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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Journal article

When a school is more than just a school: Improving school-based health in the wake of COVID-19

AUTHOR(S)
Simon F. Haeder; Emily Maxfield; Kara Ulmen (et al.)

Published: March 2022 Journal: World Medical & Health Policy

The ongoing COVID-19 pandemic has posed tremendous challenges for economies and individuals around the world. At the same time, it has also laid bare the blatant and growing inequities that many individuals, particularly children, are confronted with on a daily basis. With communities in lockdowns and schools going virtual in many parts of the United States, the important role that schools and school-based services play in the lives of many children have gained new attention. Nonetheless, only 3% of American schools have school-based health centers on campus, and they remain relegated to the fringes of both health care and education. One key limitation has been the lack of appropriately trained health-care professionals. Over the past 2 years, dozens of individuals have been interviewed about their experiences in school-based health centers. Based on this study, this study explores what it means for a health-care professional to work in school-based health care and how it differs from more traditional health-care settings. This analysis particularly focuses on training and education, work environments, and their unique demands that come from being embedded within the educational setting. It concludes by addressing the important role that governmental policies could play in augmenting this crucial workforce.

Journal article

Outcomes of COVID-19 in children with cancer – Report from the Indian pediatric oncology group (InPOG) COVID-19 registry in India

AUTHOR(S)
Revathi Raja; Ramya Uppuluri; Badira Parambil (et al.)

Published: March 2022 Journal: Pediatric Hematology Oncology Journal

The clinical outcomes of COVID-19 infection in children with cancer have been variable worldwide. Therefore, we aimed to collect data from all regions in India through a national collaborative study and identify factors that cause mortality directly related to COVID-19 infection. Data was collected prospectively on children across India on cancer therapy and diagnosed with COVID-19 infections from 47 centers from April 2020 to October 2021. Information was recorded on the demographics, the number of children that required intervention, and the outcome of the infection. In addition, we analyzed the impact of the delta variant in 2021.

Evidence Synthesis and other Reviews

COVID-19 treatment in children: a systematic review and meta-analysis

AUTHOR(S)
Prateek Kumar Panda; Indar Kumar Sharawat; Vivekanand Natarajan (et al.)

Published: February 2022 Journal: ournal of Family Medicine and Primary Care

Exact information about the efficacy of various medications proposed by regulatory bodies in children with COVID-19 is limited due to the lack of controlled trials in the existing literature. Different electronic databases (MEDLINE, EMBASE, Web of Science, COCHRANE CENTRAL, LitCovid, medRxiv, and bioRxiv) were searched for articles describing the management of COVID-19 cases in children with 18 shortlisted medications. Prospective/retrospective studies/case series (with at least 20 cases) reporting COVID-19 in patients aged ≤14 years were searched to collect information regarding clinical details and severity of participants, medications used, and outcome. The pooled estimate of these parameters across studies was performed using a random-effect or fixed-effect meta-analysis depending on the degree of heterogeneity.

Journal article

Impact of COVID-19 pandemic on asthma symptoms and management: A prospective analysis of asthmatic children in Ecuador

AUTHOR(S)
Angélica M. Ochoa-Avilés; Cristina Ochoa-Avilés; Diana A. Morillo-Argudo

Published: June 2021 Journal: World Allergy Organization Journal

Asthma affects up to 33% of children in Latin American settings. The ongoing COVID-19 pandemic has had a significant impact on access to and use of health services. This study aimed to evaluate the impact of the COVID-19 lockdown on asthma exacerbations, medical facility visits, and use of asthma medications in children. It used data from a prospective cohort of 213 children aged 5–17 years in 3 Ecuadorian cities and analysed the impact of the COVID-19 lockdown on asthma.

Journal article

The impact of coronavirus lockdown on oral healthcare and its associated issues of pre-schoolers in China: an online cross-sectional survey

AUTHOR(S)
Chang Liu; Shuang Zhang; Chenzheng Zhang (et al.)

Published: February 2021 Journal: BMC Oral Health

The sudden outbreak of coronavirus disease (COVID-19) epidemic infuenced people’s daily life. During lockdown of Wuhan city, the oral health and its associated issues of preschool children were investigated and guidance for dental clinics when the epidemic were controlled in the future were also provided.

Commentaries and Think Pieces

Why do children still have preventable caries?

AUTHOR(S)
Alizey Kazmi; Maryam Ismail; Nadia Kazmi

Published: January 2021 Journal: BDJ Team

Despite extensive knowledge on the pathogenesis of caries, improvements in general oral health and preventive evidencebased toolkits such as Delivering better oral health, 1 childhood caries continues to be the leading cause of paediatric admission to hospital for extraction under general anaesthesia (GA). With caries being a preventable disease2,3 and the rationale to use GA being complicated with the risk of morbidity and mortality,4 the issue of childhood caries needs to be addressed. Te COVID-19 pandemic has further complicated the situation, as routine access to care is limited.

