What do we know from South Africa
-7% of infected kids needed hospitalisation
-18% of all hospital admissions were paediatric
-Paediatric admissions peaked prior to adult admissions
- 0 to 4 group needed most admissions
2/n South Africa (Contd)
- Short admission (mean of 3.2 days)
- 92% needed only ward care (NO HDU/ICU)
-25% needed some oxygen
- 6% needed ventilator care
Overall: early sharp increase in admissions especially 0-4 yo, but most needed short hospital stay and did well.
3/n UK data (so far)
- Positivity rate highest in Preschoolers (<6Y)
- 7% of <6Y infected
- <4 yo more admissions than any other paediatric age group (X3 other children)
- Slight increase in paediatric admissions compared to earlier wave (for every 100 now 107)
4/n Inferences for #Omicronindia
-Highly contagious but less severe illness
-Our superspreader events have not stopped
- Need to work towards manageable number of admissions
- Loss of HCW to quarantine and illness = compromised care of COVID and non COVID illnesses
5/n Inferences for #Omicronindia
- May see spike in paediatric infections early
- Spurt in hospitalisation of very young, but short, manageable illness, very few will need ICU
A no panic but no complacency scenario
n/n #Omicronindia
In metros and high TPR zones
- Restriction of people to people contact: religious, political & social gatherings including weddings
- Online classes
And
Report symptoms, get tested, isolate = it is a collective responsibility
Keep up the pace of vaccination
#ChildHealthMatters
Childhood #Asthma: not unusual to see some wishing it away. It’s stigmatised and poorly managed. Knowing triggers that can be avoided is the first step. Children need personalised Rx plan
Let us take up:
1.Can you prevent #Asthma? 2. Can you cure Asthma? 3. Will my child get 'addicted' to inhalers? 4. You have prescribed steroids!! 5. Can I try alternative medicine/no medicine?
1.Can you prevent #Asthma?
Primary (Preventing it all together)
Not much, but these help:
Breastfeeding - protective, regulates immune and allergic responses
Avoiding obesity/Overweight + wt loss/healthy wt in children with respiratory symptoms
Avoid exposure to/smoking
#ChildHealthMatters
Early Childhood Development (ECD) = critical period with consequences for lifetime. A thread:
The brain grows and develops in complexity at a phenomenal rate in first 2-3 years: forming new connections at an astounding rate of >1million per second!
The baby's brain comes with a blue print: genes, but needs critical components to achieve its potential: 1. Nutrition 2. Protection 3. Stimulation The first #1000Days and a bit beyond are crucial for Nature and Nurture to play their role
1. Nutrition: Mother's breast milk (and her nourishment) and wholesome age appropriate complementary food from 6 months is crucial