A thread on pandemic effects on children
Be prepared for devastating news/reports

Children´s situation is THE neglected catastrophe and THE THREAT for humanity

We have transformed a pandemic in the most disrupting event for an entire generation of children: Coronnials Image
2/
"My child died from Coronavirus, not the way you think" (A father)

A rise in SUICIDE among children/adolescents have forced Las Vegas to reopen its schools

Schools closure "side effects" is just the tip of the iceberg of a preventable catastrophe

nytimes.com/2021/01/24/us/…
3/
If you close schools, you loose red flags to detect domestic child abuse.

In 🇬🇧 a 10% fall in referrals to children's services between April and Nov 2020 but a 27% rise in serious incident notifications

theguardian.com/society/2021/j…
4/
In 🇨🇳 when pandemic begun, the combination of home quarentine+school closures was linked to anxiety and depression among adolescents (1 out of 5 developed it)

jamanetwork.com/journals/jamap…
5/
Families are SUFFERING in a multidimentional scale

Disruption in health care, mental disorders, food supply and insecurity, unemployment rise in 🇺🇸 affect the well-being of the tandem (child-parent) as reported in this national survey

pediatrics.aappublications.org/content/146/4/…
6/
Watch this 9 minutes report about concerns over impact of COVID-19 pandemic on children's mental health

Now add 4 more months to the situation (it is from Sep 2020)

7/
MENTAL HEALTH CRISIS

In 🇺🇸, compared with 2019, the proportion of mental health–related visits for children aged 5–11 and 12–17 years increased approximately 24%. and 31%, respectively.

cdc.gov/mmwr/volumes/6…
8/
When you close schools, when you dont have access to doctor in-person services, you have the best fuel to worsen this mental health crisis.

npr.org/sections/healt…
9/
In 🇯🇵, after an initial decline, there was a surge in suicide rate during pandemic. Most at risk: children, adolescents (⬆️49%) and females ⬆️37% (especially housewives)

The Syndemic is harder to the most vulnerable

nature.com/articles/s4156…
10/
Decline in child routine vaccination rates have been reported in distant places such as Michigan🇺🇸 and Sindh 🇵🇰 during 2020

This could lead to the dangerous global return of deadly vaccine-preventable diseases (measles et al)

ncbi.nlm.nih.gov/pmc/articles/P…
pubmed.ncbi.nlm.nih.gov/32943265/
11/
Pandemic provides fertile ground for WAR recruiters
Almost as many children are estimated to have joined armed groups in 🇨🇴 in the first half of 2020 as in the whole of 2019

Schools (now closed) were the key line of defence against child recruitment

thenewhumanitarian.org/news-feature/2…
12/
It is pretty obvious SC affects those who need education the most

Widening inequalities will make the bridging between social classes more and more difficult

news.yale.edu/2021/01/05/cov…
13/
36 billion meals missed by children since start of pandemic due to schools closure, according to an @UNICEF report

Yes, Billons.

#COVID19, childhood and hunger.

Be ready for starvation and malnourishment

unicef-irc.org/article/2086-n…
14/
"Closing schools, closing lives".

Report from @BBCBreaking about the dramatic situation of children and their families

Hard to digest

bbc.co.uk/news/amp/healt…
15/
Sierra Leone
A surge in child marriage due to Schools Closure.

Hard to swallow but real

@VPrasadMDMPH @BallouxFrancois @apsmunro @surf4children @Damian_Roland

16/
A tsunami of health related and preventable diseases will arrive

The case of quarentine myopia
👇🏻
17/
#COVID19 has set the perfect conditions for the increment of Human trafficking. Children at highest risk

jamanetwork.com/journals/jamap…
18/
When you are a child from a poor country and schools close, you might end laboring with No return

“I have no choice,” Surlina said. “This is my life. My family is poor. What else can I do?”

nytimes.com/2020/09/27/wor…
19/
Schools Closure disproportionally affects women at home

Gender disparities could worsen big time for an entre generation of women

washingtonpost.com/opinions/2021/…
20/
More and more horrendous chronicles of the "online world“ children are living at:

A pediatrician from San Diego🇺🇸
👇🏻
“What we’re seeing is frightening, because it’s hard to see these faces. They are just empty,”.

sandiegouniontribune.com/news/education…
21/
2 pandemics colliding: Obesity

#COVID19 have set perfect conditions for an childhood obesogenic environment

ncbi.nlm.nih.gov/pmc/articles/P…
22/
From the other side of the screen
The misery of prolongued zoom school described by a parent

wweek.com/news/schools/2…
23/
A decline in mental health and quality of life of children and adolescents in #Germany is reportes during the pandemic

link.springer.com/article/10.100…
24/
With schools closed, motherhood can become a penalty.
Pandemic hit families and academic mothers especially hard.

If mom suffers, children will too

sciencemag.org/careers/2021/0…
25/
More devastating reports from 🇺🇸on the mental health crisis, suicidal attemps increase among children.

Schools closure is this HUGE disaster

nypost.com/2021/02/12/san…
26/
Learning from home during 2020 lockdown in 🇳🇱 seems like a VERY DIFFICULT or FAILED task (students made little or NO progress during schools closure).
Worse in the most disadvantaged.

