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How Does Long Covid Manifest In Infants And Young Children?
How Does Long Covid Manifest In Infants And Young Children?

Forbes

time2 hours ago

  • General
  • Forbes

How Does Long Covid Manifest In Infants And Young Children?

Washington DC, USA- September 19: Protestors lay down outside the White House to call attention to ... More those suffering from Myalgic Encephalomyelitis and âlong Covid❠on September 19th, 2022 in Washington, DC. (Photo by Nathan Posner/Anadolu Agency via Getty Images) Long Covid symptoms are completely different in infants and toddlers, a recent JAMA Pediatrics study found. While infants and toddlers between the ages of 0 to 2 years are more likely to experience a stuffy nose, cough, poor appetite, fussiness, and sleep problems, children between the ages of 3 to 5 years mainly complain of sleepiness, feeling tired during daytime, low energy and dry cough. The study included 472 infants and toddlers, out of which 278 tested positive for Covid-19 and another 539 preschool-aged children. In this age group, 399 had been infected with the coronavirus. 'Studying long Covid in early childhood presents unique challenges due to rapid developmental changes and limited verbal communication, requiring caregivers to observe, identify, and interpret symptoms,' the researchers wrote in the study. 'These challenges have limited the understanding of symptom profiles in young children. Most long Covid studies that involve young children, including controlled studies, either do not report age-specific subgroup analyses or young children are not well represented.' 'Other Covid-19 studies have focused on SARS-CoV-2 exposure during pregnancy and offspring outcomes, with mixed findings related to birth defects, prematurity, and delayed developmental milestones. However, incomplete knowledge of prolonged symptoms experienced after a young child's own SARS-CoV-2 infection hinders prevention and treatment of LC in infants, toddlers, and preschool-aged children. This is a substantial gap, given that early childhood is a critical period in setting lifelong health trajectories,' they added. The researchers observed that 114 of the 278 infants/toddlers with a history of a Covid-19 infection and 49 of 194 infants or toddlers who did not get infected had at least one prolonged symptom. Whereas 45% of children who had Covid-19 and 37% who did not test positive reported at least one prolonged symptom. Among children, the most common symptom was dry cough (74%), followed by tiredness and daytime sleepiness (33%). "The findings that infants/toddlers and preschool-aged children have varied symptoms may be explained by the fact that symptoms in younger children are reported based on what caregivers can observe rather than what the children themselves are feeling and describing because most children in this age group do not yet have the language, social skills, or understanding of symptoms to share what they are experiencing," the researchers explained. "For example, fears and feelings of pain, brain fog, headache, tiredness, or changes in taste and smell may be hard to identify if the child cannot verbalize their internal feelings or sensations, whereas a symptom such as a cough is easily observed," they added. "A further complication is that the identified symptoms may occur commonly in young children because of their naive immune systems. Daytime sleepiness, trouble sleeping, cough, stuffy nose, and poor appetite can occur in many acute and chronic early childhood illnesses." A 2021 study published in Frontiers in Pediatrics compared the long Covid symptoms of children of all age groups including newborn infants to 18-year-olds, and observed that persistent post-viral symptoms were significantly more common after a Covid-19 infection. The most common symptoms were fatigue, irritability and mood changes, headaches, runny nose, cough, and loss of smell and taste.

Long Covid campaigner co-authors ground-breaking international study
Long Covid campaigner co-authors ground-breaking international study

