❗️12-AUG-2021 UPDATE❗️ 1/7

Latest data from NCHS reveal disturbing racial/ethnic disparities in #COVID19 mortality among kids and young adults.

We've tried to be more phone-friendly, but still best viewed on a larger screen. Expanded dashboard:
covkidproject.org/disparities
❗️12-AUG-2021 UPDATE❗️ 2/7

Of 353 reported deaths, 28% were white, & 72% were non-white, mostly Hispanic & Black children.

Caveat: NCHS death counts are << CDC-Atlanta counts due to different data sources & reporting lags. #epitwitter
More info:
covkidproject.org/deaths Image
❗️12-AUG-2021 UPDATE❗️ 3/7

#COVID19 death rate disparities for kids 0-17 are very high. Rate ratios (95% CI) with whites as the referent:

Indigenous RR = 6.2 (2.5-15.7)
Black RR = 3.0 (2.2-4.0)
Hispanic RR = 2.6 (2.0-3.3)
Asian RR = 1.5 (0.9-2.6) Image
❗️12-AUG-2021 UPDATE❗️ 4/7

#COVID19 death rate disparities by age for the 3 largest population groups. Infant mortality is nearly 4x ⬆️for Blacks than whites.

#epitwitter #PedsICU @Cleavon_MD @COVIDBLK @Arrianna_Planey @RheaBoydMD @SapnaKmd @heather_haq
covkidproject.org/disparities Image
❗️12-AUG-2021 UPDATE❗️ 5/7

For the 1st time, we have #COVID19 mortality time trends.

Remember: Jul/Aug deaths won't be completely counted via death certificates until Oct/Nov at the earliest. #epitwitter

More data embedded in the interactive charts:
covkidproject.org/disparities Image
❗️12-AUG-2021 UPDATE❗️ 6/7

First look at monthly #COVID19 death rates for kids:

July 2020: 1 white child died, 28 non-white deaths
Jan 2021: 13 white deaths, 36 non-white children died

covkidproject.org/disparities Image
❗️12-AUG-2021 UPDATE❗️ 7/7

The tragedy of child death is the tip of the severity iceberg. Thousands of 🇺🇸 kids have been hospitalized. It will be years before rigorous scientific evidence on the long-term consequences of #SARSCoV2 infection has accrued.

covkidproject.org/hospitalizatio…

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More from @COVKIDProject

14 Aug
🚨14-AUG UPDATE 🚨
1/10

#COVID19 incidence (new case) data are now updated through 13-Aug-2021.

Average daily incidence rate (DIR) ⬆️ to 33.4/100,000

Total cumulative cases > 5.4 million

(we include >500K TX cases that CDC and AAP don't count)
covkidproject.org Image
🚨14-AUG UPDATE 🚨
2/10

The map on the left shows *cumulative* incidence of #COVID19 in kids since the pandemic began.

The map on the right shows *current* DIR.
#epitwitter #PedsICU @Cleavon_MD @Arrianna_Planey @GYamey @drkomanduri
covkidproject.org ImageImage
🚨14-AUG UPDATE 🚨
3/10

Incidence of #COVID19 in kids⬆️in every single state in the past week. (See next tweet for more on AL)

>50% ⬆️in 15 states across all regions.
@gradydoctor @WesElyMD @Adamhill1212 @ashishkjha @BhadeliaMD
covkidproject.org/hot-spots Image
Read 8 tweets
14 Aug
❗️❗️13-AUG-2021 UPDATE❗️❗️
1/8

#COVID19 hosp data for kids have been updated.

For children and 18-19 year olds, hosp admit rates are at highest point since Sept 2020 (no good data prior to that date.)

Confirmed cases only - suspected not included here.

covkidproject.org/hospitalizatio… Image
❗️❗️13-AUG-2021 UPDATE❗️❗️
2/8

Same for current pediatric hosp census - highest ever!
>1200 kids with #COVID19 in hosp TODAY.

@Cleavon_MD @WesElyMD @SapnaKmd @DrZoeHyde @dgurdasani1 @EricTopol @DrEricDing @Arrianna_Planey #epitwitter #PedsICU
covkidproject.org/hospitalizatio… Image
❗️❗️13-AUG-2021 UPDATE❗️❗️
3/8

In the past week, #Alabama kids had the highest rate of new hosp admits for severe #COVID19

Latest trends for every state:
covkidproject.org/hospitalizatio…

#tweetiatrician #PedsICU @hospitals4kids
@GYamey @DrTomori @yoncabulutmd @DrEricDing Image
Read 8 tweets
27 Jul
The COVKID team has a new research study out today in @AMJPublicHealth, as part of a special issue called "When Dying Really Counts:"

Out-of-Hospital COVID-19 Deaths: Consequences for Quality of Medical Care and Accuracy of Cause of Death Coding

1/16
ajph.aphapublications.org/doi/abs/10.210…
We found that 🇺🇸children (younger than 18 years) were most likely (30.5%) and elders aged 64 to 74 years were least likely (10.4%) to die out of hospital or in the emergency department from #COVID19.

2/16

ajph.aphapublications.org/doi/abs/10.210…
Why does dying from #COVID19 in the ED matter? Isn't that technically "in the hospital?"

No, it's not. Patients who die in the ED were critically ill before they arrived. They accessed medical care too late!

Some thoughts on possible reasons at the end of this thread.

3/16
Read 16 tweets
26 Jul
♦️ 26-July-21 Update ♦️ 1/10

#COVID19 in 🇺🇸 kids has surpassed 5 million cases.

Long thread explaining why our case counts are higher (& more accurate!) than counts reported by @AmerAcadPeds

Also: latest rising trends in incidence & hospitalizations
covkidproject.org Image
♦️ 26-July-21 Update ♦️ 2/10

The @AmerAcadPeds puts out a weekly #COVID19 report on kids that draws on the exact same state health department dashboards as we do.

BUT - we include estimates of missing data from TX and NY, and AAP does not.

#epitwitter
♦️ 26-July-21 Update ♦️ 3/10

Both TX & NY (state) do NOT report cumulative case counts of #COVID19 for kids on their dashboards!

That's 2 of the 4 largest states w/ MISSING DATA.

NYC does report (thanks @nycHealthy !) but they cover only 1/2 the state's pop.

#epitwitter
Read 10 tweets
5 Aug 20
💔MILESTONE REACHED💔
1/11

Intensive care admissions for kids with #COVID19 have surpassed 1,000 in the USA (n=1,011).

This is an UNDERCOUNT; not all PICUs report their data.

67% of these kids are Hispanic or Black.

#PedsICU @vps_llc #epitwitter

covkidproject.org
💔MILESTONE REACHED💔
2/11

When our team published a research paper on critical illness in children with #COVID19 in April 2020, there had been 74 kids admitted to PICU in the USA.

That seemed like a lot to us back then.

#PedsICU #epitwitter #coronavirus @vps_llc @JPHMPDirect
💔MILESTONE REACHED💔
3/11

Here are time trends in #COVID19 PICU admissions for the 3 largest states. Keep in mind these are UNDERCOUNTS. #Florida #Texas #California

#PedsICU #epitwitter @vps_llc @hospitals4kids @JPHMPDirect @HealthyFla @TexasDSHS @CAPublicHealth @NACCHOalerts
Read 11 tweets

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