COVID‐19 in children in Brunei Darussalam: Higher incidence but mild manifestations

George, Shaji; Ansari, Mohammad Salahuddin; Kalliath, Anto; Khan, Mohammad Jawaid; Abdullah, Muhammad; Asli, Rosmonaliza; Momin, Riamiza Natalie; Mani, Babu Ivan; Chong, Pui Lin; Chong, Vui Heng

doi:10.1002/jmv.26310

Cited by 3 publications

(3 citation statements)

References 7 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1), which are countries with weak/below average voice and accountability index. As an example, results from a study by George et al (2020) indicate that there are more COVID-19 positive cases in children in Brunei Darussalam in comparison to other existing information. The study found six COVID-19 positive cases in children who were previously not diagnosed with COVID-19 (George et al, 2020).…”

Section: Voice and Accountabilitymentioning

confidence: 89%

“…As an example, results from a study by George et al (2020) indicate that there are more COVID-19 positive cases in children in Brunei Darussalam in comparison to other existing information. The study found six COVID-19 positive cases in children who were previously not diagnosed with COVID-19 (George et al, 2020). Providing assurance through assessment and transparency carried out by each government is considered of the utmost importance in the process of handling COVID-19.…”

Section: Voice and Accountabilitymentioning

confidence: 89%

See 1 more Smart Citation

Measuring global pandemic governance: how countries respond to COVID-19

2022

View full text Add to dashboard Cite

Covid-19 is an unprecedented crisis that faces the majority of governments around the world. The pandemic has resulted in substantial changes to government work cultures, financial management, and the implementation of good governance. The paper has shown how these governments react to the crisis caused by Covid-19. We analyse strategy, policy, and financial management when facing Covid-19 and give a result that will contribute to the development of crisis governance field. In this article, we argue that the most successful action in response to the COVID-19 pandemic in high income, upper-middle income, and lower-middle income countries is guided by the implementation of good governance principles. Data used in this research was obtained from the World Health Organization and the World Bank. The results indicate that countries that have been able to manage the COVID-19 pandemic have good governance indicators, such as voice and accountability, political stability and absence of violence/terrorism, government effectiveness, regulatory quality, rule of law, and control of corruption.

show abstract

Section: Voice and Accountabilitymentioning

confidence: 89%

Section: Voice and Accountabilitymentioning

confidence: 89%

Measuring global pandemic governance: how countries respond to COVID-19

2022

View full text Add to dashboard Cite

show abstract

“…With limited existing data on pediatric COVID-19 infections, it is important to obtain data specifically in the Southeast Asian region with its unique socioeconomic composition. 22 – 24 Differences in COVID-19 infection rates and outcomes are potentially influenced by genetic factors, cultural practices, environmental exposures, or combinations of biological and social factors. 22 , 25 Identifying similarities and differences between local or regional or international patterns and risks factors of pediatric COVID-19 infection is essential to guide clinical management of suspected cases and public health policies such as reopening schools, managing community spread, and optimizing healthcare resources.…”

Section: Introductionmentioning

confidence: 99%

Pediatric COVID-19 Risk Factors in Southeast Asia-Singapore and Malaysia: A Test-Negative Case–Control Study

Wong

Gan

Kaushal

et al. 2022

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

ABSTRACT. There is a scarcity of population-level data of pediatric COVID-19 infection from Southeast Asia. This study aims to describe and compare epidemiological, clinical, laboratory and outcome data among pediatric COVID-19 cases versus controls in two neighboring countries, Singapore and Malaysia. We used a test-negative case–control study design recruiting all suspected COVID-19 cases (defined by either clinical or epidemiological criteria) from January 2020 to March 2021 admitted to two main pediatric centers in Singapore and Malaysia. Data were collected using a standardized registry (Pediatric Acute and Critical Care COVID-19 Registry of Asia). The primary outcome was laboratory-confirmed COVID-19. Univariate and multivariable logistic regression analysis was used to determine factors associated with COVID-19. This study included 923 children with median age of 4 (interquartile range 2–9) years. Of these, 35.3% were COVID-19 cases. Children with COVID-19 were more likely to be asymptomatic compared with controls (49.4 versus 18.6%; P < 0.0001). They were also less likely to develop respiratory complications, such as bronchitis or pneumonia, or organ dysfunction. Four (1.2%) of our COVID-19 patients required respiratory support compared with 14.2% of controls needing respiratory support. COVID-19 cases tended to have lower neutrophil count but higher hemoglobin compared with controls. There were no reported deaths of COVID-19 infection; in contrast, 0.7% of the control group died. In the multivariable analysis, older age, travel history, and close contact with an infected household member were associated with COVID-19 infection. This study shows that the majority of pediatric COVID-19 cases were of lesser severity compared with other community acquired respiratory infections.

show abstract

Clinical characteristics, treatment and outcomes of paediatric COVID-19: a systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

ObjectiveCompare paediatric COVID-19 disease characteristics, management and outcomes according to World Bank country income level and disease severity.DesignSystematic review and meta-analysis.SettingBetween 1 December 2019 and 8 January 2021, 3350 articles were identified. Two reviewers conducted study screening, data abstraction and quality assessment independently and in duplicate. Observational studies describing laboratory-confirmed paediatric (0–19 years old) COVID-19 were considered for inclusion.Main outcomes and measuresThe pooled proportions of clinical findings, treatment and outcomes were compared according to World Bank country income level and reported disease severity.Results129 studies were included from 31 countries comprising 10 251 children of which 57.4% were hospitalised. Mean age was 7.0 years (SD 3.6), and 27.1% had a comorbidity. Fever (63.3%) and cough (33.7%) were common. Of 3670 cases, 44.1% had radiographic abnormalities. The majority of cases recovered (88.9%); however, 96 hospitalised children died. Compared with high-income countries, in low-income and middle-income countries, a lower proportion of cases were admitted to intensive care units (ICUs) (9.9% vs 26.0%) yet pooled proportion of deaths among hospitalised children was higher (relative risk 2.14, 95% CI 1.43 to 3.20). Children with severe disease received antimicrobials, inotropes and anti-inflammatory agents more frequently than those with non-severe disease. Subgroup analyses showed that a higher proportion of children with multisystem inflammatory syndrome (MIS-C) were admitted to ICU (47.1% vs 22.9%) and a higher proportion of hospitalised children with MIS-C died (4.8% vs 3.6%) compared with the overall sample.ConclusionPaediatric COVID-19 has a favourable prognosis. Further severe disease characterisation in children is needed globally.

show abstract

COVID‐19 in children in Brunei Darussalam: Higher incidence but mild manifestations

Cited by 3 publications

References 7 publications

Measuring global pandemic governance: how countries respond to COVID-19

Measuring global pandemic governance: how countries respond to COVID-19

Pediatric COVID-19 Risk Factors in Southeast Asia-Singapore and Malaysia: A Test-Negative Case–Control Study

Clinical characteristics, treatment and outcomes of paediatric COVID-19: a systematic review and meta-analysis

Contact Info

Product

Resources

About