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Children and COVID-19 Research Library

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

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The clinical course of SARS-CoV-2 positive neonates

Giuseppe De Bernardo; Maurizio Giordano; Giada Zollo (et al.)

Published: October 2020   Journal: Journal of Perinatology
The COVID-19 pneumonia was firstly reported in Wuhan, China, in December 2019. The disease had a rapid spread all over the word becoming an international public health emergency. Limited data were available on COVID-19 positive neonates. We reviewed relevant literature to understand the clinical course of disease and transmission routes in affected neonates. The aim of the study was evaluating the clinical course and prognosis of SARS-CoV-2 positive neonates. Based on current literature, the hypothesis of vertical transmission of SARS-CoV-2, though conceivable, remains unproven. A research conducted on PubMed database from December 2019 to April 27, 2020 revealed that were reported 25 neonates affected by SARS-CoV-2. Main symptoms were fever, cough, or shortness of breath but often these neonates did not show other symptoms during length stay in hospital. No deaths occurred.
Cite this research | Open access | Vol.: 40 | No. of pages: 1462-1469 | Language: English | Topics: Health | Tags: child care, child health, COVID-19, disease transmission, infectious disease
Synthesis and systematic review of reported neonatal SARS-CoV-2 infections

Roberto Raschetti; Alexandre J. Vivanti ; Christelle Vauloup-Fellous (et al.)

Published: October 2020   Journal: Nature Communications
A number of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infections have been reported in neonates. This survey aims to clarify the transmission route, clinical features and outcomes of these infections. It presents a meta-analysis of 176 published cases of neonatal SARS-CoV-2 infections that were defined by at least one positive nasopharyngeal swab and/or the presence of specific IgM. This report shows that 70% and 30% of infections are due to environmental and vertical transmission, respectively.
Systematic analysis of infectious disease outcomes by age shows lowest severity in school-age children

Judith R. Glynn; Paul A. H. Moss

Published: October 2020   Journal: Scientific Data

The COVID-19 pandemic has ignited interest in age-specific manifestations of infection but surprisingly little is known about relative severity of infectious disease between the extremes of age. In a systematic analysis, this study identifies 142 datasets with information on severity of disease by age for 32 different infectious diseases, 19 viral and 13 bacterial. For almost all infections, school-age children have the least severe disease, and severity starts to rise long before old age. Indeed, for many infections even young adults have more severe disease than children, and dengue was the only infection that was most severe in school-age children. Together with data on vaccine response in children and young adults, the findings suggest peak immune function is reached around 5–14 years of age. Relative immune senescence may begin much earlier than assumed, before accelerating in older age groups. This has major implications for understanding resilience to infection, optimal vaccine scheduling, and appropriate health protection policies across the life course.

The right to education and ICT during COVID-19: an international perspective

Luis Miguel Lázaro Lorente; Ana Ancheta Arrabal; Cristina Pulido-Montes

Published: October 2020   Journal: Sustainability
There is a lack of concluding evidence among epidemiologists and public health specialists about how school closures reduce the spread of COVID-19. Herein, we attend to the generalization of this action throughout the world, specifically in its quest to reduce mortality and avoid infections. Considering the impact on the right to education from a global perspective, this article discusses how COVID-19 has exacerbated inequalities and pre-existing problems in education systems around the world. Therefore, the institutional responses to guaranteeing remote continuity of the teaching–learning process during this educational crisis was compared regionally through international databases.
Impact of the COVID-19 pandemic on routine childhood immunization in Saudi Arabia

Mohammed Alsuhaibani; Aqeel Alaqeel

Published: October 2020   Journal: Vaccines
The COVID-19 pandemic is impacting national and international public health. Routine childhood immunization may be adversely affected by COVID-19 mitigation measures. This study aims to identify the prevalence of delayed immunization and explore the reasons and barriers for delayed immunization during the COVID-19 pandemic in the Qassim region, Saudi Arabia.
Sustainability analysis of the e-learning education system during pandemic period—COVID-19 in Romania

Constantin Aurelian Ionescu; Liliana Paschia; Nicoleta Luminita Gudanescu Nicolau (et al.)

Published: October 2020   Journal: Sustainability
The unprecedented situation of the COVID-19 pandemic has generated radical transformations of the Romanian education system, forcing teachers as well as students to adapt in a short time to new social conditions and to the online learning process. The paper analyzes the sustainability of the e-learning system implemented in Romania during the pandemic, and it is based on an opinion poll based on a questionnaire developed on three levels of schooling (middle school, high school, and university), analyzed from three perspectives, teachers–students–parents, and identifying the possible psychological effects on students, resulting from the corroboration of social isolation with the online continuation of the educational process. Although before the pandemic the e-learning system was rarely used by both students and teachers, the research results indicate that students have accepted online learning, even if they find it less attractive than the traditional education system.
Family coping strategies during Finland’s COVID-19 lockdown

Milla Salin; Anniina Kaittila; Mia Hakovirta (et al.)

Published: October 2020
The COVID-19 pandemic and global lockdowns fundamentally changed families’ everyday lives. This study aims to examine how families with children coped during the COVID-19 lockdown in Finland and what kind of coping strategies they developed. An online survey including both qualitative and quantitative questions was conducted between April and May 2020 to gather Finnish families’ experiences during the COVID-19 lockdown. Huston’s social-ecological theory was used as an analytical framework. 
Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic

Maria Cusinato; Sara Iannattone; Andrea Spoto (et al.)

