Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities — Salt Lake City, Utah, April–July 2020

Lopez, Adriana; Hill, Mary; Antezano, Jessica; Vilven, Dede; Rutner, Tyler; Bogdanow, Linda; Claflin, Carlene; Kracalik, Ian; Fields, Victoria; Dunn, Angela; Tate, Jacqueline E.; Kirking, Hannah L.; Kiphibane, Tair; Risk, Ilene; Tran, Cuc H.

doi:10.15585/mmwr.mm6937e3

Cited by 143 publications

(143 citation statements)

References 8 publications

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“…Recent evidence that monthly COVID-19 incidence increased approximately threefold among persons aged 0-19 years since May and was highest § § § https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/ indicators.html. among young adults aged 20-29 years during July, suggests that young persons might be playing an increasingly important role in community transmission (5,6). The percentage of positive test results in school-aged children also varied within and across HHS regions.…”

Section: Discussionmentioning

confidence: 99%

“…These findings can provide a baseline for monitoring national trends. Monitoring at the local-level could inform decision-makers about which mitigation strategies are most effective in preventing the spread of COVID-19 in schools and communities (6,9). CDC's considerations for schools outline important mitigation strategies for safer reopening for in-person learning.…”

Section: Discussionmentioning

confidence: 99%

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COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020

Leeb¹,

Price²,

Sliwa³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

174

135

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On September 28, 2020, this report was posted as an MMWR Early Release on the MMWR website (https://www.cdc.gov/mmwr). Approximately 56 million school-aged children (aged 5-17 years) resumed education in the United States in fall 2020.* Analysis of demographic characteristics, underlying conditions, clinical outcomes, and trends in weekly coronavirus disease 2019 (COVID-19) incidence during March 1-September 19, 2020 among 277,285 laboratory-confirmed cases in school-aged children in the United States might inform decisions about in-person learning and the timing and scaling of community mitigation measures. During May-September 2020, average weekly incidence (cases per 100,000 children) among adolescents aged 12-17 years (37.4) was approximately twice that of children aged 5-11 years (19.0). In addition, among school-aged children, COVID-19 indicators peaked during July 2020: weekly percentage of positive SARS-CoV-2 test results increased from 10% on May 31 to 14% on July 5; SARS-CoV-2 test volume increased from 100,081 tests on May 31 to 322,227 on July 12, and COVID-19 incidence increased from 13.8 per 100,000 on May 31 to 37.9 on July 19. During July and August, test volume and incidence decreased then plateaued; incidence decreased further during early September and might be increasing. Percentage of positive test results decreased during August and plateaued during September. Underlying conditions were more common among school-aged children with severe outcomes related to COVID-19: among school-aged children who were hospitalized, admitted to an intensive care unit (ICU), or who died, 16%, 27%, and 28%, respectively, had at least one underlying medical condition. Schools and communities can implement multiple, concurrent mitigation strategies and tailor communications to promote mitigation strategies to prevent COVID-19 spread. These results can provide a baseline for monitoring trends and evaluating mitigation strategies. School-aged children were stratified by age into two groups: children aged 5-11 years and adolescents aged 12-17 years. Confirmed COVID-19 cases were identified from individuallevel case reports submitted by state health departments for the weeks beginning March 1-September 13, 2020. † Confirmed cases had a positive real-time reverse transcription-polymerase chain reaction (RT-PCR) test result for SARS-CoV-2, the virus * https://nces.ed.gov/fastfacts/display.asp?id=372.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020

Leeb¹,

Price²,

Sliwa³

et al. 2020

MMWR Morb. Mortal. Wkly. Rep.

174

135

View full text Add to dashboard Cite

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“…Specifically, in children who form just 2% of infected patients worldwide [16] their role in transmission of the disease remains controversial, with conflicting evidence as to whether or not they contribute significantly [17][18][19][20][21]. In our study, only one of the children coming in for a procedure was classified as high risk, and was still eventually found to be negative.…”

Section: Discussionmentioning

confidence: 84%

Early experience with universal preoperative and pre-procedural screening for COVID-19 in low-risk pediatric surgical patients requiring general anesthesia

2020

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Purpose The COVID-19 pandemic has placed extraordinary demands on healthcare services worldwide. Some have reported increased viral transmission to healthcare workers during aerosol-generating procedures such as intubation. We report our experience with universal preoperative and preprocedural screening for COVID-19 in children requiring general anaesthesia with low risk of having the infection. Methods This was a data review involving children aged < 18 years undergoing procedures under general anaesthesia in our institution from 18th March to 31st May 2020 and deemed low risk for COVID 19 infection, as defined by our institutional protocol. Confirmation of COVID-19 was by real time reverse-transcription polymerase chain reaction with confirmation by nucleic acid sequencing. All patients were followed up 14 days post-swab. Results Of the 66 children (median age 4.5 years, range 0-16.8) eligible for the study, 39 (60%) were male and infants (1-12 months) formed the largest group (n = 24, 36%). None were positive for COVID-19. On 14 day follow-up, none had symptoms related to COVID-19. Conclusion Our study shows that low risk asymptomatic children with no history of contact with COVID-19 patients test negative on universal screening. Larger studies are required to ascertain the role of screening prior to procedures done under general anaesthesia.

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“…[29][30][31][32][33][34] However, in areas with widespread community transmission or less strict mitigation procedures, large outbreaks have occurred. [35][36][37][38] Consistently, these outbreaks reveal that infected adults are typically responsible for introducing virus into these settings, questionable testing strategies enable outbreak initiation, and inconsistent use of masks or cloth facial coverings makes containment of the virus challenging.…”

mentioning

confidence: 99%

COVID-19 in Children: Looking Forward, Not Back

Lee

Raszka

2021

Pediatrics

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This is a prepublication version of an article that has undergone peer review and been accepted for publication but is not the final version of record. This paper may be cited using the DOI and date of access. This paper may contain information that has errors in facts, figures, and statements, and will be corrected in the final published version. The journal is providing an early version of this article to expedite access to this information. The American Academy of Pediatrics, the editors, and authors are not responsible for inaccurate information and data described in this version.

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Transmission Dynamics of COVID-19 Outbreaks Associated with Child Care Facilities — Salt Lake City, Utah, April–July 2020

Cited by 143 publications

References 8 publications

COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020

COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020

Early experience with universal preoperative and pre-procedural screening for COVID-19 in low-risk pediatric surgical patients requiring general anesthesia

COVID-19 in Children: Looking Forward, Not Back

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