No parent wants to assume that their child can be an exception to the rule.
“We have already had, in a few months, 90 deaths of children in the United States,” Dr. Dr., vice president of the American Academy of Pediatrics Committee on Infectious Diseases. Sean O’Leary told CNN’s Anderson Cooper on Monday.
“It is not fair to say that this virus is completely benign in children,” he said.
As many schools and universities across the country have started classes or are moving forward with plans to start full or partially in-person instruction in the coming weeks, there is growing apprehension among families. The question is, will our children be safe?
Because most children have been sheltering at home until recently, it is not surprising that the number of cases among children was small at the onset of the epidemic.
“We’ve got to approach it judiciously because if we have terrible outbreaks in schools, and if people get sick – children, faculty, teachers, whoever gets sick and someone dies – Obviously beyond the physical toll, (there is) the said Gupta psychological toll, also on communities. “Which is something that really concerns me.”
What are the symptoms?
Symptoms of Kovid-19 are In children, they are the same as in adults.
“If you look at the long list of possible symptoms – congestion, cough, fever, loss of sense of smell – these can all occur in both adults and children,” O’Leary said.
“It’s very important to immediately tell the doctor if you can’t really pick them up, if they’re sleeping all the time and just tired, if they’re not drinking alcohol, not eating – of daily life. Activities, ”said Cohen.
Do not hesitate to call the doctor
Experts say that there is little to worry about reaching your pediatrician. Parents are the best detectives because they know how their child usually behaves.
“It might be something you can’t communicate but something is bothering you,” Cohen said. “I always say to parents, ‘Look, if you’re nervous, I should be too. It’s just the way things are right now.’ The only call that is a wrong call is unmanded. ”
O’Leary agreed. If parents “see that their child is feeling particularly ill or ill, they will expect a common cold or illness, then they should call their pediatrician to discuss. Anything serious is always a Is a matter of concern. ”
The epidemic is being affected by the prevalence of medicine. Take fever, for example, a common sign of illness in children that may have been added to the “watch and watch” list in pre-Kovinh times.
Cohen said, “If we have a child with fever today, I’m talking to parents who are due to ambiguity and fear.” “We don’t want to miss that one child.”
It is not just the diagnosis of Kovid-19, he said. Cohen said, “It is watching the progression of the disease. Is this child becoming increasingly ill.”
O’Leary said this guidance also applies to children’s emotional and psychological health.
“Children are being more isolated, children are showing more anxiety, more depression,” O’Leary said. “Those are the things – even if they are not directly related to Kovid – that need attention.”
Can you tell if your child is ill?
It is a particularly scary reality for parents that many young children are asymptomatic, meaning that there are no signs or symptoms that their children are carrying the virus. Still others have a very mild case with some issues.
Cohen said it should be a matter of relief for parents, because if a child with a Kovid-19 is falling prey to the virus, then pediatricians are just supporting and guiding parents during the illness, Cohen he said.
This concern then shifts to protecting others, such as siblings, parents, grandparents, and the community.
Cohen said, “Children can be a spark and we don’t want the fire to spread.” “The best way to get rid of a fire is to take out fuel, so we keep everyone separate.”
The only way for a parent to suspect a disease is to monitor their child’s risk with Kovid-19 over others and to be aware of incidents in the child’s school.
“After knowing their habits, it is important to know about who they were around,” Cohen said. “You know, a kid in Georgia hasn’t worn a mask that’s different right now than a kid not wearing a mask in New York, because cases are increasing in Georgia.”
Oyomi said whether coronovirus infection should be tested for children’s infection depends on “how often children come into contact with other people” and testability.
“The most important thing to get children back to school is to actually bring the virus under control in the surrounding community,” he said.
Mitigation measures that work to reduce the transmission of the virus – wearing masks, cleaning our hands, and physical disturbances – are most important, O’Leary added.
Rare but critical illness linked to Kovid-19
Another concern for parents is multisystem inflammatory syndrome (MIS-C) in children, a rare and uncommon presentation in children that appears from days to weeks after a child is exposed to Kovid-19. Can.
