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Pediatrician, watch out for corona-phobia
Chen Rosenberg Danziger1, Irit Krause2,3, Oded Scheuerman3,4
1Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. chen.danziger@gmail.com.
Insights
The COVID-19 pandemic has led to delayed diagnoses in children for common pediatric diseases due to "Corona-phobia." This indirect impact of pandemic measures may harm children more than the virus itself.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- The global COVID-19 pandemic primarily affects adults, with children typically experiencing milder symptoms.
- While children are reservoirs and potential spreaders of COVID-19, social distancing and isolation are key mitigation strategies.
- Routine childhood illnesses continue to pose significant challenges for pediatricians.
Purpose of the Study:
- To describe a case series of pediatric diseases with delayed diagnoses influenced by "Corona-phobia."
- To highlight the potential negative consequences of pandemic mitigation measures on the diagnosis of non-COVID-19 pediatric conditions.
Main Methods:
- A case series approach was used.
- Data were collected over a one-week period, documenting routinely seen pediatric diseases with delayed diagnoses.
- The influence of "Corona-phobia" on diagnostic delays was examined.
Main Results:
- Seven cases of delayed diagnoses for common pediatric diseases were identified.
- These delays were attributed to various aspects of "Corona-phobia" related to the pandemic.
- The phenomenon appears to be widespread, as indicated by the rapid collection of cases.
Conclusions:
- Measures implemented to control the COVID-19 pandemic may inadvertently cause greater harm to children through delayed diagnosis of other illnesses.
- Pediatricians and policymakers must consider the broader impact of pandemic responses on child health.
- The indirect effects of "Corona-phobia" warrant attention in pediatric care during the pandemic.
Abstract:
The current outbreak of COVID-19 raging globally is taking a heavy toll on the adult population, with a rapidly growing number of newly infected and critically ill patients. However, to date, mortality rate among children is low as they mostly suffer from a mild disease. Yet, other more routinely encountered childhood diseases do not stand still and continue to be the main share of pediatricians' everyday challenges. Here we describe a case series of routinely seen pediatric diseases with delayed diagnosis due to different aspects of what we call "Corona-phobia". These cases were easily collected within a 1-week period which implies that this is a more widespread phenomenon.In conclusion, this raises the possibility that measures taken to mitigate this pandemic may be more damaging to children overall than the virus itself. We believe that pediatricians as well as policy makers should take this important aspect into consideration. What is Known: • COVID-19 manifests as a mild disease in most children; however, children are an important reservoir and may become spreaders of the disease. • Social distancing and isolation are important tools in mitigating COVID-19 transmission. What is New: • This case series describes 7 cases with delayed diagnosis of every-day pediatric diseases that were not caused by COVID-19 but were highly influenced by different aspects of "Corona-phobia". • Our objective is to highlight the possibility that measures taken to mitigate this pandemic may lead to a substantial delay in the diagnosis of other non-COVID-19 related diseases.
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