Children and COVID-19 Research Library

The COVID-19 pandemic is a health and human crisis threatening the food security and nutrition of millions of people around the world, and children among them. Hundreds of millions of people were already suffering from hunger and malnutrition before the virus hit and, unless immediate action is taken, we could see a global food emergency. In the longer term, the combined effects of COVID-19 itself, as well as corresponding mitigation measures and the emerging global recession could, without large-scale coordinated action, disrupt the functioning of food systems. Such disruption can result in consequences for health and nutrition of a severity and scale unseen for more than half a century.

This is a personal reflection, as a female academic during Covid-19, on how women's academic productivity seems primarily to be discussed in relation to a different kind of productivity-motherhood. A recent procedure in a maternity hospital, evoked feelings and associations of mothering and being mothered, and how these associations hover over relationships regardless of whether wombs are productive or not. My hope in writing this piece, is that every woman's fear and anxiety may be productively contained (regardless of how she is seen from the outside or momentarily construed from within) during this time of extraordinary turmoil.

During the COVID‐19 crisis, being a working mother has taken on a whole new meaning, as mothers navigate working from home while juggling childcare, as well as coming to terms with their intersecting identities. The current article is a feminist, heartful autoethnographic account, couched in Relational‐Cultural Theory, surrounding our authentic experiences working from home and raising children during the worldwide pandemic. We explore academic motherhood, working from home, mental health, and coping during coronavirus and stay‐at‐home orders through engaged dialogue. We hope that showcasing our vulnerability can lead to change in the expectations we put on mothers in academia, while at the same time connect with readers who may be going through similar challenges.

COVID-19 leaves few lives and places untouched. But its impact is harshest for those groups who were already in vulnerable situations before the crisis. This is particularly true for many people on the move, such as migrants in irregular situations, migrant workers with precarious livelihoods, or working in the informal economy, victims of trafficking in persons as well as people fleeing their homes because of persecution, war, violence, human rights violations or disaster, whether within their own countries — internally displaced persons (IDPs) — or across international borders — refugees and asylum-seekers.

The aim of this review was to describe the current knowledge about coronavirus disease 2019 (COVID-19, which is caused by severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) in children, from epidemiological, clinical, and laboratory perspectives, including knowledge on the disease course, treatment, and prognosis. An extensive literature search was performed to identify papers on COVID-19 (SARS-CoV-2 infection) in children, published between January 1, 2020 and April 1, 2020. There were 44 relevant papers on COVID-19 in children. The results showed that COVID-19 occurs in 0.39–12.3% of children. Clinical signs and symptoms are comparable to those in adults, but milder forms and a large percentage of asymptomatic carriers are found among children. Elevated inflammatory markers are associated with complications and linked to various co-infections. Chest computed tomography (CT) scans in children revealed structural changes similar to those found in adults, with consolidations surrounded by halos being somewhat specific for children with COVID-19. The recommended treatment includes providing symptomatic therapy, with no specific drug recommendations for children. The prognosis is much better for children compared to adults. This review highlights that COVID-19 in children is similar to the disease in the adult population, but with particularities regarding clinical manifestations, laboratory test results, chest imaging, and treatment. The prognosis is much better for children compared to adults, but with the progression of the pandemic; the cases in children might change in the future.

The eradication of poverty and hunger are the top sustainable development goals, adopted by UN Member States in 2015. Yet the World Food Programme estimates that, in the wake of the COVID-19 pandemic, acute food insecurity could double from 135 to 265 million people worldwide. In the absence of mitigating policies, poverty leading to food insecurity will damage the respiratory health of a generation of children.

When a mother's own milk is not available, WHO recommends pasteurised donor human milk as the first alternative.  Human milk banks screen and recruit donors, and have wide-ranging precautions to ensure the safety of donor milk. Screened donor milk principally feeds babies of very low birthweight, protecting them from a range of complications, as well as babies with congenital anomalies or neurological conditions. The benefits of a human milk diet highlight the importance of providing these infants with donor milk for short periods—with appropriate use in the context of optimal support for lactation, such provision can support mothers to establish their milk supply without the need for supplementation with infant formula milk. The coronavirus disease 2019 (COVID-19) pandemic is presenting many challenges to human milk banks worldwide and highlights a range of vulnerabilities in service provision and emergency preparedness. 

