Global
Cases, 20, 092,855
Deaths, 737, 022
US
Cases, 5, 093, 565
Deaths, 163, 473
Cases in Children
Autoimmune disorders and other risk factors
American Academy of Pediatrics (Cumulative Child Cases)
Summary of Findings Reported on 8/6/20, accumulative data
State health departments of 49 states data
90% increase in cases among children in past four weeks
380,174 total child positive tests
9.1% of all cases
501 cases per 100,000 children in the population
3%-12% of total state tests
3.7%-18.6% tested positive
Hospitalizations (20 states and NYC reported)
0.5% -5.3% of total reported hospitalizations
0.3%-8.9% of all child COVID-19 cases resulted in hospitalization
Mortality (44 states and NYC reported)
0%-0.4% of all COVID-19 deaths
19 states reported zero child deaths
American Academy of Pediatrics Committee on Infectious Diseases (Dr. Sean O’Leary)
Cases in children should be taken seriously
It’s not fair to say that this virus is completely benign in children
(Roughly around 100 deaths in children from influenza every year)
Factors in increase in children
Increased testing
Increased movement among children
Rise in infection among the general population
When you see a lot more infections in the general population, you’re going to see a lot more infections in children
We all have to take this virus seriously, including taking care of our children
Children’s viral load
JAMA (30th July)
Age-Related Differences in Nasopharyngeal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Levels in Patients With Mild to Moderate Coronavirus Disease 2019 (COVID-19)
Mild to moderate illness within 1 week of symptom onset, N = 145
Less than 5 years
Young children have equivalent or more viral nucleic acid in their upper respiratory tract compared with older children and adults
Ten to 100 times as much viral load
5 – 17 years
18 – 65 years
Young children can potentially be important drivers of SARS-CoV-2 spread in the general population
As has been demonstrated with respiratory syncytial virus, children with high viral loads are more likely to transmit
Behavioral habits of young children and close quarters in school and day care raise concern for SARS-CoV-2 amplification in this population
This population will be important for targeting immunization efforts as SARS-CoV-2 vaccines become available.
William Haseltine, (former professor at Harvard Medical School)
Children ages zero to five can be;
highly infectious to other people. It turns out they have a thousand times more virus in their nose than you need to infect, so they’re very, very contagious
There’s every reason to suspect that this virus, even though it can kill you, behaves pretty much like a cold virus, in terms of transmission
Who drives colds? Children drive colds
And that’s true of almost all respiratory diseases, including the colds and including the colds that are caused by coronaviruses
And this is one of those cousins
It even uses the same receptor in the nasal passages as one of the cold viruses
CDC
Hospitalization data from 14 states
Since March 1, 2020
576 pediatric COVID-19–associated hospitalizations
Children, 8.0 per 100,000Adults, 164.5 per 100,000
One in 3 children hospitalised required ICU
Brazil
Cases, 3, 057, 470
Deaths, 101,752
India
Cases, 2, 268, 675
Deaths, 45, 257
Russia
Cases, 890, 779
Deaths, 15, 104
South Africa
Cases, 563, 598
Deaths, 10,621
