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Updated: Jul 24, 2025

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Lessons Ignored: Children and Pandemics.

Cynthia Connolly1, Janet Golden1

  • 1Cynthia Connolly is with the Barbara Bates Center for the Study of the History of Nursing, University of Pennsylvania School of Nursing, Philadelphia. Janet Golden (retired) was formerly with the Department of History, Rutgers University-Camden, Camden, NJ.

American Journal of Public Health
|July 6, 2023
PubMed
Summary

Children

Area of Science:

  • Public Health
  • History of Medicine
  • Pediatrics

Background:

  • Children's health needs are often overlooked during pandemics.
  • Historical scholarship rarely centers children's experiences during major health crises.
  • Pandemics reveal critical gaps in national health and welfare infrastructure.

Purpose of the Study:

  • To examine historical responses to children's needs during the 1918 pandemic in Philadelphia.
  • To analyze the lasting impact of inadequate child policy infrastructure on subsequent pandemics.
  • To highlight the persistent neglect of children's needs during public health emergencies.

Main Methods:

  • Comparative historical analysis of pandemic responses.
  • Examination of public health and welfare records from 1918 and COVID-19.

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  • Case study focusing on Philadelphia, Pennsylvania.

    • Main Results:

    • Philadelphia's response to children's needs in 1918 was insufficient, lacking dedicated policy infrastructure.
    • This historical deficit left the city ill-equipped to address children's needs during the COVID-19 pandemic.
    • Children's vulnerability and lack of political influence contributed to their marginalization during both pandemics.

    Conclusions:

    • A century of pandemics shows a consistent failure to prioritize children's health and welfare.
    • The absence of robust child-focused public policy infrastructure exacerbates vulnerabilities during health crises.
    • Addressing systemic neglect requires dedicated child-centered policies and historical recognition of their needs.