Porterville Recorder

County Health concerned about MIS-C cases

- THE RECORDER recorder@portervill­erecorder.com

The COVID-19 virus continues to rapidly spread throughout Tulare County, and Public Health officials urge residents take necessary precaution­s as cases of Multisyste­m Inflammato­ry Syndrome (MIS-C) are being reported in Tulare County.

Of the total MIS-C cases being reported in California, 10 percent of known cases are children who reside in Tulare County.

Multisyste­m inflammato­ry syndrome in children is a condition where different body parts can become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, or gastrointe­stinal organs. Children with MIS-C may have a fever and various symptoms, including abdominal pain, vomiting, diarrhea, neck pain, rash, bloodshot eyes, or extra tiredness.

It’s unknown what causes MIS-C. But many children with MIS-C had the SARS-COV-2 virus that causes COVID-19 or had been around someone with COVID-19.

“It’s extremely important for parents to be aware of the elevated risks of MIS-C due to the prevalence of COVID-19 throughout Tulare County and take necessary precaution­s,” stated Dr. Karen Haught, Tulare County Public Health Officer. “Keeping children home as much as possible and limiting exposure outside the immediate household is the best preventive measure until case rates of COVID-19 decline.”

Case rates of COVID-19 continue to be of concern to public health officials, with Tulare County reporting some of the highest rates of COVID-19 transmissi­on and positivity rates in the state. Residents are encouraged to continue wearing face coverings, as this practice reduces COVID-19 transmissi­on and will contribute to reductions in cases.

The COVID-19 virus poses a risk to children, who can become ill from the virus. To date more than 1,700 under the age of 18 have contracted COVID-19 in Tulare County, and the long-term health consequenc­es of a child having COVID-19 are concerning to medical experts and will remain unknown until the children are older.

Multisyste­m inflammato­ry syndrome in children may begin weeks after a child is infected with or exposed to COVID-19. MIS-C cases require evidence of recent or past COVID-19 infection by diagnostic or serology testing. The child may have been infected from an asymptomat­ic contact and, in some cases, children and their caregivers may not even know they had been infected.

Most children diagnosed with MIS-C have had known exposure to a person infected with COVID-19 or laboratory evidence of either past or current COVID-19 infection, and the majority have had no documented underlying medical conditions. Most known cases are in children between the ages of one and 14, with an average age of 8.

Parents should contact their child’s physician right away if their child is showing symptoms of MIS-C or symptoms of COVID-19. If a child is showing any emergency warning signs, including trouble breathing, pain or pressure in the chest that doesn’t go away, new confusion, inability to wake up or stay awake, bluish lips or face, or severe abdominal pain, call 911 or go to the emergency room.

Parents seeking more informatio­n on MIS-C can visit the Centers for Disease Control and Prevention at: https://www.cdc.gov/coronaviru­s/2019ncov/daily-life-coping/cdc.gov/coronaviru­s/2019ncov/daily-life-coping/children/mis-c.html and the American Academy of Pediatrics at: https://www.healthychi­ldren.org/English/health-issues/conditions/covid-19/pages/English/health-issues/conditions/covid-19/pages/covid_inflammato­ry_condition.aspx.

Public Health officials urge parents to be cautious as various day camps and daycare facilities are being establishe­d at school sites and childcare operations are expanded, since these types of facilities pose a risk of COVID-19 transmissi­on in children.

Officials also warn social gatherings such as birthday parties and play dates present a high risk for COVID-19 infection. Tulare County Public Health encourages parents to be vigilant in protecting their children from COVID-19 and therefore prevent further cases of MIS-C.

To reduce the spread of COVID-19 in Tulare County, officials strongly urge everyone to practice social distancing of six feet and to refrain from social gatherings. Residents must always wear a face covering while in environmen­ts where physical distancing isn’t possible and while in public settings.

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