Thread by @WernerT_Man

Thread:
1) The German Society for Pediatric and Adolescent Medicine @DGKJ_eV
has published a scientific opinion on school attendance of children and adolescents in coordination with their convent societies and in cooperation with the @BVKJ : dgkj.de/fileadmin/user…

2) In order to enable children and adolescents to develop healthily, we support school attendance under special conditions. For children with previous illnesses, an individual risk assessment with a pediatrician and specialist may be necessary, hence the key messages:

3) "Basically, it can be assumed that children / adolescents with chronic illnesses that are well treated ... and that their quality of life are little impaired ... have no higher risk for more serious # COVID19 than they generally have. Correspond to life risk. "

4) "A potential risk of infection can be assumed if there are diseases that affect the lung function, the cardiovascular system or the kidney function to a relevant extent."

5) "It is conceivable that some children who ... need therapy with medication that triggers a relevant immunosuppression (e.g. ...) or patients who suffer from a relevant serious immune deficiency a priori will have a more severe course ... could experience. "

6) "Despite the high number of cases in childhood, there have so far been no reliable indications. For this reason, it must also be considered in individual cases whether this affects" to a relevant degree "the immune competence."

7) "Some of the individual pediatric associations have already given very detailed statements that should not be corrected or supplemented here. They are listed here afterwards."

8) "It should be borne in mind that children and adolescents, depending on their age and maturity, can understand and implement measures to protect them (such as keeping a distance, wearing a protective mask adequately) to different extents."

9) "Also because of the variety of conceivable clinical pictures, it will always remain an individual decision of the doctor responsible."

10) "Last but not least, it has to be taken into account with a great sense of responsibility that the necessary measures discussed here will almost certainly be necessary ... many months until well into 2021."

11) "In this respect, the question must be asked very particularly and critically examined whether the recommendations made do not do more harm to the children and adolescents in the medium and long term due to a possibly too generous intent to protect."

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