Article ; Online: Role of children in the transmission of the COVID-19 pandemic: a rapid scoping review.
BMJ paediatrics open
2020 Volume 4, Issue 1, Page(s) e000722
Abstract: Background: As a response to the COVID-19 pandemic, most countries have adopted measures of social distance, with the childhood population being one of the main focus of attention in these measures.: Methods: A rapid scoping review was carried out by ...
Abstract | Background: As a response to the COVID-19 pandemic, most countries have adopted measures of social distance, with the childhood population being one of the main focus of attention in these measures. Methods: A rapid scoping review was carried out by searching PubMed to know if children are more contagious than adults, and the proportion of asymptomatic cases in children. Google Scholar and MedRxiv/bioRxiv were also searched. The time period was restricted from 1 December 2019 until 28 May 2020. Only studies published in English, Italian, French or Spanish were included. Results: Fourteen out of 1099 identified articles were finally included. Studies included cases from China (n=9 to 2143), China and Taiwan (n=536), Korea (n=1), Vietnam (n=1), Australia (n=9), Geneva (n=40), the Netherlands (n=116), Ireland (n=3) and Spain (population-based study of IgG, n=8243). Although no complete data were available, between 15% and 55%-60% were asymptomatic, and 75%-100% of cases were from family transmission. Studies analysing school transmission showed children as not a driver of transmission. Prevalence of COVID-19 IgG antibody in children <15 years was lower than the general population in the Spanish study. Conclusions: Children are not transmitters to a greater extent than adults. There is a need to improve the validity of epidemiological surveillance to solve current uncertainties, and to take into account social determinants and child health inequalities during and after the current pandemic. |
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Keywords | covid19 |
Language | English |
Publishing date | 2020-06-21 |
Publishing country | England |
Document type | Journal Article ; Review |
ISSN | 2399-9772 |
ISSN (online) | 2399-9772 |
DOI | 10.1136/bmjpo-2020-000722 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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