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The Unexpected Risks of COVID-19 on Asthma Control in Children

Nicolas M Oreskovic1, T Bernard Kinane2, Emmanuel Aryee3

  • 1Department of Pediatrics, Massachusetts General Hospital, Boston, Mass; Department of Internal Medicine, Massachusetts General Hospital, Boston, Mass; Department of Pediatrics, Harvard Medical School, Boston, Mass.

The Journal of Allergy and Clinical Immunology. in Practice
|June 5, 2020
PubMed

Insights

The COVID-19 pandemic significantly altered asthma management for children. Environmental and healthcare changes impacted asthma control, highlighting areas for future research in pediatric asthma during pandemics.

Area of Science:

  • Pediatric Pulmonology
  • Epidemiology
  • Public Health

Background:

  • Limited understanding exists on how the COVID-19 pandemic affects the management of chronic conditions in children, specifically asthma.
  • Asthma is a prevalent chronic condition in children, highly sensitive to environmental and behavioral shifts.
  • The pandemic introduced significant changes in daily life, medical practices, and medication adherence, potentially impacting pediatric asthma control.

Purpose of the Study:

  • To review the multifaceted impacts of the COVID-19 pandemic on the management and control of asthma in children and youth.
  • To identify key environmental, social, and healthcare delivery factors influencing pediatric asthma during the pandemic.
  • To highlight areas requiring further investigation regarding pediatric asthma outcomes in the context of the COVID-19 pandemic.

Main Methods:

  • Literature review synthesizing current knowledge on pandemic-related changes affecting pediatric asthma.
  • Analysis of how shifts in transportation, school environments, physical activity, and indoor time influence asthma control.
  • Examination of alterations in healthcare access and delivery and their implications for managing childhood asthma.

Main Results:

  • Changes in transportation, school attendance, physical activity levels, and indoor time have demonstrably affected asthma control in children.
  • Altered healthcare delivery models and medication use patterns during the pandemic present new challenges for asthma management.
  • The confluence of these factors creates a complex landscape for pediatric asthma care and outcomes.

Conclusions:

  • The COVID-19 pandemic has substantially reshaped the management of asthma in children, necessitating a comprehensive understanding of these changes.
  • Key areas influencing pediatric asthma control, including environmental exposures and healthcare access, require continued study.
  • Further research is crucial to optimize asthma management strategies for children in the post-pandemic era and future public health crises.

Keywords:
AsthmaCOVID-19CoronavirusPediatrics

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