In interviews, hospital leaders and critical care doctors said that nearly all the children hospitalized with Covid had one thing in common: They were unvaccinated or undervaccinated. Brooke Heidenga, Joelle Nadle, Susan Brooks, Alison Ryan, California Emerging Infections Program; Tessa Carter, Paula Clogher, Maria Correa, Daewi Kim, Carol Lyons, Amber Maslar, Adam Misiorski, Connecticut Emerging Infections Program, Yale School of Public Health; Jeremiah Williams, Siyeh Gretzinger, Jana Manning, Asmith Joseph, Allison Roebling, Chandler Surell, Stephanie Lehman, Taylor Eisenstein, Gracie Chambers, Grayson Kallas, Annabel Patterson, Georgia Emerging Infections Program, Georgia Department of Health; Foundation for Atlanta Veterans Education and Research, Atlanta Veterans Affairs Medical Center; Maya L. Monroe, Patricia A. Ryan, Alicia Brooks, Elisabeth Vaeth, Cindy Zerrlaut, David Blythe, Maryland Department of Health; Rachel Park, Michelle Wilson, Maryland Emerging Infections Program The Johns Hopkins Bloomberg School of Public Health; Jim Collins, Shannon Johnson, Justin Henderson, Libby Reeg, Alexander Kohrman, Val Tellez Nunez, Sierra Peguies-Khan, Chloe Brown, Michigan Department of Health and Human Services; Austin Bell, Kayla Bilski, Emma Contestabile, Claire Henrichsen, Amanda Gordon, Cynthia Kenyon, Melissa McMahon, Katherine Schleiss, Samantha Siebman, Emily Holodnick, Lisa Nguyen, Kristen Ehresmann, Minnesota Department of Health; Emily B. Hancock, Yadira Salazar-Sanchez, Nancy Eisenberg, Melissa Christian, Mayvilynne Poblete, Wickliffe Omondi, New Mexico Emerging Infections Program; Suzanne McGuire, Katarina Manzi, Grant Barney, New York State Department of Health; Virginia Cafferky, Christine Long, RaeAnne Kurtz, Maria Gaitan, University of Rochester School of Medicine and Dentistry; Nicholas Fisher, Krista Lung, Maya Sculllin, Ohio Department of Health; Ama Owusu-Dommey, Breanna McArdle, Emily Youngers, Sam Hawkins, Public Health Division, Oregon Health Authority; Kylie Seeley, Oregon Health & Science University School of Medicine; Katie Dyer, Karen Leib, Terri McMinn, Danielle Ndi, John Ujwok, Gail Hughett, Emmanuel Sackey, Kathy Billings, Anise Elie, Manideepthi Pemmaraju, Vanderbilt University Medical Center; Amanda Carter, Andrea Price, Andrew Haraghey, Ashley Swain, Caitlin Shaw, Ian Buchta, Jake Ortega, Laine McCullough, Ryan Chatelain, Tyler Riedesel, Salt Lake County Health Department; Alvin Shultz, Robert W. Pinner, Rainy Henry, Sonja Mali Nti-Berko, Susan Gantt, CDC; Mimi Huynh, Council of State and Territorial Epidemiologists. It should concern us all that hospitalizations indicators of severe illness are rising in the pediatric population, when there are a lot of steps we could take to prevent many of these hospitalizations, said Jason L. Salemi, an epidemiologist at the University of South Florida, who tracks Covid-19 hospitalization data. Child hospitalizations have risen in at least eight states, either state-wide or in major pediatric facilities, according to a mix of state and federal data, and local reports. Interpretation of Forecasts of New Hospitalizations. The New York State Department of Health warned of an increase in children hospitalized with COVID-19, in a notice sent to doctors on Christmas Eve. Highest level of respiratory support for each patient that needed respiratory support. Anyone can read what you share. The views expressed by contributors are their own and not the view of The Hill, by Courtney Boen and Julia Raifman, opinion contributor - 08/19/21 7:00 AM ET, by Angela Kane and Jaime Yassif, opinion contributors, Rep introduces bill to make St. Patricks Day a federal holiday, Trump, Carroll agree to combine defamation lawsuits into single case, Newsom announces Norway-inspired plans to transform San Quentin, Finland, but not Sweden, step closer to joining NATO, The law of unintended consequences: How federal judges may bedriving up crime rates, Biden: International Criminal Court justified in issuing arrest warrant for Putin, What Xi and Putin want to gain from their joint meeting. Reuters reported that the U.S. hit a record of 1,900 children hospitalized on Saturday. Meanwhile, the American Academy of Pediatrics (which acknowledges it is missing data from some states) reports the number of hospitalizations has remained steady throughout the pandemic, with children accounting for between 1.3% and 3.5% of hospitalizations, depending on the state. The average pediatric I.C.U. Between July 16-24, the . After steadily increasing since early June, cases of RSV saw a larger spike over the past month according to CDC data, prompting