More data confirms COVID-19 death risk, very low critical illness in children

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More data confirms COVID-19 death risk, very low critical illness in children

risk of death or severe illness from COVID-19 The proportion of teens and children is very low, according to three new studies from the United Kingdom.

Studies provide the most detailed analysis to date on the effect of CCP Virus (Chinese Communist Party) On children, it confirms previous findings for those 18 years of age or younger: they are at very low risk of severe illness or death from the disease.

Researchers from the University of Liverpool, University College London, York University and the University of Bristol published their pre-print studies, which are under review online on 8 July. They analyzed the risks of severe illness and death from COVID-19, while one focused on deaths only.

Preliminary results will be presented to the World Health Organization and the UK’s Joint Committee on Vaccination and Immunization, which is still studying whether to expand use of Pfizer’s COVID-19 vaccine to children aged 12-17 in the country. All four COVID-19 vaccines authorized for use in the UK are only intended for people 18 years of age or older.

Russell Viner, lead author on two studies and professor of adolescent health at the Great Ormond Street Institute of Child Health at University College London, said the findings “will guide protection guidance for young people as well as decisions about child vaccination. Adolescents and children, not only in the UK, but globally. international”, according to to manifest.

While studies have not included information on the effects of the delta variable, there is currently no evidence that it causes more serious illness or death in children.

“Although this data covers up to February 2021, this has not changed recently with the delta variant,” said Dr Elizabeth Whitaker, Senior Clinical Lecturer in Pediatric Infectious Diseases and Immunology at Imperial College London. “We hope this data will be reassuring for children, young people and their families.”

Deaths are rare, mostly in children with underlying health conditions

In the a study Focusing on deaths only, the researchers analyzed national databases in England, including the mandatory National Child Mortality Database, to identify all children under the age of 18 who died as a result of COVID-19 between March 2020 and February 2021.

During the first year of the epidemic in England, of the 3105 children who died from all causes, 61 were children who tested positive for CCP.

But after “differentiating between those who died of SARS-CoV-2 infection and those who died of an alternative cause but tested positive by chance,” the researchers determined that only 25 of the 61 children died of COVID-19 in a population of more than 12 million children.

This equates to a mortality rate of about two in a million.

SARS-CoV-2 is the scientific name for the CCP virus that causes COVID-19.

Montenegrin schoolchildren wear protective masks to prevent the spread of COVID-19 in Podgorica, September 30, 2020 (Savo Prelevic / AFP via Getty Images)

Of the 25 children who died from COVID-19, 15 had a life-limiting condition, 16 had multiple comorbidities, and 19 had an underlying chronic health condition.

The researchers found that “the comorbidity group is most at risk.” [for death] They were with complex neurological disabilities, who consisted of 52 [percent] Of all deaths” in children who died of COVID-19.

“These young people at greatest risk are those who are also at greater risk from any winter virus or other disease — that is, young people with multiple health conditions and complex disabilities,” Wiener said. “However, COVID-19 increases the risk for people in these groups to a higher degree than for diseases such as influenza (seasonal influenza).”

Only six (24 percent) of the 25 deaths from COVID-19 appear to have no underlying health conditions.

In addition, the researchers found no deaths in children with an isolated diagnosis of a respiratory condition such as asthma, type 1 diabetes, Down syndrome, or epilepsy.

However, the researchers note that “during the same time period studied, there were 124 deaths from suicide and 268 deaths from trauma, confirming that COVID-19 is rarely fatal” in children and adolescents.

Underlying health conditions increase the risk of serious disease

a different study which examined “81 current studies assessing risk factors for severe illness and death from COVID-19 among young adults” found that pre-existing health conditions and severe disabilities increase the risk of serious illness.

Children who had heart or nervous system disease, more than one medical condition, or were obese were more likely to be affected. However, the absolute risks are still small even when compared to children without co-morbidities.