#preprint from @pengzell @ArunFrey @MarkDVerhagen @UniofOxford
osf.io/preprints/soca… Image
27/
Schools closure is also an ECONOMIC drama
In 🇺🇸 could led to student 3.8% drop-off during the next 10 years and their economic consequences lasting 70 years

frbsf.org/economic-resea…
Image
28/
Mental health claim lines for children skyrocketed during 2020

Yes, they are asking for HELP

axios.com/teenagers-ment…

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More from @sgdambrauskas

Jan 9
Aquí colección con los mejores 25 artículos #Bestof2023 #PedsICU
Como cada año junto a @Dr_Hari_Krishna 🇬🇧🇮🇳de @PICJournalWatch:
Enlace:
Colección Pubmed:
A continuación “Xtorial”👇 picujournalwatch.com/journalwatchar…
drive.google.com/file/d/15vB8og…
pubmed.ncbi.nlm.nih.gov/collections/63…
Image
Esta colección presenta ensayos clínicos relevantes y otros artículos según órganos o sistemas. Esta colección fue hecha durante todo el 2023 por @Dr_Hari_Krishna @OsamaHosheh y @drtoyinalli
Miren la editorial de @PICJournalWatch en inglés aquí:
Esta colección está lejos de ser perfecta pero reúne muchas revistas
@PedCritCareMed @CritCareMed
@SciReports @NEJM
@JAMA_current
@TheLancet
@ResusJournal
@ADC_BMJ
@Ped_Neph
@Kidney_Int
@NeurocritCareJ
@GreenJournal
@EurJPediatrics
@Crit_Care
@LancetRH_SEAsia
#PedsICU #BestOf2023
Read 38 tweets
Jan 3, 2023
Llegó colección #PedsICU #BestOf2022 de
@PICJournalWatch seleccionada junto a
@Dr_Hari_Krishna🇬🇧!

Pubmed:bit.ly/PedsICUbestof2…
Infográficos:
English: bit.ly/3i5JiS6
Español: bit.ly/3GAhXAC
#PedsCICU #NeuroPICU #SoMe4MV
Compartir, discutir, cual olvidamos?
Debajo tienen un QR para descargar infográfico y además en el correr de los días continúa un Tweetorial con algunos de los artículos seleccionados para su mejor acceso...

Versión en inglés @PICJournalWatch:
1/ El 2022 se publicaron las 1as guías de Liberación de VM pediátricas en el @ATSBlueEditor

pubmed.ncbi.nlm.nih.gov/36583619/
Aquí hice un resúmen:
Y además hicimos junto a @abusultaneh y @RobyKhemaniMD 2 Podcasts:

Read 25 tweets
Jan 14, 2022
Por qué pienso que Omicrón es también una BUENA NOTICIA?

Hilo

1⃣Es una variante que RELATIVA a las anteriores, tiene MENOR SEVERIDAD. Gracias a los sudafricanos lo sabemos
2⃣Porque NOS AGARRA MEJOR PARADOS que nunca
Esto es, con INMUNIDADES: vacunal, natural e híbrida en la mayoría de nuestros habitantes
Esto tambièn influye en un impacto menor comparado a variantes anteriores
3⃣Porque es tan contagiosa que DESTROZO las ILUSIONES de que se podría controlar (o peor erradicar)

Esto es MUY POSITIVO pues ayuda a todos a asumir que covid llegó para quedarse
Read 12 tweets
Jan 10, 2022
Algunos puntos relativos a OMICRON y esta etapa pandèmica en países con alta incidencia de COVID19 ahora

1⃣En breve tiempo 100% COVID19 será Omicron. Delta se irà pues Omicron la desplaza
2⃣Tiene dinàmica de GRAN PICO rápido y BAJADA rápida.
Seguramente dure menos de un mes más y en 2 a 4 semanas baje. Quizàs por fines de febrero-marzo volvamos a circulación baja (hasta próxima ola)
3⃣El % de positividad será altísimo (hasta 50%)
Cada vez es más inutil gastar millones con un virus tan ubicuo. Si tenès síntomas, es Omicron, punto. Anda a resguardarte en casa (como debimos hacer siempre)
Read 13 tweets
Dec 30, 2021
Qué sucederá y no sucederá con covid19 endémico:

(hilo)

1⃣Casos habituales en comunidad y hospitales durante todo el año con brotes epidémicos marcados periódicos (picos/olas)
2⃣Muchos de esos picos epidémicos ocasionarán grandes problemas hospitalarios/comunitarios

De hecho ocurre todos los años y varían de año en año en intensidad y de región y región. Pero puede suceda se llenen las UCI, y luego se vacíen

Lo que OCURRIO SIEMPRE con muchos virus
3⃣ESTACIONALIDAD
Como buen virus respiratorio, habrá épocas con mayor número de casos. Ej: meses fríos/cambios estacionales (como ahora ocurre en Europa por ej).

Y luego ya ni se detecta. Pero NUNCA llega a CERO. Debemos quitarnos es ilusión
Read 8 tweets
Dec 20, 2021
Listado sobre cómo la respuesta a COVID19 puede ser un riesgo para la DEMOCRACIA

Hilo para reflexionar

1⃣MEDIDAS DRACONIANAS DE EMERGENCIA
El "modelo Wuhan" de restricciones drásticas se impuso, procedentes de una autocracia y aplicadas en democracias
academic.oup.com/jlb/article/7/…
2⃣GOBERNANZA AUTORITARIA
Los estados democràcticos bajo justificación sanitaria suprimieron libertades e impusieron un tono autoritario. Estaba justificado? Y más allá, su prolongación a 2 años de iniciado pandemia aún justifica vivir en emergencia?
3⃣RESTRICCIONES A LA MOVILIDAD
Toda la población mundial vio restringida su libertad de movimiento. La movilidad internacional aún sigue supeditada a nuevas trabas y restricciones (testeo, vacunación compulsiva) a un mundo interconectado. Sufren migrantes: openknowledge.worldbank.org/handle/10986/3…
Read 16 tweets

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