Children and COVID-19 Research Library

The pandemic of coronavirus disease 2019 (COVID‐19) has disrupted immunization programs around the globe, potentially increasing life‐threatening vaccine‐preventable diseases. Pakistan and Afghanistan are the only countries, which are still struggling to eradicate wild poliovirus. All vaccination campaigns in Pakistan were suspended in April due to the COVID‐19 outbreak, leading 40 million children to miss out on polio vaccination. Like the climate crisis, the COVID‐19 pandemic could be regarded as a child‐rights crisis because it could have life‐threatening impact over children, who need immunization, now and in the long‐term.

The knowledge of COVID-19 is evolving with new aspects of the disease continuing to emerge. Children and adolescents younger than 20 years of age constitute 10·6% of the total reported confirmed cases of COVID-19 in Pakistan as of July 8, 2020, with a mortality of 0·3% for those aged 10 years or younger and 0·5% for those aged 11–20 years. Multisystem inflammatory syndrome in children (MIS-C), also known as paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (PIMS-TS) is being reported primarily from Europe and the USA. Many of these children meet the criteria for complete or incomplete Kawasaki disease, but different clinical presentations of this inflammatory disorder are being reported. The ethnic origin of reported cases show that Black, Hispanic, and Asian children might be disproportionally affected. Similarly, unlike Kawasaki disease, these cases have occurred in older children and adolescents.

Pakistan was among the first countries in the world to institute widespread school closures as a result of Coronavirus 2019 (COVID-19). This note presents results from a series of simulations that aim to capture the impacts that school closures in Pakistan may have on the learning levels, enrollment, and future earnings of children and students. In this note, the authors present an overview of how these numbers are calculated and how to interpret them. This note draws on a simulation exercise for all countries on which data is available, including Pakistan, conducted by researchers at the World Bank.