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Children and COVID-19 Research Library

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

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Transmission risk of COVID-19 in high school and college water polo

AUTHOR(S)
Raymond J. Kreienkamp; Christopher J. Kreienkamp; Cindy Terrill (et al.)

Published: May 2022   Journal: BMC Infectious Diseases

Concerns that athletes may be at a higher risk for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission has led to reduced participation in sports during the COVID-19 pandemic. This study aimed to assess COVID-19 incidence and transmission during the spring 2021 high school and college water polo seasons across the United States. This prospective observational study enrolled 1825 water polo athletes from 54 high schools and 36 colleges. Surveys were sent to coaches throughout the season, and survey data were collected and analyzed.

Outcomes and risk factors of death among hospitalized children and adolescents with obesity and COVID-19 in Brazil: An analysis of a nationwide database

AUTHOR(S)
Ana Cristina Simões e Silva; Mariana A. Vasconcelos; Enrico A. Colosimo (et al.)

Published: April 2022   Journal: Pediatric Obesity

Obesity is a well-recognized risk factor for critical illness and death among adult patients with SARS-CoV-2 infection. This study aimed to characterize the clinical outcomes and risk factors of death related to obesity in a cohort of hospitalized paediatric patients with COVID-19. It performed an analysis of all paediatric patients with obesity and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated by using cumulative incidence function.

Risk factors for SARS-CoV-2 infection and hospitalisation in children and adolescents in Norway: a nationwide population-based study

AUTHOR(S)
Ketil Størdal; Paz Lopez-Doriga Ruiz; Margrethe Greve-Isdahl (et al.)

Published: March 2022   Journal: BMJ Open

This study aims to determine risk factors for SARS-CoV-2 infection and hospitalisation among children and adolescents. It is a nationwide, population-based cohort study which was conducted in Norway from 1 March 2020 to 30 November 2021 and included all Norwegian residents<18 years of age.

Cite this research | Open access | Vol.: 12 | Issue: 3 | No. of pages: 8 | Language: English | Topics: Health | Tags: adolescent health, child health, COVID-19, disease transmission, hospitalization, infectious disease, pandemic, risk | Countries: Norway
When do children avoid infection risks: lessons for schools during the COVID-19 pandemic

AUTHOR(S)
Nina H. Fefferman; Katy-Ann Blacker; Charles A. Price (et al.)

Published: February 2022   Journal: iScience
The physical closing of schools due to COVID-19 has disrupted both student learning and family logistics. There is significant pressure for in-person learning to remain open for all children. However, as is expected with outbreaks of novel infections, vaccines and other pharmaceutical therapeutics may not be instantly available. This raises serious public health questions about the risks to children and society at large. The best protective measures for keeping young children in school focus on behaviors that limit transmission. It is therefore critical to understand how we can engage children in age-appropriate ways that will best support their ability to adhere to protocols effectively. This study aims to synthesize published studies with new results to investigate the earliest ages at which children form an understanding of infection risk and when they can translate that understanding effectively to protective action.
Characteristics, outcomes, and severity risk factors associated with SARS-CoV-2 infection among children in the US national COVID cohort collaborative

AUTHOR(S)
Blake Martin; Peter E. DeWitt; Seth Russell (et al.)

Published: February 2022   Journal: JAMA Network Open

Understanding of SARS-CoV-2 infection in US children has been limited by the lack of large, multicenter studies with granular data. This study aims to examine the characteristics, changes over time, outcomes, and severity risk factors of children with SARS-CoV-2 within the National COVID Cohort Collaborative (N3C). It is a prospective cohort study of encounters with end dates before September 24, 2021, was conducted at 56 N3C facilities throughout the US. Participants included children younger than 19 years at initial SARS-CoV-2 testing.

Community rapid assessment on COVID-19 end line report: behavioural findings and insights from 8 Eastern and Southern African countries
Institution: *UNICEF
Published: November 2021

The UNICEF Evaluation Office, in collaboration with Communication for Development (C4D) section in the UNICEF Programme Group and the Harvard Humanitarian Initiative, developed the Community Rapid Assessment (CRA) exercise as a way to measure the protective practices, health-seeking behaviours, coping strategies and emerging needs of individuals and households in relation to COVID-19. The primary objective was to provide UNICEF country offices valuable data to strengthen the evidence base and inform country-level programming in response to the pandemic. The CRA is also intended to contribute to UNICEF’s overall analytical agenda on COVID in an effort to better position this type work in the overall corporate efforts. Its findings have thus far provided a rich and much-needed picture of the behavioural component of the outbreak at the individual and community levels. In making use of time-series data – that is, the longitudinal data repeatedly captured over several waves of data collection – the CRA has also provided further opportunities to examine country- and region-specific trends over time. And because the CRA is a real-time exercise, analysis, visualization and interpretation of findings are already being used in several country-level fora to guide program changes. The long-term vision is to embed capacity for similar surveys within government data systems at the country level. This report presents early findings and insights from eight countries in Eastern and Southern Africa – namely Angola, Ethiopia, Kenya, Madagascar, Rwanda, South Africa, South Sudan and Uganda.