Virtual consultations minimise the risk of COVID‐19 transmission, promote public protection and reduce the backlog of waiting lists during this time of testing. Although clinical confidence and appropriateness of use may vary in various aspects of clinical care, the author's experience in paediatric allergy is satisfactory.

As the coronavirus pandemic extends to low and middle income countries (LMICs), there are growing concerns about the risk of coronavirus disease (COVID-19) in populations with high prevalence of comorbidities, the impact on health and economies more broadly and the capacity of existing health systems to manage the additional burden of COVID-19. The direct effects of COVID are less of a concern in children, who seem to be largely asymptomatic or to develop mild illness as occurs in high income countries; however children in LMICs constitute a high proportion of the population and may have a high prevalence of risk factors for severe lower respiratory infection such as HIV or malnutrition. Further diversion of resources from child health to address the pandemic among adults may further impact on care for children. Poor living conditions in LMICs including lack of sanitation, running water and overcrowding may facilitate transmission of SARS-CoV-2. The indirect effects of the pandemic on child health are of considerable concern, including increasing poverty levels, disrupted schooling, lack of access to school feeding schemes, reduced access to health facilities and interruptions in vaccination and other child health programs. Further challenges in LMICs include the inability to implement effective public health measures such as social distancing, hand hygiene, timely identification of infected people with self-isolation and universal use of masks. Lack of adequate personal protective equipment, especially N95 masks is a key concern for health care worker protection. While continued schooling is crucial for children in LMICs, provision of safe environments is especially challenging in overcrowded resource constrained schools. The current crisis is a harsh reminder of the global inequity in health in LMICs. The pandemic highlights key challenges to the provision of health in LMICs, but also provides opportunities to strengthen child health broadly in such settings.

To date, few data on paediatric COVID-19 have been published, and most reports originate from China. This study aimed to capture key data on children and adolescents with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection across Europe to inform physicians and health-care service planning during the ongoing pandemic.

A specific response is needed to address the mental distress of children who are quarantined. There needs to be greater emphasis on designing diverse, socioculturally appropriate programs to address mental distress and provide mental health care and psychosocial supports to mitigate the effects of prolonged isolation in children.

As the global COVID-19 (Coronavirus) pandemic continues to unfold, young children will be especially vulnerable. World Bank teams can work with client countries to support early childhood development (ECD) by leveraging a range of interventions and mechanisms that will be part of the COVID-19 (Coronavirus) response in every country. The report has three key messages : The early years are a critical period to build human capital. Young children are disproportionately at risk and must be prioritized in COVID-19 (Coronavirus) responses. We will reach young children by supporting parents and caregivers.

Around the world reports are emerging of numerous residential institutions for children being closed as a result of the novel coronavirus disease 2019 (COVID-19) pandemic. Children appear to be being sent back to their communities without proper consideration of where they will reside, how their transition will be supported, and whether their safety will be monitored. Our view as international experts on institutional care reform is that although overall a shift from institutional to family-based care is a priority, these transitions need to be carefully planned and managed, with effective and sustained family preparation, strengthening, monitoring, and other support provided to ensure the best interests of the child are maintained.

Physical distancing caused by COVID-19 has had a significant impact on daily life throughout the world. In this sense, Cuba is no exception. Children are a vulnerable population due to the characteristics of their subjective development. The United Nations International Children’s Fund (UNICEF, 2020a) has warned that children and families across the globe will suffer the consequences of the economic destruction caused by the pandemic. UNICEF Executive Director Henrietta Fore has said this situation is generating a world economic crisis and in order to protect childhood during the COVID-19 crisis, international collaboration would be essential, since 99% of children and young people under 18 are currently living with movement restrictions (UNICEF, 2020a). Cuba has joined the call by the United Nations Secretary General to ensure and prioritize education, health and safety for all children and adolescents during this pandemic (UNICEF, 2020b), and expresses concern about the consequences this situation has and will have for the well-being of the youngest ones.