Published: October 2020   Journal: International Journal of Environmental Research and Public Health
The novel coronavirus (COVID-19) outbreak has forced parents and children to adopt significant changes in their daily routine, which has been a big challenge for families, with important implications for family stress. This study aims to analyze the potential risk and protective factors for parents’ and children’s well-being during a potentially traumatic event such as the COVID-19 quarantine. Specifically, it investigates parents’ and children’s well-being, parental stress, and children’s resilience. The study involved 463 Italian parents of children aged 5–17.
A Lifeline at Risk: COVID-19, Remittances and Children

Gilmar Zambrana Cruz; Gwyther Rees

Millions of children around the world, particularly in low- and middle-income countries, live in households that receive money and other forms of support from a family member who has moved abroad, or to another part of the same country, to work. This form of assistance, or ‘remittances’, can alleviate household poverty and is often a key support for children’s development. In times of global economic uncertainty, however, remittances can be an unstable source of income for families. The COVID-19 pandemic is disproportionately affecting migrant workers’ job security, making it more difficult to send remittances. At the same time, families receiving remittances are facing their own economic and health challenges, meaning that the continuation of remittances is vital to keep them from slipping into poverty. This briefing paper outlines the potential risks of reduction in remittances due to the pandemic for children in households receiving remittances and what can be done to minimize these risks.
Does the pandemic help us make education more equitable?

Pasi Sahlberg

Published: October 2020   Journal: Educational Research for Policy and Practice
Everybody agrees that the COVID-19 pandemic is a big disruption in education. It questions many traditional rules and structures that have organised the work of schools in the past. But not everyone agrees that the pandemic will eventually change schools. This article tries to determine whether the pandemic will help us fix some of the preexisting inequalities that we were unable, and often unwilling, to improve. It also argues that as we think about how education should be reimagined, it is paramount to continue efforts to make education more inclusive, fairer and equitable for all. Two examples from two distinct education systems, Australia and Finland, are used to highlight how disrupted teaching caused by school closures has had different impacts on schools and teachers.
Pandemics, epidemics and inequities in routine childhood vaccination coverage: a rapid review

Nick Spencer; Rita Nathawad; Emmanuele Arpin (et al.)

Published: October 2020

Inequity in routine childhood vaccination coverage is well researched. Pandemics disrupt infrastructure and divert health resources from preventive care, including vaccination programmes, leading to increased vaccine preventable morbidity and mortality. COVID-19 control measures have resulted in coverage reductions. We conducted a rapid review of the impact of pandemics on existing inequities in routine vaccination coverage. PICO search framework: Population: children 0–18 years; Intervention/exposure: pandemic/epidemic; Comparison: inequality; Outcome: routine vaccination coverage. The review demonstrates a gap in the literature as none of the 29 papers selected for full-paper review from 1973 abstracts identified from searches met the inclusion criteria.

Aggregate and intergenerational implications of school closures: a quantitative assessment

Youngsoo Jang; Minchul Yum

Published: October 2020
A majority of governments around the world unprecedentedly closed schools in response to the COVID-19 pandemic. This paper quantitatively investigates the macroeconomic and distributional consequences of school closures through intergenerational channels in the medium and long-term. The model economy is a dynastic overlapping generations general equilibrium model in which schools, in the form of public education investments, complement parental investments in producing children ís human capital.
Testing the effects of COVID-19 confinement in Spanish children: the role of parents’ distress, emotional problems and specific parenting

Estrella Romero; Laura López-Romero; Beatriz Domínguez-Álvarez (et al.)

Published: October 2020   Journal: International Journal of Environmental Research and Public Health.
The present study aimed to examine the effects of the Spanish confinement derived from the COVID-19 crisis on children and their families, accounting for child’s age. A range of child negative (e.g., conduct problems) and positive outcomes (e.g., routine maintenance) were examined, along with a set of parent-related variables, including resilience, perceived distress, emotional problems, parenting distress and specific parenting practices (e.g., structured or avoidant parenting), which were modeled through path analysis to better understand child adjustment.
Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic

Natasha R. Magson; Justin Y. A. Freeman; Ronald M. Rapee (et al.)

Published: October 2020   Journal: Journal of Youth and Adolescence
The restrictions put in place to contain the COVID-19 virus have led to widespread social isolation, impacting mental health worldwide. These restrictions may be particularly difficult for adolescents, who rely heavily on their peer connections for emotional support. However, there has been no longitudinal research examining the psychological impact of the COVID-19 pandemic among adolescents. This study addresses this gap by investigating the impact of the COVID-19 pandemic on adolescents mental health, and moderators of change, as well as assessing the factors perceived as causing the most distress.
Where to make a difference: research and the social determinants in pediatrics and child health in the COVID-19 era

Peter Lachman

Published: October 2020   Journal: Paediatric Research
In 2005, Michael Marmot introduced the concept of the Social Determinants of Health (SDH) in which he proposed what was in plain sight, i.e., that health outcomes are determined by “the conditions in which people are born, grow, live, work and age”. For children, these social determinants influence life opportunities, disease profiles, health outcomes, and life expectancy. Since the initial paper, there has been little progress in addressing the social determinants of health. In a review in 2010, Marmot concluded that social and economic status determines the health outcomes, and the lower the socioeconomic status the worse the outcome. Now, in the midst of a pandemic, the importance of considering the SDH in pediatric research has been highlighted once more by SARS‑CoV-2. In societies affected by the virus, those who suffer inequity and who are negatively influenced by the SDH have been most severely affected. This paper covers the key areas that require attention as we move to the post COVID era.

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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.