COVID 19 IN CHILDREN; SOME COMMON QUESTION ANSWERED

COVID-19 IN CHILDREN; SOME COMMON QUESTION ANSWERED


During the first wave, only few children are affected but the second wave has affected many more children. Now fear of a third wave affecting maximum children is predicted with a lot of morbidity and few mortality.

❇️ *Why are children more affected in the 2nd wave?* 

🔹 Answer-1: As more adults are affected, treated at home so they are transmitting infection to remaining family members including children.

 *Solution:* If strict home quarantine ( Attached bed room with no one entering the room) is not possible then it is better to move to an isolation center rather than infecting own family members.

🔹 Answer-2: Children are allowed for school, tuition and playing outside thus exposed for infection. 

 *Role of parents:* Till children are vaccinated, avoid exposure particularly children below 2 year.

🔹Answer-3: New variant are more infectious. 

 *Role of parents:* Read my article or watch a video on YouTube on prevention of corona infection and follow strictly.

❇️ *Are symptoms different from last time?* 

🔹 Children are presenting with similar symptoms like fever, cold and / or cough, only they are lasting longer and very few time, slightly more severe.

🔹 Some children are presenting with only fever and weakness.

🔹 Some children are presenting with loose motion, vomiting & abdominal pain.

❇️ *When to consult Dr?* 

It is always advisable to consult Dr on D1 of fever or D2/3 of cough/cold/loose motion or any other symptoms.

❇️ *How to take care of a child at home?* 

🔹 Consult Dr and follow guidelines along with medicine.

🔹 Follow strict home quarantine rules 

▪️ Watch video on YouTube channel "Dr Ashish Agrawal" ( Home quarantine)

▪️ Keep the child with other positive adult family members.

▪️ Only child is positive

# Encourage children to stay alone if possible.

# If not possible then the fittest person with good immunity can stay with all precautions.

❇️ *When to consult Dr again?* 

🔹 Fever after 2 day of treatment.

🔹 Symptoms persist after 5 day of symptoms.

❇️ *When to admit the child?* 

🔹 Let your Dr decide when to admit the child.

🔹 Dangerous sign

▪️ Fever not responding to paracetamol

▪️ Lethargic child ie decrease intake, urine and routine activity

▪️ Irritability even if the child is not having a fever.

▪️ Respiratory rate is increasing or feeling breathless.

▪️ Oxygen level less than 95%

➖ Such children need admission.

❇️ *What investigation shall be done?* 

🔹 Don't do any investigation till Dr advice.

🔹 Don't force your Dr for unnecessary investigation.

🔹 Avoid CT SCAN till Dr advice.

❇️ *Will the 3rd wave be more hazardous to children?* 

🔹 It cannot be predicted.

🔹 All the variants of corona viruses are less hazardous to kids till now.

🔹 We cannot predict for new mutation.

❇️ *Diet of the child*

🔹 Less than 6 month.

▪️ If mother and baby are positive, then continue breastfeeding.

▪️ If the baby is positive and the mother is negative, then continue breastfeeding.

▪️ If mother is positive and baby is negative then  avoid breastfeeding & shift baby to non covid family member for top feeding. Breastfeeding can be restarted after 14 days.

🔹 6 month to 2 year of age

▪️ Follow the same principle for breastfeeding as discussed above.

▪️ Continue weaning food.

🔹More than 2 year

▪️ Normal routine diet.

▪️ If the child is not eating properly then give coconut water or an energy drink.

❇️ *Is the COVID-19 vaccine available to children?* 

🔹 COVID-19 vaccine

 have proved to be safe and effective in children till 12 year of age.

🔹 Canada has approved the use of Pfizer vaccines in this age group. 

🔹 Bharat biotech vaccine is under trial 

❇️ *Shall I continue routine vaccination?* 

Answer is yes.

❇️ *If school reopened, shall I send my kid?* 

🔹 Better to avoid school for children below12 year.

 🔹 If your kid is more than 12 year then you can send kid to school in following conditions... 

▪️ If child is preparing for competitive exam like  NEET or IIT

▪️ If a kid is not comfortable with online education or self study.


 *Dr Ashish Agrawal,* Paediatrician and expert in child behavior, education and developmental problems.

Ph: 8888126037, 8483905330, 7057551985

 Join us ......

 🔹 Facebook : Positive parenting 

 🔹 Youtube : Dr Ashish Agrawal

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