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The initial impression that paediatric SARS-CoV-2 infection is uncommon and generally mild has been replaced by a more nuanced understanding of infectious manifestations in children and adolescents across low-, middle-, and high-income countries and by demographic structure, with recognition of a widening disease spectrum. Critical knowledge gaps, especially in low- and middle-income countries remain, that have significant public policy and programme implications. Insufficient data disaggregated by age, geography and race/ethnicity are hindering efforts to fully assess prevalence of infection and disease in children and adolescents and their role in transmission. Potential biologic differences in susceptibility to infection and between children and adults need to be assessed. Determination of mother-to-child SARS-CoV-2 transmission during pregnancy or peripartum requires appropriate samples obtained with proper timing, lacking in most studies. Finally, predictors of disease progression, morbidity and mortality in children need to be determined particularly as the pandemic moves to low- and middle-income countries, where poor nutritional and health conditions and other vulnerabilities are more frequent among children than in higher-income settings. Countries, UN agencies, public health communities, donors and academia need to coordinate the efforts and work collectively to close the data and knowledge gaps in all countries (high-, middle- and low-income) for better evidence to guide policy and programme decision-making for children and COVID-19 disease.

AUTHOR(S)

Priscilla Idele; David Anthony; Lynne M Mofenson; Jennifer Requejo; Danzhen You; Chewe Luo; Stefan Peterson
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Global Kids Online is a research network initiative led by the London School of Economics and Political Science (LSE) and UNICEF Office of Research – Innocenti (UNICEF – Innocenti). It was launched in 2016 with the purpose of building on the experience of the highly successful EU Kids Online programme and further promoting research on children’s online rights on a global scale, with a focus on low- and middle-income countries. In order to understand ways in which the research has been taken up and used in partner countries and internationally, this study was commissioned in 2019 by UNICEF – Innocenti and The London School of Economics, and undertaken by an independent team at Matter of Focus. It uses an approach that allows for the broad capture of impacts internationally as well as the specific impacts in partner countries, with more detailed focus on three case study countries (Uruguay, Bulgaria and Ghana), selected by the Global Kids Online management team.

AUTHOR(S)

Sarah Morton; Amy Grant; Ailsa Cook; Helen Berry; Christina McMellon; Melvina Robbin; Alessandra Ipince
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Data on the weight and height of children are used to assess living standards and public policy in Uzbekistan, the most populous of the Central Asian republics. The paper begins by making the case for the use of such data, contrasting them with monetized measures of welfare based on household incomes or expenditures before going on to review the problems of interpretation that anthropometry presents for the economist.

AUTHOR(S)

Suraiya Ismail; John Micklewright
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