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Social vulnerability and COVID-19: A call to action for paediatric clinicians

Michael Prodanuk1, Stephanie Wagner2, Julia Orkin1,3,4

  • 1Department of Paediatrics, University of Toronto, Toronto, Ontario.

Paediatrics & Child Health
|February 4, 2021
PubMed

Insights

The COVID-19 pandemic disproportionately affected homeless children, increasing infection risks. A comprehensive, cross-sectoral approach is vital to support these vulnerable youth.

Area of Science:

  • Public Health
  • Pediatrics
  • Social Work

Background:

  • The COVID-19 pandemic has profoundly impacted children globally, with socially vulnerable populations facing heightened risks.
  • Children and youth experiencing homelessness are particularly susceptible due to congregate living and difficulties with physical distancing, increasing infection exposure.
  • Existing healthcare and social support systems require adaptation to address the unique challenges faced by this demographic during the pandemic.

Purpose of the Study:

  • To highlight the disproportionate impact of the COVID-19 pandemic on children and youth experiencing homelessness.
  • To advocate for a comprehensive, cross-sectoral approach to care for this vulnerable population.
  • To emphasize the need for tailored support within clinical settings and community partnerships.

Main Methods:

  • This study is a qualitative review and synthesis of existing literature and public health recommendations concerning the impact of COVID-19 on vulnerable children.
  • Analysis focused on identifying key risk factors, challenges, and necessary interventions for children and youth experiencing homelessness.
  • The review synthesized evidence to propose a framework for integrated care and support.

Main Results:

  • Socially vulnerable children, especially those experiencing homelessness, faced increased risks of COVID-19 infection and severe outcomes.
  • Challenges in physical distancing and congregate living settings exacerbated transmission risks.
  • Unintended consequences of pandemic-related policies, such as school closures, further marginalized these children.

Conclusions:

  • A holistic, multidisciplinary approach integrating clinical care with social services is essential for supporting homeless children during pandemics.
  • Cross-sectoral partnerships between healthcare providers, community agencies, and policymakers are critical for effective intervention.
  • Advocacy for dedicated isolation facilities and direct family support in clinical settings is urgently needed to mitigate pandemic-related harms.

Keywords:
COVID-19HomelessnessPaediatricsSocial vulnerability

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