breathing — rapid or cogent breathing, a pallid or blue coloring to surface, trouble feeding or talking, or doing customary works because of breathing problems a high fever you can’t get down( while it’s not specific, there have been some concerns raised about using ibuprofen with COVID-1 9 — out of an abundance of caution, best to use acetaminophen instead) unusual sleepiness anguish or irritability you can’t soothe trouble drinking or refusal to drink, and is moving less urine.

Follow me on Twitter @drClaireMD

For more information on coronavirus and COVID-1 9, find the Harvard Health Publishing Coronavirus Resource Center.

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