26-AUG-22 UPDATE
1/25

In this 🧵, we update #COVID19 incidence, hospitalizations, deaths, and disparities for 🇺🇸 children and adolescents.

Please share this 🧵 #epitwitter #PedsICU #tweetiatrician #SARSCoV2 #Omicron #LongCovidKids

covkidproject.org
26-AUG-22 UPDATE
2/25

covkidproject.org Image
26-AUG-22 UPDATE
3/25

covkidproject.org/hot-spots Image
26-AUG-22 UPDATE
4/25

covkidproject.org/hot-spots Image
26-AUG-22 UPDATE
6/25

The number of 🇺🇸 kids currently hospitalized with #COVID19 has plateaued at a level 3X higher than the April 2022 low, and >4X higher than the July 2021 low.

covkidproject.org/hospitalizatio… Image
26-AUG-22 UPDATE
7/25

Over 1600 🇺🇸 children & adolescents aged 0-19 yrs have died from #COVID19 since Jan 2020. The national cumulative death rate = 19.8 deaths/million. Regionally, child/teen mortality has been highest in #Southwest & #Southeast states.

covkidproject.org/deaths Image
26-AUG-22 UPDATE
8/25

covkidproject.org/deaths ImageImage
26-AUG-22 UPDATE
9/25

We first reported the problem of kids dying from #COVID19 outside of a hospital or in the emergency department (OH/ED) in our peer-reviewed paper in @AMJPublicHealth (July 2021)

@JanelleMMenard @BexzieGarcia @JasonSalemi

ajph.aphapublications.org/doi/full/10.21…
26-AUG-22 UPDATE
10/25

The latest #COVID19 death data from @NCHStats shows the situation has not improved: 40% of 🇺🇸 kids died OH/ED.

A child dying in the ED means that child received medical care too late - they never made it to the #PICU

#PedsICU
covkidproject.org/deaths Image
26-AUG-22 UPDATE
11/25

The percent of #COVID19 deaths among kids which occurred OH/ED varied by state: >50% in MA, MN, OH, OK, SC, WA.

covkidproject.org/deaths Image
26-AUG-22 UPDATE
12/25

The majority of the 1,607 🇺🇸 child/teen #COVID19 decedents have been racial/ethnic minorities, with 28.5% non-Hispanic white.

covkidproject.org/disparities Image
26-AUG-22 UPDATE
13/25

Cumulative #COVID19 mortality rates through 23-JUL-22 reveal significant disparities for Indigenous (RR 2.8, 95%CI 2.0-4.0), Black (RR 2.4, 95%CI 2.1-2.7), and Hispanic (RR 1.4 95%CI 1.2-1.6) kids compared with whites.

covkidproject.org/disparities Image
26-AUG-22 UPDATE
14/25

The #COVID19 mortality disparity for Black vs. white kids has widened over time, as shown in this plot of cumulative monthly death rates.

Keep in mind these are mortality rates (deaths per million pop), NOT case fatality rates!

covkidproject.org/disparities Image
26-AUG-22 UPDATE
15/25

The Black-white #COVID19 death disparity for kids was highest during the #DeltaVariant and #Omicron surges.

B/c we lack high-quality case data for kids by race/ethnicity, the contributions of ⬆️ incidence vs. ⬆️ case fatality are unknown.

#epitwitter Image
26-AUG-22 UPDATE
16/25

When #COVID19 mortality (deaths/pop) disparities can mainly be attributable to ⬆️ case fatality (deaths/cases), there may be differences in case severity, but the most likely explanation is disparities in timely access to medical care. Image
26-AUG-22 UPDATE
17/25

Racial/ethnic disparities in #COVID19 mortality among kids arise from #structuralracism operating at multiple geographic scales to both ⬆️ risk of #SARSCoV2 infections and ⬇️ access to timely, affordable medical care (#vaccines #primarycare #PedsICU). Image
26-AUG-22 UPDATE
18/25

Our paper "COVID-19 and the Working Class: Harm, Resistance, and Solidarity in the United States" explores theory and praxis at the intersection of social class and structural racism.

@JanelleMMenard @BexzieGarcia
osf.io/preprints/soca…
26-AUG-22 UPDATE
19/25

We empirically investigated the joint effects of race/ethnicity and socioeconomic position on non-elderly adult #COVID19 mortality. The majority of 🇺🇸 Indigenous, Black, and Hispanic kids have working class parents.

mdpi.com/1660-4601/19/9…
26-AUG-22 UPDATE
20/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@areinamo21
@Arrianna_Planey
@BexzieGarcia
@born_reddy
@BruceLesley
@ChandyJohnLab
@ChildHealthUSA
@ChomiloMD
@ChrisCarrollMD
26-AUG-22 UPDATE
21/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@Cleavon_MD
@COVIDBLK
@DeannaMarie208
@denise_dewald
@Docsociology4
@doritmi
@Dr_ScottK
26-AUG-22 UPDATE
22/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@DrEricDing
@drkomanduri
@DrLindaMD
@DrPanMD
@DrSriram
@DrStager
@DrSteveCook
@DrTomori
@DrZoeHyde
@EllieMargolis
@ForlornTheresa
@gbosslet
26-AUG-22 UPDATE
23/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@gradydoctor
@GYamey
@heather_haq
@JanelleMMenard
@JasonSalemi
@JennaMillerKC
@JHowardBrainMD
@jljcolorado
@JPHMPDirect
26-AUG-22 UPDATE
24/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@LauraMiers
@MAhealthforkids
@NicoleJacksonMD
@npdcoalition
@pccm_doc
@RheaBoydMD
26-AUG-22 UPDATE
25/25
New 🧵 on #COVID19 disparities, deaths, hospitalizations, cases in 🇺🇸 kids - please share 🙏
@SapnaKmd
@SuzeQKnits
@TheAngryEpi
@Theresa_Chapple
@uche_blackstock
@WesElyMD
@yaneerbaryam
@yoncabulutmd

• • •

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Keep Current with The Coronavirus in Kids (COVKID) Project

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More from @COVKIDProject

Aug 28, 2022
28-AUG-2022 UPDATE
1/23

Incidence of #COVID19 in 🇺🇸 kids increased 10% during the week ending 26-AUG-2022. More than 17,000 new cases every day; ADIR = 21.8/100,000.

