PROF Rudo Mathivha. Frontline ICU Physician in 🇿🇦 . One hospital in Tshwane. Admitting 5-10 children under 12 at a time
The children are coming in with moderate to severe disease. Coming in needing supportive oxygen & therapy.
Not like earlier waves
“Yesterday we lost a 15yr old healthy child. No underlying condition. Nothing we could do stopped the rapid deterioration.”
17 yr old intubated
Hospitals are not designed for a multitude of v sick children
Must take measures to prevent transmission in children too.
She also says they have large numbers of young adults, largely unvaccinated and appeals to them to get vaccinated to help break the chains of transmission.
I am not clear whether the suggestion is that there is something about this particular variant that is intrinsically more serious for children especially, or simply that they are catching Covid in such large numbers that admissions are increasing a lot.
Right now the age profile of adult admissions is markedly skewed to the young generally compared to earlier waves. And fewer ending up in ICU ( but ? Is that changing in recent days?)
Is this because prior infection + vaccination is conferring a reasonable level of protection?
Or is it because the omicron virus has yet to reach older and maybe more vulnerable in large numbers?
The next few weeks will tell.
Some more data from @KillBrexitNow on child admissions in Gauteng.
The problem is we have no vaccine for that v young age group. And, neither in the U.K. nor SA have authorised it for 5-11 yr olds either.
UK’s progress on Covid now squandered :Sir Jeremy Farrar
“The longer this virus continues to spread in largely unvaccinated populations globally, the more likely it is that a variant that can overcome our vaccines and treatments will emerge,” he writes. theguardian.com/world/2021/dec…
“If that happens, we could be close to square one.
“This political drift and lack of leadership is prolonging the pandemic for everyone, with governments unwilling to really address inequitable access to the vaccines, tests and treatment”
He said that the urgent action needed had not changed – “wearing masks indoors, increasing testing, social distancing, isolating if positive (with support to do so) and vaccination will all help to drive down transmission and protect against illness.”
Currently most affecting the young, so, not surprisingly less severe outcomes at.
Tshwane
- 80% of admissions = people< 50 (this is also the case across Gauteng province)
- 19% = children aged 0-9
- 28% = 30-39 years
Hard to put a lot of weight on vaccination status without bigger numbers given the age groups most affected are also least vaccinated. Is this BECAUSE they are not vaccinated or because they represent the majority of the pop in these age groups.
Time will tell esp as older (& more vaccinated) ages more affected
1. Most #COVID19 patients didn't know they had COVID when they got admitted (admitted for another condition) 2. A smaller % of patients required oxygen than in previous waves
It’s that last sentence from @BBCRosAtkins that says it
Also @BBCRosAtkins ,however uncomfortable it might be, the @metpoliceuk were the security detail outside & inside Number 10…& at a time when the same @metpoliceuk were issuing fines to far poorer people.
Did she show the same outrage at her colleague Alex Chalk who was notified he was a known close contact of a test positive person on a Friday..and travelled from London to Cheltenham (over 2hrs..rush hour) on the same day…before getting a positive result to his swab?
The good news is the early data on vaccination is promising and they have not been boosting.
However. It should be borne in mind that a high proportion of people have not been vaccinated in SA particularly in younger age groups…so more unvaccinated would be expected anyway.
Only time will tell how well, as cases move up through the age groups, how well they will offset risk.