27 March 2020 COVID-19 in children

Mon, 03/30/2020 - 16:59

Children don’t they get sick from SARS-CoV-2?

  I found a very recent systematic review (and two “older” papers). 
Clearly, children have much fewer symptoms, but a small proportion (about 5 %) gets severely ill and about 1% become critical.  Death is really rare and usually associated with comorbidities. Neonates have more problems than toddlers and those again more than older children. 
As you can expect with any viral disease in children, they do not all present with the “typical” lower respiratory symptoms, but sometimes with more “common cold” or “stomach flu”.  Children seem to have a shorter incubation time (a few days) and a more rapid healing.  They show less inflammatory signs and much less lymphopenia. 
Of course, these data do not tell us which role children have in this pandemic.  Are they really important as “asymptomatic carriers” or even “super-spreaders”?   Because closing kindergartens and schools is only reasonable if that were the case. 
OK, I guess it is one of the many questions that we will only learn afterwards

Prof Dr Guido Vanham