CDC researchers report that the majority of American children and teenagers who died of COVID-19 have underlying illness or are not white.
From February 12 to July 31, 121 deaths were reported to the CDC in patients under the age of 21, 75% of whom had underlying illnesses such as asthma, obesity, neurodevelopmental status, and cardiac status. Healthy, reported by Danae Bixler, MD, and colleagues at the Atlanta CDC.
Almost half had two or more underlying conditions, researchers said early on Weekly morbidity and mortality reports Edition.
Also, 45% of fatal cases were Hispanic, 29% were non-Hispanic blacks, and 4% were non-Hispanic Native American Indians / Alaskans.
Most deaths were in pediatric patients aged 10-20 years, with a median age of 16 years (IQR 7-19). However, 10% were infants and 20% were children 1-9.
Virtually all childhood deaths met the COVID-19 case definition, 12% met the multiple inflammatory syndrome (MIS-C) case definition in children, and 12% met both case definitions. ..
Case-based surveillance showed 391,814 confirmed or possible cases of COVID-19 or MIS-C in people under the age of 21 in the United States-about 8% of all cases as of the end of the month. The Bixler group confirms that the findings of just over 100 deaths are generally far less severe than the elderly.
However, they suggested that racial and ethnic disparities were a concern.
Researchers say Hispanics, blacks, and Native Americans make up 41% of the U.S. population under the age of 21, but about 75% of childhood COVID-19 deaths. It was.
“These racial / ethnic groups are also biased towards essential workers who are unable to work from home, resulting in an increased risk of exposure to SARS-CoV-2,” Bixler said. They are writing.
They added that disparities in social determinants of health can contribute to “racial and ethnic disparities and the incidence and consequences of COVID-19 and MIS-C.” “Ultimately, healthcare departments, healthcare providers, and community partners can be mobilized to remove systemic barriers that cause health inequalities.”
Deaths associated with SARS-CoV-2 and MIS-C were so classified by the local government. We asked all 50 states and New York City, District of Columbia, Puerto Rico, Guam, and the US Virgin Islands to submit information. Of these 55 jurisdictions, 47 responded and 27 reported 121 deaths that met the selection criteria.
Of the young people who died, 63% were men and 45% had two or more underlying illnesses. Asthma (28%) and obesity (27%) are the most commonly reported medical conditions, followed by neurological and developmental conditions (22%) and cardiovascular conditions (18%).
Two-thirds of deaths occurred after hospitalization. Of the patients who died on admission, the median time from symptom to admission was 3 days, and the median time from admission to death was 8 days.
Of the remaining deaths, 55% were seriously ill and died in the emergency department and 38% died at home. Adolescents and young adults (37%) and infants (33%) had the highest rates of out-of-hospital mortality.
Last updated: September 15, 2020
The authors did not reveal a conflict of interest.
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