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Collateral impact of COVID-19: why should children continue to suffer?
Prasad Nagakumar1,2, Ceri-Louise Chadwick3, Andrew Bush4
1Paediatric Respiratory Medicine, Department of Paediatric Respiratory Medicine, Birmingham Women's and Children's Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham, B4 6NH, UK.
Insights
The COVID-19 pandemic negatively impacted children and young people, despite their lower risk of severe illness. Public health measures reduced other viral infections, but risks from new SARS-COV-2 strains and lack of pediatric vaccines require urgent attention.
Area of Science:
- Pediatrics
- Public Health
- Infectious Diseases
Background:
- Children and young people represent less than 2% of COVID-19 hospital admissions.
- The pandemic's collateral effects on pediatric populations have been severe.
- Public health interventions led to a significant decrease in influenza and respiratory syncytial virus (RSV) infections globally.
Purpose of the Study:
- To review the collateral effects of the COVID-19 pandemic on children and young people.
- To highlight the need for strategies mitigating risks to this demographic.
- To discuss the implications of new SARS-COV-2 strains and vaccine development in children.
Main Methods:
- Review of existing literature and data on COVID-19's impact on children.
- Analysis of public health measure effectiveness on viral transmission.
- Examination of emerging evidence on new SARS-COV-2 strains and pediatric vaccine trials.
Main Results:
- While severe COVID-19 is rare in children, indirect effects have been substantial.
- Public health measures correlated with a near elimination of influenza and RSV.
- New SARS-COV-2 strains show increased transmissibility in younger populations, with limited vaccine data.
Conclusions:
- Urgent strategies are needed to address the ongoing collateral risks of the COVID-19 pandemic for children and young people.
- The pandemic's impact extends beyond direct infection, affecting overall child health and well-being.
- Further research and pediatric-focused vaccine trials are crucial for protecting this age group.
Abstract:
The COVID-19 pandemic caused by SARS-COV-2 virus fortunately resulted in few children suffering from severe disease. However, the collateral effects on the COVID-19 pandemic appear to have had significant detrimental effects on children affected and young people. There are also some positive impacts in the form of reduced prevalence of viral bronchiolitis. The new strain of SARS-COV-2 identified recently in the UK appears to have increased transmissibility to children. However, there are no large vaccine trials set up in children to evaluate safety and efficacy. In this short communication, we review the collateral effects of COVID-19 pandemic in children and young people. We highlight the need for urgent strategies to mitigate the risks to children due to the COVID-19 pandemic. What is Known: • Children and young people account for <2% of all COVID-19 hospital admissions • The collateral impact of COVID-19 pandemic on children and young people is devastating • Significant reduction in influenza and respiratory syncytial virus (RSV) infection in the southern hemisphere What is New: • The public health measures to reduce COVID-19 infection may have also resulted in near elimination of influenza and RSV infections across the globe • A COVID-19 vaccine has been licensed for adults. However, large scale vaccine studies are yet to be initiated although there is emerging evidence of the new SARS-COV-2 strain spreading more rapidly though young people. • Children and young people continue to bear the collateral effects of COVID-19 pandemic.
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