Yahoo

time4 days ago

  • Health
  • Yahoo

Long Covid campaigner co-authors ground-breaking international study

A LONG Covid campaigner has co-authored a new study highlighting the seriousness of the condition. Sammie McFarland, from Weymouth, said she was 'honoured' to contribute to a landmark international study which confirms the condition is debilitating, and the global response must be drastically scaled up. The Delphi study, involving more than 150 experts across medicine, research, and patient advocacy, represents a first-of-its-kind consensus on the priorities, gaps, and urgent needs surrounding Long Covid. It comes after the news that Covid services throughout England - including Dorset - are being scrapped. Mrs McFarland, has been at the forefront of campaigning to raise awareness of the condition, that she and her daughter live with, and set up the Long Covid Kids charity to support children living with the condition. She said: "As a Dorset resident and founder of Long Covid Kids, I was honoured to contribute to this newly published international consensus on Long Covid. "Bringing together perspectives from over 150 experts across 28 countries including clinicians, researchers, and people with lived experience. "This study represents a significant step forward in how we understand and respond to this complex condition. READ: Dorset Long Covid campaigner backs NHS doctors plan to sue "Long Covid affects hundreds of millions of people around the world, including many children and young people. Yet too often, it remains under-recognised and under-resourced. "Through this work, we reached consensus on nearly 190 recommendations to guide better diagnosis, treatment, research, and support." Mrs McFarland is a vocal advocate of children suffering with the debilitating condition and through her charity has sought to improve the support network for children and their families. She said that new study concluded that the impact of Covid-19 on children 'must be a research priority' from understanding the long-term health effects to supporting learning, development, and mental wellbeing. READ: Weymouth woman's fight against long Covid amid inquiry She added: "This consensus is more than a scientific document. It's a foundation for action to improve care, guide policy, and provide the clarity that so many families have been waiting for. "Here in Dorset and across the UK, children and families affected by Long Covid deserve to be seen, heard, and supported - as with any significant childhood disease.' The study identified ten critical areas requiring immediate action. This includes educating frontline providers to recognize Long COVID as a complex, multi-system condition involving neurological, immune, and organ dysfunction READ: Weymouth mother develops resource for kids with long Covid It also says that a universal definition for the condition should be created and that the condition should not just be recognised as 'tiredness' but includes serious complications such as immune dysregulation, neurological injury, and organ damage. The study also concludes that Long Covid is an invisible disability and that current diagnostics fall short due to lab limitations, with advanced diagnostics needed as it is not one disease, but a cluster of overlapping conditions. Experts also emphasized the need for long-term studies on how SARS-CoV-2 affects developing immune systems, brains, and hormonal balance as children are as much at risk to the condition. READ: Weymouth Long Covid campaigner hits out at clinic closures Clean indoor air and reducing airborne transmission of the virus through improved ventilation and air purification - particularly in schools and workplaces - is also essential for public health infrastructure, it concludes. Finally experts came to the consensus that Long Covid requires coordinated international funding and that it is not just a medical issue but a socioeconomic one and warns that continued inaction is a policy failure with long-term consequences.

The C.D.C. Now Says Healthy Kids Don't Need Covid Shots. Is That True?
The C.D.C. Now Says Healthy Kids Don't Need Covid Shots. Is That True?

New York Times

time4 days ago

  • Health
  • New York Times

The C.D.C. Now Says Healthy Kids Don't Need Covid Shots. Is That True?

