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Children and COVID-19 Research Library

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

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

AUTHOR(S)
Melissa M Medvedev

Published: July 2020   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 | Tags: breastfeeding, child care, risk, COVID-19 | Topics: Health, Nutrition | Countries: United States
COVID-19 in Children and Adolescents in Europe: A Multinational, Multicentre Cohort Study

AUTHOR(S)
Petra Prunk; Veronika Osterman; Uros Krivec; et al.

Published: June 2020   The Lancet Child & Adolescent Health
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.
Challenges of COVID-19 in children in low- and middle-income countries

AUTHOR(S)
Heather J. Zar; Jeanette Dawa; Gilberto B. Fischer

Published: June 2020   Paediatric Respiratory Reviews
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.
Children's (in)visibility in social vulnerability and the impact of the novel coronavirus (COVID-19)

AUTHOR(S)
Marialda Moreira Christoffel; Ana Leticia Monteiro Gomes; Tania Vignuda de Souza; Lia Leao Ciuffo

Published: June 2020   Revista brasileira de enfermagem

This reflective study is based on discursive formulation in three aspects: principles of the objectives and goals for the millennium sustainable development; impact of the pandemic on the health of children and their families living in social vulnerability; and the role of pediatric nursing in the care provided - limits and challenges. In January 2020, the news of COVID 19 is released as a pandemic. In Brazil, children and families are still without access to basic rights, thereby increasing their risks of social vulnerability because of the quarantine. The nursing field has an important role in monitoring children and their families, offering guidance in search for solutions and preventing contamination. There are still challenges to be overcome by the children and their families in situations of vulnerability against COVID-19.

Cite this research | Open access | Vol.: 29 | Issue: 73 (Supplement 2) | Language: English | Tags: child care, child health, poor children, SDGs, COVID-19, vulnerable children | Topics: Child Protection | Countries: Brazil
Coronavirus (COVID‐19) pandemic: personal view to a new model of paediatric practice

AUTHOR(S)
Zakaria Barsoum

Published: June 2020   Journal of Pediatrics and Child Health
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.
Cite this research | Open access | No. of pages: 1 | Tags: child care, COVID-19 | Topics: Health
Maintaining safety and service provision in human milk banking: a call to action in response to the COVID-19 pandemic

AUTHOR(S)
Natalie Shenker

Published: June 2020   The Lancet Child & Adolescent Health
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. 
Child poverty, food insecurity, and respiratory health during the COVID-19 pandemic

AUTHOR(S)
Ian P Sinha; Alice R Lee; Davara Bennett; et al.

Published: June 2020   Lancet Respir Med
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.
COVID-19 in Children: An Ample Review

AUTHOR(S)
Ioana M Ciuca

Published: June 2020   Risk management and healthcare policy
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.
Supporting children with autism spectrum disorder in the face of the COVID-19 pandemic

AUTHOR(S)
Sharon C. Smile

Published: May 2020   CMAJ
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.
Cite this research | Open access | Vol.: 192 | Issue: 21 | No. of pages: 1 | Language: English | Tags: child care, child mental health, COVID-19 | Topics: Mental Health
The implications of COVID-19 for the care of children living in residential institutions

AUTHOR(S)
Philip S Goldman; Marinus H van Ijzendoorn; Edmund J S Sonuga-Barke

Published: April 2020   The Lancet Child & Adolescent Health
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.
Cite this research | Open access | Vol.: 4 | Issue: 6 | No. of pages: 1 | Language: English | Tags: child care, child care services, education, pandemic, COVID-19 response, COVID-19 | Topics: Child Protection, Health
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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. Learn more.

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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.