Risk and intersectional power relations: an exploration of the implications of early COVID-19 pandemic responses for pregnant women

AUTHOR(S)
Terra A. Manca

Published: November 2021   Journal: Health, Risk & Society
The World Health Organization and many national health authorities identifie pregnant women as requiring extra protections during the COVID-19 global pandemic. Nevertheless, many initial responses to the COVID-19 pandemic were implemented in ways that have disrupted the care and support women receive and provide during pregnancy. This article applys an intersectional approach to explore the unintended implications of discourses and practices targeting universal risks of COVID-19 for pregnant women. It discusses three overlapping topics. First, pandemic responses that aimed to negate the universal risk of COVID-19 transmission created obstacles to maternal health care that disproportionately impacted low-income women and regions. For example, rapidly changing public health mandates that were intended to protect the population from the universal threat of COVID-19 have produced unintended results of restricting public transportation, and consequently, access to maternal care. Second, overly precautious healthcare practices aimed at protecting foetuses and new-borns from possible risks can harm women and their new-borns. Recommendations, such as separating women from their new-borns at birth to prevent the spread of COVID-19, are shown to be often entangled with racism and colonialism. Third, in neoliberal contexts, dominant discourses have constructed privileged women as ‘normal’ in a way that responsibilised all women to minimise health risks for their foetuses. Such recommendations ignore inequalities in women’s living conditions and ability to follow public health advice about COVID-19.
School-based prevention of screen-related risk behaviors during the long-term distant schooling caused by COVID-19 outbreak

AUTHOR(S)
Katerina Lukavská; Václav Burda; Jirí Lukavský (et al.)

Published: August 2021   Journal: International Journal of Environmental Research and Public Health
The COVID-19 outbreak and related restrictions meant a higher incidence of screen-related risk behaviors in both children and adolescents. Our goal was to assess the perceived importance and extent of school-based preventions related to these risks during the long-term, nation-wide distant schooling period in the Czech Republic. The online survey was responded to by the school-based prevention specialists (N = 1698). For the analysis, within-subject analysis of variance (ANOVA) and binominal logistic regression were used. At-risk internet use and cyber-bullying were perceived as pressing, but other risks, for example, excessive internet use or the use of cyberpornography, received substantially less priority
Sex differences in changes in BMI and blood pressure in Chinese school-aged children during the COVID-19 quarantine

AUTHOR(S)
Na Qiu; Hongmei He; Ling Qiao (et al.)

Published: June 2021   Journal: International Journal of Obesity
There may be sex differences in BMI and blood pressure levels in school-age children, especially in the face of lifestyle changes. This study aimed to explore sex differences in changes in BMI and blood pressure in Chinese school-aged children during the COVID-19 quarantine. The cohort study of 445 school-aged children examined the change of BMI and blood pressure during the five-month quarantine. Multivariable Cox regression models were created to identify potential predictors of overweight, obesity, and elevated blood pressure (EBP).
The dark side of the web: a risk for children and adolescents challenged by isolation during the COVID-19 pandemic

AUTHOR(S)
Pietro Ferrara; Giulia Franceschini; Giovanni Corsello (et al.)

Published: October 2020   Journal: The Journal of Pediatrics

Children and adolescents who experience a prolonged state of physical isolation during COVID-19 may look for alternative, attractive or unconventional forms of socialization, available in the web world. This may expose them to the risks of unsupervised cyberspace exploration beyond the open web, which may lead them to areas that are usually not available to visitors. They may pass the gates of the “open” and “deep web” sections and enter into the dangerous “dark web” zones, which predominantly host unethical and criminal activities. In those shadowy corners of the worldwide web, there exist dangers ranging from identity theft and drug trade to suicide chat-rooms and child pornography. This commentary, authored by EPA-UNEPSA members of the working group on social pediatrics, briefly discusses the features of the dark web and its implications for children and adolescents. The aim is to raise awareness of pediatricians and families on the growing risk of child exploitation through the web, at a time when vulnerable young people face home lockdowns with potential abusers intruding on their privacy.

Management of mother-newborn dyads in the COVID-19 era

AUTHOR(S)
Melissa M Medvedev

Published: July 2020   Journal: The Lancet Child & Adolescent Health
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has resulted in more than 11·6 million cases of COVID-19 and 538 000 deaths as of July 7, 2020.
The USA is the worst affected country, with more than 2·9 million cases. Evidence regarding transmission risk, clinical presentation, and consequences of SARS-CoV-2 among neonates of infected mothers is scarce. Risk of vertical transmission appears to be low, which is consistent with other coronaviruses.
Cite this research | Open access | No. of pages: 2 | Language: English | Topics: Health, Nutrition | Tags: breastfeeding, child care, COVID-19, risk | Countries: United States
Asthma and COVID‐19 in children: A systematic review and call for data

AUTHOR(S)
Jose A. Castro‐Rodriguez; Eric Forno

Published: June 2020   Journal: Pediatric Pulmonology
Whether asthma constitutes a risk factor for coronavirus disease‐2019 (COVID‐19) is unclear. Here, we aimed to assess whether asthma, the most common chronic disease in children, is associated with higher COVID‐19 risk or severity in pediatric populations.
COVID-19 Risks to Children's Health and Nutrition
Institution: World Vision Int'l-USA
Published: May 2020
The COVID-19 pandemic is putting millions of children at heightened risk, and jeopardising their immediate and long-term health and well-being. As countries around the world battle to prevent, contain and respond to COVID-19, it is critical that their efforts reach those most vulnerable and ensure primary health care  is continued and accessible to all. All stakeholders must take proactive measures to mitigate the impacts of COVID-19 on children’s health and nutrition, and response efforts should consider vulnerable children’s needs and rights. Based on extensive experience working with children, families and communities in emergencies, including epidemics, World Vision outlines a number of recommendations for Governments, UN Agencies, Donors, NGOS, Private Sector, and Faith Leaders. 
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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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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.