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Clinical and Epidemiological Presentation of COVID-19 among Children in Conflict Setting

Maureen Dar Iang1, Ola El Hajj Hassan1, Maureen McGowan1

  • 1Heidelberg Institute of Global Health, Hospital University, 69120 Heidelberg, Germany.

Children (Basel, Switzerland)
|November 11, 2022
PubMed

Insights

COVID-19 symptoms in children include fever and cough, with many asymptomatic cases. Testing access for pediatric COVID-19 in Yemen is limited, especially for younger children and girls.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Limited data exists on COVID-19 symptoms and testing accessibility in children in Yemen.
  • Understanding pediatric COVID-19 presentation is crucial for effective disease control.

Purpose of the Study:

  • To describe observable symptoms in children with COVID-19.
  • To analyze access to real-time polymerase chain reaction (RT-PCR) testing for children in Yemen.

Main Methods:

  • Retrospective analysis of data from 495 children suspected of COVID-19 infection in Aden, Yemen (March 2020–February 2022).
  • Comparison of symptom frequency and testing rates between children and adults, and across different pediatric demographics.

Main Results:

  • 21.4% of infected children were asymptomatic; fever (71.4%) and cough (67.1%) were most common.
  • Children showed fewer symptoms than adults and lower RT-PCR testing rates (25% vs. 61%).
  • Testing disparities observed based on age (<5 years), nationality, and sex (girls tested less).

Conclusions:

  • COVID-19 presents differently in children, with a significant asymptomatic proportion.
  • Disparities in RT-PCR testing access for children in Yemen require urgent attention.
  • Improved screening guidelines are needed to enhance pediatric care and pandemic control.

Keywords:
COVID-19SARS-CoV-2Yemenchildrenequity

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