Journal article

Characteristics and considerations in the medical treatment of COVID‐19 in children

AUTHOR(S)
Kazunori Imai; Asako Matsushima; Shinji Saitoh

Published: November 2020 Journal: Acute Medicine & Surgery

It is rare for children to be in serious condition or die from coronavirus disease 2019 (COVID‐19) caused by the 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS‐CoV‐2]) except for those with underlying diseases such as chronic lung disease (including asthma), cardiovascular disease, and immunosuppressive disease. Recently, patients with hyperinflammatory shock have been identified among children who are confirmed to have or are suspected of having SARS‐CoV‐2 infection. The presenting signs and symptoms are characterized by prolonged fever, abdominal pain, and cardiac involvement without any signs of pneumonia on chest computed tomography. However, it is uncertain at this time whether SARS‐CoV‐2 infection affects this syndrome.

Journal article

Pediatric Teleheath: opportunities created by the COVID-19 and suggestions to sustain its use to support families of children with disabilities

AUTHOR(S)
Chantal Camden; Mindy Silva

Published: October 2020 Journal: Physical & Occupational Therapy In Pediatrics

Telehealth is being rapidly adopted by physical and occupational therapists in pediatrics as a strategy to maintain services during the COVID-19 crisis. This perspective presents a mix of theoretical and practice perspectives to support the implementation of telehealth. Although research evidence is just emerging, there is sufficient indication to believe telehealth is effective. However, which telehealth strategies are best for which children and families, and which intervention goals, are not yet clear.

Journal article

A national consensus management pathway for paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS): results of a national Delphi process

AUTHOR(S)
Rachel Harwood; Benjamin Allin; Christine E. Jones (et al.)

Published: September 2020 Journal: The Lancet Child & Adolescent Health

Paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS) is a novel condition that was first reported in April, 2020. This study aims to develop a national consensus management pathway for the UK to provide guidance for clinicians caring for children with PIMS-TS.

Evidence Synthesis and other Reviews

Coronavirus disease (COVID) 2019 in children: a short review

AUTHOR(S)
Sham Balkisanji Lohiya; Sachin Damke; Richa Chaudhary

Published: September 2020 Journal: International Journal of Current Research and Review

Since December 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused a series of Cases of severe pneumonia worldwide. It originated in Wuhan in Hubei province, China. SARS-CoV-2 causes infection by ACE receptors, similar to SARS. It causes potential damage to vital organs, mainly the lungs. COVID- 19 mainly affects respiratory tract with symptoms ranging from upper respiratory tract infection like symptoms to full-blown ARDS. Although the pediatric age group is shown to be less susceptible to severe infection, they can very well act as an intermediate in the transmitter of the virus. Treatment is symp-tomatic for mild diseases, but severe disease and ARDS require ICU management and specific treatment.

Evidence Synthesis and other Reviews

COVID-19: a review of drugs and therapies for children

AUTHOR(S)
Patel Zeeshan Jameel; Amar M. Taksande

Published: September 2020 Journal: Sri Lanka Journal of Child Health

A review of drugs and therapy for children including: respiratory support, nutritional supplementation, immunotherapy, CoV specific therapy, chloroquine, antiviral therapy, antibiotics, anti-parasitic drugs

Commentaries and Think Pieces

Care during COVID-19 must be humane and person centred

AUTHOR(S)
Angela Coulter; Tessa Richards

Published: September 2020 Journal: BMJ : British medical journal

The public swung solidly behind health and social care staff during the early phase of the covid-19 pandemic and applauded professionals’ commitment, selflessness, and hard work. But patient organisations, including The BMJ’s patient and public advisory panel, were dismayed to see how rapidly the hard won policies that embed the principle of patient and public involvement in healthcare decision making were swept away in the rush to respond to the crisis. The covid-19 pandemic is no reason to roll back the tide on person centred care.

Journal article

European consensus recommendations for neonatal and paediatric retrievals of positive or suspected COVID-19 patients

AUTHOR(S)
Ulrich Terheggen; Christian Heiring; Mattias Kjellberg (et al.)

Published: July 2020 Journal: Pediatric Research

The 2020 novel coronavirus (SARS-Cov-2) pandemic necessitates tailored recommendations addressing specific procedures for neonatal and paediatric transport of suspected or positive COVID-19 patients. The aim of this consensus statement is to define guidelines for safe clinical care for children needing inter-facility transport while making sure that the clinical teams involved are sufficiently protected from SARS-CoV-2. A taskforce, composed of members of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) Transport section and the European Society for Paediatric Research (ESPR), reviewed the published literature and used a rapid, twostep modified Delphi process to formulate recommendations regarding safety and clinical management during transport of COVID19 patients.

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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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The first digest covers children and youth mental health under COVID-19.

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