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Over 1M kids infected: ‘Staggering and tragic’

Mortality rates low, but experts fear MIS-C

- Adrianna Rodriguez

A new report released Monday by the American Academy of Pediatrics and the Children’s Hospital Associatio­n found that the coronaviru­s is infecting children now more than at any time during the pandemic.

The number of U.S. infants, children and teens diagnosed with COVID-19 has surpassed 1 million, accounting for 11.5% of all cases in states reporting cases by age, according to the data.

The total hit nearly 1.04 million kids on Thursday, including nearly 112,000 new cases last week. That was the highest weekly total of any previous week in the pandemic, the academy said.

AAP President Dr. Sally Goza called the data “staggering and tragic.”

“This pandemic is taking a heavy toll on children, families & communitie­s, as well as on physicians & other front-line medical teams,” she wrote on Twitter. “We need a new, nation-wide strategy, & that should include implementi­ng proven public health measures like mask wearing & physical distancing.”

The report shows that children are still generally more likely than adults to have mild cases. According to data from state health department­s that’s missing some states, at least 6,330 pediatric hospitaliz­ations and 133 deaths have been recorded since May.

But while the mortality rates remain low, some experts worry that a rise in cases among children may mean a rise in cases of Multisyste­m Inflammato­ry Syndrome in Children (MIS-C) later.

“Even though children are relatively protected from the acute form of COVID-19, the reason why we explain to parents to protect everyone (is because) even the very young could suffer terrible consequenc­es from this infection,” said Dr. Rick Malley, a senior physician in infectious diseases at Boston Children’s Hospital and professor of pediatrics at Harvard Medical School.

Malley noticed a rise in cases of MIS-C about a month after his community experience­d a spike in coronaviru­s cases. MIS-C is a post-infectious syndrome, which means that it appears af

ter the virus has already cleared.

MIS-C shares some traits with Kawasaki disease, which typically afflicts children under 5 years old. Their common symptoms: prolonged fever, a rash, conjunctiv­itis, swelling of the palms or soles of the feet, sometimes peeling of the skin in those areas and lymph node enlargemen­t.

Malley said pediatrici­ans and family doctors will be extra vigilant of these symptoms in the next couple of weeks as early recognitio­n is important for successful treatment and recovery. While early studies focusing on this syndrome find that mortality rates are low, doctors are still unsure of long-term effects.

Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competitio­n in Healthcare. The Masimo Foundation does not provide editorial input.

“... Even the very young could suffer terrible consequenc­es from this infection.”

Dr. Rick Malley Senior physician in infectious diseases at Boston Children’s Hospital and professor of pediatrics at Harvard Medical School

 ?? GETTY IMAGES ?? Nearly 1.04 million infants, children and teens have been diagnosed with COVID-19, including 112,000 new cases last week.
GETTY IMAGES Nearly 1.04 million infants, children and teens have been diagnosed with COVID-19, including 112,000 new cases last week.
 ?? TANIA SAVAYAN/USA TODAY NETWORK ?? Third-grade teacher Krystal Mims discusses safety measures in Mount Vernon, N.Y.
TANIA SAVAYAN/USA TODAY NETWORK Third-grade teacher Krystal Mims discusses safety measures in Mount Vernon, N.Y.

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