世界不能再说儿童不是COVID-19的面孔。2021年发现、应对多指标类集调查和关爱儿童的紧迫性

Kishanrao Suresh
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引用次数: 0

摘要

自2019年12月以来,2019冠状病毒病大流行在全球范围内造成了灾难性影响,截至2021年7月底,影响220个国家,超过1.97亿例病例和420万人死亡,造成了巨大的经济损失,政治指责游戏和疫苗外交以及许多社会保障措施。这场大流行病还暴露了世界各地公共卫生能力的局限性。到目前为止,我们知道所有年龄段的儿童都可能受到影响。即使在国家以下各级,也不容易获得受影响儿童人数或其在感染或死亡总数中所占比例的确切数据,这一事实表明,他们并不是大流行病的面孔。在最初的几个月里,这种疾病的症状和体征在儿童中非常轻微,直到2020年5月,英国/美国首次报告了几例称为多系统炎症综合征的儿童重症病例。在世界各地的儿童中,从Covid - 19恢复后很少报告毛霉病(真菌感染)病例。截至目前,现有数据表明,18岁以下儿童约占报告病例的8.5%,有症状的儿童较少,通常病情轻微,与其他年龄组相比,死亡人数可以忽略不计。目前,多指标类集的并发症和缺乏疫苗是保护儿童生命的两大障碍。间接影响包括:因与covid -19相关的数百万父母死亡而导致的孤儿院、因父母失业或低工资而导致的收入减少而导致的贫困、因学校关闭而导致的教育中断、因营养计划中断而导致的贫困国家营养不良现象增加、因缺乏同伴互动而导致的儿童心理健康问题以及在线学习的紧张局势。在对现有数据进行了大约一年半的分析后发现,2019冠状病毒病大流行以三种方式影响着世界儿童:病毒感染及其并发症,如MICS和毛霉菌病2。2 .该病毒的社会经济影响以及国家和省政府为抑制传播和控制大流行而采取的相关公共卫生措施;该病毒及其应对措施对实现经济复苏的长期努力、实现可持续发展目标的努力以及确保各国政府所承诺的实现所有儿童权利的努力构成的风险。本文作者与联合国儿童基金会印度办事处合作超过17年,试图查看现有数据,并评估covid - 19大流行对儿童的短期和长期影响。材料与方法:作者回顾了Covid - 19大流行的世界仪表板,期刊新闻和电视媒体报道,病例年龄和性别分布的次国家数据,关于Covid - 19病例和死亡及其并发症的小型研究,以及有关儿童相关可持续发展目标问题的各发展伙伴的报告。世界不能再说儿童不是COVID-19的面对者:2021年发现、应对多指标类集调查和关爱儿童的紧迫性
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The World Cannot say anymore that Children are not the face of COVID-19 The Urgency to Detect, Respond to MICS, and Care for children in 2021
Covid 19 pandemic has been showing disastrous effects across the world, since December 2019, affecting 220 countries, over 197 million cases and 4.2 million deaths by end July 2021, and huge economic loss, Political blame games and vaccine diplomacy and many social security measures. The pandemic also has exposed the limitation of Public Health capacities across the world. By now we know that Children of all ages can be affected. The fact that exact data of number of children affected or their proportion of the total infections or deaths, is not readily available even at subnational levels, indicates that they have not been the face of the Pandemic. In the initial months the symptoms and signs of the disease were very mild in children, until in May 2020, when a few cases of critical illness called Multisystem infl ammatory syndrome in children were fi rst reported in UK/USA. Very few cases of mucor mycosis a fungal infection after recovering from Covid 19 are also being reported among children across the world. As of now available data indicates that children under the age of 18 years represent about 8.5% of reported cases and the symptomatic children are fewer and usually mild, and deaths were negligible compared to other age groups. The complications of MICS and lack of vaccine are the two major hurdles in protecting the lives of the children as of now. The indirect impact is the Orphanhood due the death of millions of COVID-19-associated deaths of the parents, poverty due to diminished earning by the parents losing jobs or working for low wages, interruption in education due to closure of schools, increase in malnutrition in poor countries due to disruption of nutrition programs and mental health of the children for want of peer interactions and the tensions of online learning. After about one and half year analysis of the available data indicates that the Covid 19 Pandemic affects the world’s children in three ways through: 1. infection with the virus and its complications like MICS and Mucor mycosis 2. the socioeconomic effects of the virus and related public health measures to suppress transmission and control the pandemic by the national and provincial Governments and 3. the risk that the virus and its response poses to the longer-term efforts to achieve the economic revival, efforts for Sustainable Development Goals (SDGs) and ensuring the realization of the rights of all children as committed by the national governments. Working with UNICEF India, for over 17 years, the author in this article tries to look at the data available and assess the impact of covid 19 pandemic on the children in short and long terms. Materials & methods: The author has reviewed the Covid 19 pandemic world dash boards, Periodical press and TV media reports, sub-national data of age and sex distribution of cases, small studies on the cases and deaths of Covid 19and it’s complications and reports on the various development partners on the issue of child related SDGs. Review Article The World Cannot say anymore that Children are not the face of COVID-19 The Urgency to Detect, Respond to MICS, and Care for children in 2021
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