Thread by @COVKIDProject

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

28-AUG-2022 UPDATE
2/23

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

covkidproject.org/hot-spots

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

28-AUG-2022 UPDATE
4/23

The greatest ⬆️ in #COVID19 in kids last week occurred in TN (+99%), KY (+47%), LA (+36%), AL (+30%), AR (+29%), IN (+41%), OK (+45%).

covkidproject.org/hot-spots

28-AUG-22 UPDATE
5/23

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.

h/t @JasonSalemi
covkidproject.org/hospitalizatio…

28-AUG-2022 UPDATE
6/23

New hospital admissions of children 0-17 and adolescents 18-19 have been ⬆️ since May. The admission rate for children is still 6X higher than the summer 2021 low point.

h/t @JasonSalemi
covkidproject.org/hospitalizatio…

28-AUG-2022 UPDATE
7/23

Over 1,600 🇺🇸 children & teens 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

28-AUG-2022 UPDATE
8/23

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…

28-AUG-2022 UPDATE
9/23

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

28-AUG-2022 UPDATE
10/23

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

28-AUG-2022 UPDATE
11/23

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

covkidproject.org/disparities

28-AUG-2022 UPDATE
12/23

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

28-AUG-2022 UPDATE
13/23

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

28-AUG-2022 UPDATE
14/23

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

28-AUG-2022 UPDATE
15/23

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.

28-AUG-2022 UPDATE
16/23

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).

28-AUG-2022 UPDATE
17/23

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…

28-AUG-2022 UPDATE
18/23

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…

28-AUG-2022 UPDATE
19/23
New 🧵 : child/teen #COVID19 ⬆️ incidence, ⬆️ hospitalizations, racial/ethnic disparities in mortality
@areinamo21
@Arrianna_Planey
@BexzieGarcia
@born_reddy
@BruceLesley
@ChandyJohnLab
@ChildHealthUSA
@ChomiloMD
@ChrisCarrollMD
@Cleavon_MD

28-AUG-2022 UPDATE
20/23
New 🧵 : child/teen #COVID19 ⬆️ incidence, ⬆️ hospitalizations, racial/ethnic disparities in mortality
@COVIDBLK
@DeannaMarie208
@denise_dewald
@Docsociology4
@doritmi
@Dr_ScottK
@DrEricDing
@drkomanduri
@DrLindaMD
@DrPanMD
@DrSriram
@DrStager

28-AUG-2022 UPDATE
21/23
New 🧵 : child/teen #COVID19 ⬆️ incidence, ⬆️ hospitalizations, racial/ethnic disparities in mortality
@DrSteveCook
@DrTomori
@DrZoeHyde
@EllieMargolis
@ForlornTheresa
@gbosslet
@gradydoctor
@GYamey
@heather_haq
@JanelleMMenard
@JasonSalemi

28-AUG-2022 UPDATE
22/23
New 🧵 : child/teen #COVID19 ⬆️ incidence, ⬆️ hospitalizations, racial/ethnic disparities in mortality
@JennaMillerKC
@JHowardBrainMD
@jljcolorado
@JPHMPDirect
@LauraMiers
@MAhealthforkids
@NicoleJacksonMD
@npdcoalition
@pccm_doc
@RheaBoydMD

28-AUG-2022 UPDATE
23/23
New 🧵 : child/teen #COVID19 ⬆️ incidence, ⬆️ hospitalizations, racial/ethnic disparities in mortality
@SapnaKmd
@SuzeQKnits
@TheAngryEpi
@Theresa_Chapple
@uche_blackstock
@WesElyMD
@yaneerbaryam
@yoncabulutmd