The Centers for Disease Control and Prevention will no longer advise that healthy children receive routine Covid shots, a significant departure from its previous approach of suggesting annual shots for everyone age 6 months and older. Health Secretary Robert F. Kennedy Jr. announced the change on X on Tuesday, citing a lack of data to support shots for healthy children. The move echoes Mr. Kennedy's longstanding skepticism about the need to vaccinate children against the virus, and comes less than a week after the Food and Drug Administration said it may require additional testing before allowing Covid shots to be used for younger, healthy Americans. Mr. Kennedy, who as health secretary oversees both the C.D.C. and the F.D.A., has repeatedly said that children are at almost no risk from Covid. It's true that for many children, a case of Covid will be inconsequential. They might have a runny nose, a cough or other mild symptoms, if any at all, and bounce back within a few days. But some children do become seriously ill and, in rare cases, die from their infections. And data shows that over one million U.S. children have developed long Covid. That discrepancy is at the root of a continuing debate among medical researchers about just how much of a risk Covid poses to children, and whether they should receive annual vaccines against it. Many agree that the original course of vaccination offered significant protection against serious illness in children. Data from the Centers for Disease Control and Prevention shows that two or more doses of Covid vaccines were 40 percent effective at preventing emergency room visits and hospitalizations among children under the age of 5. The agency has for years recommended Covid vaccines for everyone 6 months or older, and the American Academy of Pediatrics also recommends vaccinating children and adolescents. But the question of whether children need annual vaccines to protect against the latest circulating variants is more contentious. Children might not benefit as much as adults would from a yearly shot because their immune systems can remember vaccinations for much longer, said Dr. Michael Mina, a former professor of epidemiology at the Harvard T.H. Chan School of Public Health who has extensively studied Covid. Another argument against annual shots is that most children in the United States now have some degree of protection from previous infections or vaccinations. Those in favor of annual vaccines for children stress that protection from vaccines or infections wanes over time, especially as new variants emerge, and so they can benefit from another dose. And emerging evidence shows that vaccination may protect against long Covid — although that is far from settled science. 'We know that Covid's still out there — we can prevent it, and the vaccine has got no appreciable side effects,' said Dr. Chris Forrest, a professor of pediatrics at Children's Hospital of Philadelphia. 'So I think it's a totally positive value proposition.' This added protection may be especially important for children with underlying conditions, and for those who live with relatives who are older or at high risk of severe illness. 'The more comorbid illnesses the child has, the quicker I would be in general to consider Covid vaccination,' said Dr. Aaron Glatt, the chair of the department of medicine at Mount Sinai South Nassau in Oceanside, N.Y. 'And the reverse would be true. A perfectly healthy 3-year old, he doesn't have any medical problems, he's had Covid once or twice — I'm not sure that there's any scientific data to support vaccination.' But, he added, 'it doesn't mean that it would be wrong or dangerous to give it.' Ultimately, doctors said, the question comes down to how families make sense of the risk to their children. Here's what the data shows. How mild is Covid usually for children? It is difficult to get good data on what share of pediatric cases are mild, but doctors say most children develop few symptoms. Some of the best information on children we have is from 2020, before children had built up widespread immunity from vaccination or infections. A review of studies from that year found that around 4 percent of children with Covid worldwide developed severe symptoms, which can include difficulty breathing, high fever and chest pain. How likely is it that children will be hospitalized with or die from Covid? Children who have Covid are generally at a low risk for hospitalization. About 234,000 children in the United States were hospitalized with infections between September 2020 and April 2024. Though the virus has led to milder disease over time, children and teenagers still accounted for about 4 percent of hospitalizations related to Covid between October 2024 and March 2025. The risk is higher for babies younger than 6 months. From October 2022 to April 2024, young infants were more likely to be hospitalized than any other age group apart from adults 75 and older. Pediatric Covid deaths are very rare. Provisional data from the C.D.C. shows over 1800 children in the United States have died from Covid. Unicef has said that more than 17,400 children and adolescents under 20 years old around the globe have died from Covid. Are only children with underlying health conditions falling seriously ill? In an April appearance on Fox News, Mr. Kennedy said that some children with 'very profound morbidities may have a slight risk' from Covid, but that 'most kids don't.' But C.D.C. data from July 2023 to March 2024 found that half of children who were hospitalized because of Covid had no underlying medical conditions. It is true that underlying health conditions like obesity, diabetes, heart disease and chronic lung diseases raise the risk of hospitalization. Children with these and other conditions will still be able to be vaccinated. But the increase in risk isn't small. Research has shown that young people with at least one underlying condition are 28 percent more likely than those with no underlying conditions to end up in critical care with Covid, and are 125 percent more likely to die from it. The more underlying conditions a child has, the greater the risk. On a recent episode of 'Dr. Phil Primetime,' Mr. Kennedy claimed that people who died from Covid 'were so sick that they were basically hanging from a cliff, and Covid came along and stamped on their fingers and dropped them off.' Doctors noted that just because children had underlying conditions did not mean they were in extremely poor health before they were infected. 'That's totally a not correct assessment, that it was only children who otherwise were going to die, and it just took them out,' said Dr. Sarah Long, a professor of pediatrics at Drexel University College of Medicine who has advised the C.D.C. and F.D.A. And despite Mr. Kennedy's claim during an event last year that there isn't 'a single healthy kid who died from Covid,' even children without pre-existing health issues have become seriously sick or, in rare cases, have died. A review of data on 183 pediatric Covid deaths from 2020 to 2022 found that 32 percent of children who died did not have another medical condition. Does vaccinating pregnant women protect infants? Mr. Kennedy also announced on Tuesday that the C.D.C. will no longer recommend healthy pregnant women be vaccinated against Covid. Pregnant women are at a far higher risk of severe disease from Covid. Vaccinating pregnant women also reduces the risk that their infants will be hospitalized from Covid. Babies under six months are at higher risk of hospitalization from Covid, in part because their immune systems are so fragile, and they are not able to be vaccinated. What about the risk of myocarditis? Mr. Kennedy has claimed that Covid vaccines have 'huge associations' with types of heart inflammation, called myocarditis or pericarditis. The shots have been linked to this issue in rare cases, particularly among adolescent boys. Most instances of myocarditis associated with vaccines have been mild. One analysis of nearly four million people who received booster shots found 28 instances of probable or confirmed myocarditis, all of which resolved quickly. Covid-19 vaccinescarry note the minor risk of heart inflammation to young men on their warning labels. Last month, the F.D.A. told Pfizer and Moderna to broaden that warning to include boys between the ages 16 and 25, citing data that showed about 38 cases of heart inflammation per million doses among this age group. Research has consistently shown that the virus itself is far more likely to cause this inflammation. One review found that the risk of myocarditis after infection was more than seven times greater than the risk after vaccination. What's the risk of long Covid? Estimates of long Covid among children vary widely. But even at the lower end, studies show that around 1 percent of children in the United States, or roughly one million children, have ever had long Covid, broadly defined as symptoms that persist or emerge at least three months after an infection. These include many children who had mild or asymptomatic infections. The condition commonly causes children to experience fatigue, dizziness, shortness of breath and trouble concentrating and sleeping. 'We see kids that are having huge impacts on their everyday activities — they can no longer go to school because they're having such profound fatigue or other symptoms,' said Dr. Laura Malone, the director of the Pediatric Post-Covid-19 Rehabilitation Clinic at the Kennedy Krieger Institute. 'These kids are not able to play sports or go to their school dances,' she added.

