Covid-19 in Children C-1

Infections Among kids

Incidence of COVID-19 in kids

In the u.  s. and globally, fewer cases of COVID-19 are reportable in kids (age 0-17 years) compared with  adults.1,2 whereas kids comprise two% of the United States population,3 recent knowledge show that seven.3% of all cases of COVID-19 within the u.  s. reportable to agency were among kids (as of August third, 2020).4 the quantity and rate of cases in kids within the u.  s. are steady increasing from March to July 2020. truth incidence of SARS-CoV-2 infection in kids isn't acknowledged thanks to lack of widespread testing and also the prioritization of testing for adults and people with severe sickness. Hospitalization rates in kids square measure considerably less than hospitalization rates in adults with COVID-19, suggesting that kids could have less severe sickness from COVID-19 compared to adults.5, half dozen Visit CDC’s Cases, Data, and police investigation page for current agency knowledge.

Infections and Transmission Among kids

It is unclear whether or not kids square measure as vulnerable to infection by SARS-CoV-2 compared with adults and whether or not they will transmit the virus as effectively as adults. Recent proof suggests that kids possible have a similar or higher infective agent hundreds in their cavity compared with adults7 which kids will unfold the virus effectively in households and camp settings.8,9

Due to community mitigation measures and college closures, transmission of SARS-CoV-2 to and among kids could are reduced within the u.  s. throughout the pandemic within the spring and early summer of 2020. this might make a case for the low incidence in kids compared with adults. scrutiny trends in medical specialty infections before and once the come back to in-person college and alternative activities could give extra understanding concerning infections in kids.

Symptoms and Severity of COVID-19 in kids

Clinical Presentation

The time period of SARS-CoV-2 seems to be concerning a similar for kids as in adults, at 2-14 days with a median of half dozen days.10

Signs or symptoms of COVID-19 in kids include:

Fever

Fatigue

Headache

Myalgia

Cough

Nasal congestion or symptom

New loss of style or smell

Sore throat

Shortness of breath or problem respiratory

Abdominal pain

Diarrhea

Nausea or instinctive reflex

Poor appetency or poor feeding

Children infected with SARS-CoV-2 could have several of those non-specific symptoms, could solely have many (such as solely higher metabolic process symptoms or solely channel symptoms), or is also symptomless. the foremost common symptoms in kids square measure cough and/or fever.11-15 A recent systematic review calculable that 16 PF of youngsters with SARS-CoV-2 infection square measure symptomless,16 however proof suggests that as several as forty fifth of medical specialty infections square measure symptomless.17 The signs and symptoms of COVID-19 in kids square measure kind of like alternative infections and noninfectious  processes, as well as contagious disease, eubacterium raw throat, and rhinitis. the shortage of specificity of signs or symptoms and also the important proportion of symptomless infections create symptom-based screening for identification of SARS-CoV-2 in kids notably difficult.17.