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Transmission and Profile of COVID-19 in Children in North Sumatera, Indonesia

Ayodhia Pitaloka Pasaribu1,2, Restuti Hidayani Saragih2,3, Fahmi Fahmi4

  • 1Department of Child Health, Medical Faculty, Universitas Sumatera Utara, Medan, Indonesia.

Archives of Iranian Medicine
|August 6, 2023
PubMed

Insights

Coronavirus disease 2019 (COVID-19) significantly impacted children in North Sumatera, with higher mortality in those with underlying conditions. Major transmission clusters occurred in settings with close, prolonged contact.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) emerged in late 2019, with initial reports suggesting lower prevalence in children.
  • Limited data exists on the specific burden and characteristics of COVID-19 in pediatric populations.
  • Understanding pediatric COVID-19 is crucial for effective public health strategies.

Purpose of the Study:

  • To investigate the profile and transmission patterns of COVID-19 among children in North Sumatera.
  • To analyze the characteristics and outcomes of pediatric COVID-19 cases.
  • To identify high-risk settings for COVID-19 transmission in children.

Main Methods:

  • Retrospective data collection from the North Sumatera Provincial Health Office.
  • Analysis of 1125 confirmed pediatric COVID-19 cases from April to October 2020.
  • Descriptive statistics (mean±SD, percentage) and inferential analysis using STATA v15.0.

Main Results:

  • Children accounted for 8.9% of all COVID-19 cases in North Sumatera (1125 cases).
  • The mortality rate among pediatric cases was 0.62%, with all deaths occurring in children with pre-existing conditions.
  • Four significant transmission clusters were identified in Islamic boarding schools and a refugee shelter.

Conclusions:

  • North Sumatera experienced a substantial burden of COVID-19 among children.
  • Underlying health conditions significantly increased the risk of mortality in pediatric COVID-19 cases.
  • Settings facilitating prolonged close contact, like boarding schools and shelters, were hotspots for transmission.
Abstract

Keywords:
COVID-19ChildrenIndonesiaProfileTransmission

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