RFK Jr.'s shocking revelation amid fresh COVID surge: 'My son battling long COVID'
RFK Jr.'s shocking revelation amid fresh COVID surge: 'My son battling long COVID'

Time of India

time5 days ago

  • Health
  • Time of India

RFK Jr.'s shocking revelation amid fresh COVID surge: 'My son battling long COVID'

Democrats in the U.S. Senate slammed Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. for cutting biomedical research and public health programs at the committee hearing. Chairman Cassidy sought assurances that NIH would continue to study Long Covid. Kennedy responded that his own son is struggling with Long Covid and said: 'The [Long] Covid office was cut by an executive order from the White House. But … everybody at NIH and CDC is committed to these kinds of studies, and I can tell you personally, I will make sure that they happen.' Show more Show less

'NIH research led to the Pandemic': RFK Jr. stuns Senate Comm over Covid surge
'NIH research led to the Pandemic': RFK Jr. stuns Senate Comm over Covid surge

Time of India

time22-05-2025

  • Health
  • Time of India

'NIH research led to the Pandemic': RFK Jr. stuns Senate Comm over Covid surge

Democrats in the U.S. Senate slammed Department of Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. for cutting biomedical research and public health programs at the committee hearing. Chairman Cassidy sought assurances that NIH would continue to study Long Covid. Kennedy responded that his own son is struggling with Long Covid and said: 'The [Long] Covid office was cut by an executive order from the White House. But … everybody at NIH and CDC is committed to these kinds of studies, and I can tell you personally, I will make sure that they happen.' Show more Show less

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