#epitwitter #PedsICU #LongCovidKids

covkidproject.org Image
28-AUG-2022 UPDATE
2/23

The highest #COVID19 new daily incidence rates for kids are concentrated in the #Southeast.

covkidproject.org/hot-spots Image
28-AUG-2022 UPDATE
3/23

States with adverse trends ( ⬆️ incidence) of #COVID19 in kids for the week ending 26-AUG-22 are red/orange on the map.

covkidproject.org/hot-spots Image
Read 23 tweets
Jan 7, 2022
07-JAN-2022 UPDATE
1/13

Short but NOT sweet update on #COVID19 hospitalizations in 🇺🇸 children/teens.

National update in this 🧵 with data thru 06-Jan - H/T @JasonSalemi

Visit our interactive dashboard to see data for every state.

#epitwitter #PedsICU
covkidproject.org/hospitalizatio…
07-JAN-2022 UPDATE
2/13

There were 3,142 children 0-17 years old hospitalized with #COVID19 on 06-Jan-2022. This is MORE THAN TWICE as many as were hospitalized on 04-Sept-2021 at the peak of the #DeltaVariant surge.

#OmicronVariant #LongCovidKids
covkidproject.org/hospitalizatio…
07-JAN-2022 UPDATE
3/13

Pediatric bed-days for #COVID19 inpatient hospitalizations of kids 0-17 yrs have now surpassed 400,000.

That is counting only from summer 2020 - first wave hospitalizations of children in spring 2020 are not recorded anywhere.

covkidproject.org/hospitalizatio…
Read 13 tweets
Dec 28, 2021
28-DEC-2021 UPDATE
1/20

In this 🧵, latest #COVID19 hospitalization data for children 0-17 yrs and adolescents 18-19 yrs, through 27-DEC-2021.
#epitwitter #PedsICU #tweetiatrician #criticalcare #OmicronVariant #longcovidkids

H/T @JasonSalemi
covkidproject.org/hospitalizatio…
28-DEC-2021 UPDATE
2/20

During the 7 days ending 27-Dec, #COVID19 admissions (confirmed diagnosis) totaled 508 adolescents 18-19 years old and 2,305 children 0-17 years old.

covkidproject.org/hospitalizatio…
28-DEC-2021 UPDATE
3/20

Hospital inpatient census of children 0-17 years old with confirmed #COVID19 was 1,146 on Christmas Eve.

covkidproject.org/hospitalizatio…
Read 21 tweets
Dec 27, 2021
26-DEC-2021 UPDATE
1/17

New cases of #COVID19 in children and teens for the week ending December 24, 2021 - national and state trends in this 🧵

#epitwitter #PedsICU #tweetiatrician #medtwitter #OmicronVariant #DeltaVariant

covkidproject.org
26-DEC-2021 UPDATE
2/17

Average daily incidence of #COVID19 in children and teens ⬆️40% in one week to 51.4 new cases per 100,000 per day, approaching the #DeltaVariant surge summer high.

Keep in mind: some states only reported through 12/22 or 12/23.

covkidproject.org
26-DEC-2021 UPDATE
3/17

Highest ADIRs persist in New England and the Mideast, along with Illinois, Ohio, Florida --

Several states >100 new cases/100,000/day

covkidproject.org/hot-spots
Read 17 tweets
Sep 9, 2021
❗ 09-SEPT-2021 UPDATE ❗
1/6

Our new trend chart shows cumulative #COVID19 mortality rates for kids 0-17 years.

The sharp ⬆️ in August was driven by 30 non-white deaths
(vs. 10 white deaths).

Death rate 2.5x ⬆️ in non-whites.

#epitwitter #PedsICU
covkidproject.org/deaths
❗ 09-SEPT-2021 UPDATE ❗
2/6
Lowest #COVID19 death rate is in 2-year olds, with infants 17x more likely to die. Death rate in 19 year olds similar to infants.

#epitwitter #PedsICU
covkidproject.org/deaths
❗ 09-SEPT-2021 UPDATE ❗
3/6

Time trends for age groups confirm lowest #COVID10 death rates in kids 1-11 years old, highest in infants and older teens.

#epitwitter #PedsICU
covkidproject.org/deaths
Read 6 tweets
Aug 25, 2021
SPECIAL NOTE ON TEXAS
1/9

Please be advised that the @CDCgov covid tracker trend data on #COVID19 by age in Texas are WRONG. CDC draws case data from their case line data file, and TX has reported age on only 3% of total cases.
SPECIAL NOTE ON TEXAS
2/9

CDC graphic is inadequately footnoted and does not disclose the very low case count behind their trend chart.

Their chart displays no new cases in TX in past 4 months!

@CDCgov should remove this highly inaccurate graphic from their website.
SPECIAL NOTE ON TEXAS
3/9

COVKID Project estimates child/teen cases in TX every week using total cases from TX dashboard, and % child/teen from Harris County. Thank you @hcphtx for doing the job your state health dept has neglected! 🙏🏽
Read 9 tweets

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