THE
ELDERLY ARE NOT THE ONLY ONES INFECTED
( part 3 )
The majority of COVID-19 cases to date have been reported in adults. However, available data suggests that approximately 1-2% of cases are in children. It is therefore possible that children have a lower infection prevalence. Early reports have been predominately case series and they suggest that children may have milder or asymptomatic infections. Therefore, the pediatric prevalence of COVID-19 is difficult to determine with certainty and currently may be underestimated.
This is why some countries are
closing their schools. If a child is infected, the child can pass the virus
onto his or her parents and grandparents.
Numerous reports of pediatric infections in
China have been published. The youngest case was 30 hours old. Based on early
reports, infections in children appear mild, There have been multiple reports
of asymptomatic infection. A report on
an early familial cluster of COVID-19 stated that a 10-year-old child was
infected. Despite reportedly being asymptomatic, throat and sputum samples were
positive.
A case series of 74 pediatric patients in China
with data as of January 31, 2020 is available. The age range was 1.5 months to
18 years. Of 31 children with temperature measurements, 28 (90%) had fever,
which in most cases lasted one to two days. Other symptoms included cough,
myalgia, nausea, vomiting and diarrhea.
A report of the characteristics of 13 patients
admitted to hospitals in Beijing notes that two patients were children (aged 2
and 15 years). The 2-year-old had intermittent fever for one week and
persistent cough for 13 days before diagnosis. Since patients were transferred
to a different hospital upon confirmation of COVID-19 infection, this report
did not include descriptions of the entire disease course.
A report on nine hospitalized infants indicated
that four had fever, two had mild upper respiratory tract infections, two had
no symptom information available and one was asymptomatic.
A case report on the first reported pediatric
infection in Shanghai stated that a 7-year-old previously healthy boy was admitted
to hospital on January 19, 2020 with symptoms of cough, nasal discharge, fever
of 38.3o C, anorexia and nausea. A nasopharyngeal swab tested positive for
COVID-19 and a chest x-ray showed increased lung markings bilaterally, but no
obvious pneumonia. The child was clinically improving on day six.
A case report of a 3-month-old previously
healthy girl indicated that she was admitted to hospital on January 26, 2020
for fever. Her chest x-ray was described to “show a shadow” and she
subsequently developed a cough on January 29, 2020. Although a throat swab was
negative, sputum and stool samples were positive for COVID-19.
A 13-month-old, previously healthy boy in China
presented with symptoms of vomiting, diarrhea, fever, shortness of breath and
oliguria. He subsequently developed pneumonia, acute respiratory distress
syndrome, septic shock and acute renal failure. Imaging showed pneumonia and
bilateral hydronephrosis. Throat swabs on day two and seven after admission
were negative, but a third throat swab on day eight tested positive for
COVID-19. This is the first report of severe pediatric COVID-19. It was unclear
from this report if co-infections were excluded.
A report of 44,672 confirmed cases up to
February 11, 2020 was published by the Chinese Center for Disease Control and
Prevention. Of these, 416 (0.9%) were among children age 0-9 years and 549
(1.2%) were in children age 10-19 years. There was one reported death in the
10-19-year-old group. A report of 1,099 cases up to January 29, 2020 states
that nine (0.9%) were in children ≤14 years.
Some media articles have included the age of
cases detected internationally. There are reports of at least eight children
outside of China who have been infected with COVID-19. These have occurred in
Australia (age 8), Singapore (age 6 months, 1, 2 and 17 years), Germany (two
children with no age indicated), France (age 9) and Vietnam (age 16) There are
currently no reported pediatric cases in Canada, the United States, or the
United Kingdom.
A case series of nine pregnant women infected
with COVID-19 has been published with no indication of vertical transmission.
Presence of COVID-19 was not detected in amniotic fluid, cord blood, breast
milk or from neonatal throat swabs. All newborn babies were delivered by
Caesarean section.
A student from
the Singapore Institute of Technology (SIT) has been diagnosed with Covid-19.
In Australia, three Sydney high school students have been diagnosed with coronavirus, along with their parents. A 14-year-old boy and a 15-year-old girl, who are both in grade ten at St Patrick's Marist College in Dundas, in the city's north-west, have tested positive for the illness, it has been confirmed.
A grade seven
student at Willoughby Girls School was also confirmed that she had the virus
and later it was announced that her mother had also tested positive.
The new school
cases followed the diagnosis of a student at Epping Boys High School which has
seen dozens of students who had close contact with him who were all then quarantined
for two weeks.
The United States’ biggest Jewish educational institution,
Yeshiva University, closed its main campus on Wednesday, citing confirmation
that a student has been diagnosed with COVID19
Although men and women have been infected in roughly equal
numbers, researchers found, the death rate among men was 2.8 per cent, compared
with 1.7 per cent among women of any age. They can get the virus from their own
children or grandchildren.
As you can see from this article, everyone from newborn babies to the elderly can be a carrier of the COVID19
virus so take precautions because you don’t want to get his deadly virus.
If you or a member of your family feels sick, take your or
your family member’s temperature. If the
temperature is above normal, call your
doctor. Follow your doctor’s instructions.
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