“It is important to remember that the risks are very low for all children and young adults,” said Lorna Fraser, professor of epidemiology at York University and senior author of the study. “Even when we found higher risks for some groups with severe medical problems, these risks were still very small compared to the risks observed in adults.”

“Our meta-analysis found similar risk factors to other studies, although we also found that obesity increases the risk of severe COVID-19 disease, something we have known for some time in adults but which is now clearly recognized as an important risk,” said pediatric surgeon Dr. The main study is “in children and young adults as well”.

Hospitalizations remain low overall

In a third study (PDF) that examined risk factors for death and admission to intensive care, the researchers concluded that children and adolescents were “at very low risk of serious illness and death from COVID-19 or PIMS-TS.” [pediatric inflammatory multisystem syndrome-temporarily associated with SARS-CoV-2]. “

The researchers found that of the 5,830 children admitted to hospital with COVID-19, 251 were admitted to the intensive care unit (ICU) in England during the first year of the epidemic, up to the end of February 2021. This equates to children ‘getting one chance in every Nearly 50,000 to be admitted to intensive care with COVID-19 during that time.”

During the same period, more than 367,000 children were hospitalized for other causes.

Of those 251 who were admitted to the ICU, 91 percent (n = 229) had an underlying health condition or co-morbidity. The children most at risk were children with multiple medical conditions and neurological disorders.

This pattern has been described in previous work, and is consistent with a meta-analysis of published data, where each increase in the number of pre-existing cases was associated with increased odds of PICU [pediatric intensive care unit] Admission and death to COVID-19,” the authors wrote.

The authors also found that 309 children were admitted to the intensive care unit with PIMS-TS, a rare inflammatory condition in children due to COVID-19, “equating to an absolute risk of 1 in 39,000.”

“It’s reassuring that these results reflect our clinical experience in the hospital — we see very few children with a serious condition,” Whitaker said.

Center for Disease Control Still recommending masks to unvaccinated students

A day after the studies were published online, the US Centers for Disease Control and Prevention (CDC) released Updated routing on how to prevent COVID-19 in K-12 schools, saying cloth masks and a three-foot physical distance are still recommended for students who haven’t been fully vaccinated indoors.

Other preventive measures recommended by the CDC include promoting vaccinations among students, screening tests to identify infected people, improved ventilation, contact tracing, and proper hand hygiene.

“Vaccination is currently the leading public health prevention strategy to end the COVID-19 pandemic,” the CDC said, adding that promoting “vaccination can help schools safely return to personal learning as well as extracurricular activities and sports.”

COVID-19 vaccines have been recommended for 12 to 15-year-olds in the United States since May.

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Max Zito, 13, is vaccinated by Nurse Karen Bagliaro at Hartford Healthcare’s Universal Vaccination Center at the Connecticut Convention Center in Hartford, Connecticut on May 13, 2021 (JOSEPH PREZIOSO / AFP via Getty Images)

In June, the CDC continued to recommend the emergency use of approved COVID-19 RNA vaccines for everyone 12 years of age or older despite higher-than-normal reports of heart inflammation in young adults following the mRNA vaccine, noting that the vaccine’s benefits outweigh the risks. from inflammation of the heart.

A one-size-fits-all approach and the rush to vaccinate healthy children and adolescents without adequate safety and efficacy data has been worrying some the doctors and parents, because the risk of severe illness or death is very low for this age group. Furthermore, young children have not been reported to be carriers of CCP virus.

Wiener in an opinion article The publication in the Guardian newspaper said public health officials should wait until sufficient safety data is available before vaccinating healthy teens.

I think it makes sense now to offer to vaccinate adolescents with chronic diseases and medical conditions that make them more vulnerable. For healthy teens, let’s first use our vaccine supplies to raise adult vaccination levels as high as possible, provide boosters for the elderly and deliver on our promises to provide vaccines to poor countries. Next, we should vaccinate healthy teens once we have enough safety data – but for that we’ll have to wait.

The Epoch Times reached out to the CDC to comment on whether its recommendations also apply to children who have recovered from COVID-19 and have natural immunity.

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