, children made up just 2% of all US Covid-19 cases in April 2020. Today, children account for more than 14% of all Covid-19 cases. In the U.S. alone, there have been over 3.8 million documented Covid-19 infections in children, more than 3,000 cases of the severe hyperinflammatory syndrome , over 15,000 hospitalizations, and more than 300 deaths.
People argue this indirect benefit is insignificant because children do not play an important role in SARS-CoV-2 transmission. Relative to adults, this may, or may not, be true. It is important to remember, however, studies and simulation models addressing child transmission of Covid-19 were made prior to the introduction of more infectious variants into the U.S.
Once in a while, a colleague or patient will share with me how their child has “thrived” in the remote learning environment. Far more often, I am hearing stories about A students becoming C students, children socially withdrawing, becoming depressed and worse. It is expected that when Covid-19 vaccines receive full FDA approval, vaccination will become mandatory for many college and university students who want to attend in person classes. Whether similar mandates will extend to K-12 schools remains ambiguous.
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