How worried should we be about #COVID19 in children?
Covid is a threat to children. But it’s not an extraordinary threat. In fact, it’s very ordinary.
In general, the risks from being infected are similar to the other respiratory viruses you probably don’t think much about
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In fact, for smaller children (pre school) viruses like RSV are much more likely to result in hospitalisation and severe disease
We are heaving with RSV and other viruses in children’s ED, but despite record numbers of community cases are still seeing very little #COVID19
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The children who are most likely to suffer from #COVID19 are those who suffer from other resp viruses, such as those with severe neurodisability or lung/heart disease
The risk is similar to that from other viruses, but can be significantly reduced by vaccination if available
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We obviously don’t want to see children infected. At very high numbers, we will see some rare, serious events, which we want to avoid if we can
But we must be aware that there are other, bigger risks to children (mental health, school loss) which should be prioritised
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Loads of people will now have heard of RSV for the first time
Here is a quick thread on the disease it causes (bronchiolitis) and why we DONT use salbutamol inhalers/nebulisers to treat it - they can even make it worse!
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Bronchiolitis does what is says on the tin
It’s infection with a virus (usually RSV, but can be others) affecting the small airways (“bronchioles”) causing inflammation (“itis”)
It causes wheezing, coughing, and difficulty breathing
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Usually it affects babies <1y of age (although in the US definitions are a bit different…) and is seasonal, coming in waves every winter
It is the most common cause of hospitalisation of children, usually for breathing support, extra oxygen, or help feeding
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