“Adults must limit social involvement to reduce their children’s Covid-19 risk.”

How Pandemic Mental and physical health of the affected child? What do you need to do to reduce its long-term impact?

Pandemics can have serious implications for a child’s mental and physical health. They have been trapped in their homes for over a year. In addition, family illness and loss of parents’ wages increase stress. Children may express psychological distress and sadness by taking different actions. Some may be silent while others may express anger and hyperactivity.

Caregivers need to be patient with their children and understand their emotions. Look for signs of stress in your child, such as excessive anxiety and sadness, unhealthy eating and sleeping habits, and poor attention and concentration. Families also need to help their children cope with stress and relieve anxiety.

Do you think future waves could have a more serious impact on children?How does the country need to prepare for future waves? COVID-19 Regarding providing quality care to pediatric patients?

As you know, Covid-19 is a new virus that can mutate. It is speculated whether future waves will affect children more or become more serious. There is no approved vaccine for children at this time, but people speculate that future waves could have more impact on children as most adults will be vaccinated within the next few months. ..

We don’t know how the virus will behave in the future and affect children, but we need to protect them from transmission. Adults in the home should follow Covid-appropriate behavior, limit social involvement, carry the infection, and reduce the likelihood of infection, as it can infect others. Moreover, all adults should be vaccinated, which will also greatly protect children.

The vaccine is also available for pregnant women and lactating mothers. This provides some protection for the growing foetation and newborn from deadly infections.

How did the second wave of Covid-19 affect children?

The second wave affected children equally. Covid-19 is a new virus that affects all age groups due to lack of innate immunity. According to the NCDC / IDSP dashboard, approximately 12% of infected Covids were provided by patients under the age of 20.

Recent studies have shown similar seropositives in children and adults. However, because of the large number of people affected during the second wave, the number of infected children was also higher than in the first wave. So far, child mortality is lower than in adults and is usually found in children with comorbidities.

What were the challenges faced in treating pediatric patients, especially those requiring hospitalization?

In general, we were able to manage our children well by increasing the number of private beds for children infected with Covid. However, at the peak of the second wave, many senior doctors, residents and staff nurses became positive and faced some challenges. We also faced the challenge of dealing with all referrals during the peak of the second wave.

What is MIS-C? Please elaborate on the condition, the challenges you face during the treatment of your MIS-C case, and if you think your parents need to be aware of it.

Multisystem Inflammatory Syndrome (MIS) is a new syndrome found in children and adolescents (0-19 years). Most patients report it 2-6 weeks after the peak of Covid-19 infection in the affected population.

Three types of clinical course are described: persistent fever with elevated inflammatory parameters, classic Kawasaki disease such as symptoms and shock, and LV dysfunction with inotropic requirements. Advanced research is required to establish a diagnosis of MIS-C. All suspicious cases should be referred and managed in a tertiary care hospital with HDU / ICU facilities. All these cases can be treated if identified early.

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