Gupta said, “It is known as Kawasaki, which is an inflammatory syndrome in the body. It can be quite devastating for children.”
Gupta said, “Thankfully it is rare, but it does happen.” “It seems to be higher in the United States, the UK, than in other countries around the world, and why we’re still not doing it. But it’s something that doctors, pediatricians, parents, everyone Someone is like keeping. Keeping an eye on. ”
As of 6 August, the US Center for Disease Control and Prevention had confirmed 570 cases of MIS-C in 40 states and the District of Columbia, including 10 deaths. The average age of those cases is 8 years, and 70% of cases occurred in Latino or non-Hispanic black children.
Boston Children’s Hospital Pediatrician Drs. Kevin Friedman said that though Aspects of the immune system that predispose certain groups to MIS-C, the effect on communities of color may also be related to higher rates of multi-faceted living conditions, with parents working as essential workers outside the home And high rates of preexisting health conditions.
Clues to this rare syndrome
Other signs to look for are abdominal pain, diarrhea, swollen glands, red or swollen hands and feet, red cracked lips, and pink or red eyes, called conjunctivitis. Acute breathing or other respiratory signs may also be present, but they are not as common.
Friedman stated that in addition to the usual fever symptoms, gastrointestinal symptoms are most prevalent in children with MIS-C, with 80% to 90% of patients experiencing them.
Children with MIS-C become increasingly ill, AAP says, and may soon show signs of shock. When examined, they show signs of multi-organ dysfunction and high inflammatory blood levels of inflammation.
Most children with MIS-C will need to go to the hospital, the CDC says, and some will require care in the pediatric care unit.
However, experts such as Freedman believe that MIS-C has a militant form that does not surface at all in public health reporting. “We’re probably only experiencing the tip of the iceberg with this disease,” he said. “Some mild cases are also happening.”
He said that MIS-C can be prevented in the same way that we prevent the coronovirus from spreading normally. This means that you and your family are regularly washing their hands, following universal mask observance, and practicing social distance.
It is another matter for children to go back to school, but this condition is still very rare.
“Any place where there is Kovid exposure will also be MIS-C. It is inevitable that we will see this with the reopening of schools,” Fridman said. Corrections and “they improve very quickly.”
Not sure if your child is sick or just stressed?
Some parents may be concerned with more specific parental issues – such as if their child is really ill or possibly just avoiding getting up early. Because we are in an epidemic, experts say it is best to assume that the child does not have faded symptoms.
University of Michigan pediatrician Drs. “Many children have depression or mood reactions due to the epidemic, which can also affect energy levels and motivation,” said Jenny Radesky.
“Similarly, if your child has a headache or stomach ache in response to stress, or has a sensitive stomach, don’t use that information to help you avoid new complaints,” she adds.
After all, all of us are accumulating a lot of stress in our body these days. When she asks about symptoms, she asks questions directly, such as “” Does your throat hurt? Does your stomach feel weird? ”
“Kids will automatically say yes and no response,” Radsky said. “Ask instead ‘What does it feel bad? Point it out. How does it feel?” ”
Finally, remember this: “Fever is hard to fake. Fevers are not psychosomatic,” she said. “When in doubt, call your child’s doctor. They know how to distinguish biological symptoms from psychomotor reactions.”
You can still send a sick child to school
Still, no matter how careful a parent is, “because so many children with Kovid-19 are asymptomatic, it’s certainly still possible that you’re sending a child to school with Kovid-19,” “Said Radsky.
“We need more surveillance testing of asymptomatic students and teachers, otherwise we may feel false assurances that we are sending a non-infectious child to school,” Radsky said.
In a commentary published Tuesday in the journal JAMA Pediatrics, the pediatric team at Stanford University School of Medicine recommended that schools follow a three-pronged testing approach taken in collaboration with local hospitals:
- All students with symptoms should be tested;
- Schools should conduct random student and staff tests to identify heterogeneous patients (especially important for children);
- And students from high-risk families should be offered more frequent tests
“As many school districts have faced budgetary constraints, schools must evaluate their options and identify measures that are particularly important and possible for their communities,” the authors wrote.