concern from some public health experts. By Deedee Sun, . Seven states reported no child deaths, while other states reported 0-0.03% of all child coronavirus . The findings of the latest CDC report on child hospitalizations are based on data from 99 counties in 14 states . He said he was awaiting more telling data on the length of hospitalizations and on whether young patients are needing oxygen or intubation. Among adolescents aged 1217 years, the only pediatric age group for whom a COVID-19 vaccine is currently approved, hospitalization rates were approximately 10 times higher in unvaccinated compared with fully vaccinated adolescents, indicating that vaccines were highly effective at preventing serious COVID-19 illness in this age group during a period when the Delta variant predominated. Laboratory-Confirmed COVID-19-Associated Hospitalizations. "I think this should be left up to the discretion of parents and their physicians. In a system that small, even a few patients can quickly overrun the capacity. Includes those with complete clinical data on hospital length of stay, ICU admission, highest level of respiratory support (invasive mechanical ventilation, BiPAP/CPAP, or high flow nasal cannula), vasopressor support, and disposition discharge (i.e., discharged alive or died in-hospital). Rates of children hospitalized with COVID have reached an all-time high in the US. The American Academy of Pediatrics and the Children's Hospital Association are collaborating to collect and share all publicly available data from states on child COVID-19 cases. Gottlieb noted that children, especially those between 12 and 16 years old, have better vaccine durability than adults and overall have a lower risk from infection. Proportions were compared using chi square tests. This analysis uses Coronavirus Disease 2019Associated Hospitalization Surveillance Network (COVID-NET) data to describe COVID-19associated hospitalizations among U.S. children and adolescents aged 017 years. https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e3.htm. Instead, much of the rise in pediatric admissions results from the sheer number of children who are becoming infected with both Delta and the more contagious Omicron variant, he and other experts said, as well as low vaccination rates among children over age 5. What Parents Need to Know About the Omicron Variant. The number of children contracting Covid-19 has increased fivefold since the end of June, with a substantial 84% jump in the last week alone, according to a new report from the American Academy of Pediatrics, which comes as numerous states report upticks in child hospitalizations amid the ongoing delta surge. "The sooner parents start vaccinating, the sooner children will get the protection they need," says Dr. Kallah. The Sunshine State leads the nation in another alarming coronavirus statistic: Kids hospitalized with COVID-19. The best way to protect your family is vaccination. Average daily . Understand how we got here and how to move forward. Pediatric infections have also reached the highest point since the start of the pandemic, according to data from the American Academy of Pediatrics (AAP). "Pediatric specialists worry that more children will be admitted to hospitals in the coming weeks because Omicron is spreading fast and will likely cause infections to soar. In Connecticut, for example, the variant is responsible for more than 80 percent of new cases. Andy Weigel and Kenzie Teno report grant support from CSTE for data collection and participation in ongoing meetings related to COVID-19 hospitalization surveillance. As there is no regularly updated, comprehensive data on child Covid-19 cases available, its unclear whether the rise in hospitalizations is occuring nationwide. *** Among adolescents, who are currently eligible for vaccination (3), age-specific hospitalization rates during June 20July 31, 2021, were calculated by COVID-19 vaccination status, which was determined for both hospitalized patients and the catchment area population using state immunization information systems data. Because the number of fully vaccinated persons in the underlying population changed weekly, incidence (cases per 100,000 person-weeks) was calculated by dividing the total number of vaccinated hospitalized adolescents by the sum of vaccinated adolescents in the underlying population each week; the same method was used to calculate incidence among unvaccinated adolescents. Rate ratios and 95% confidence intervals (CIs) were calculated. Trump hits DeSantis for payments to non-entity conservative satire site Watch live: White House monkeypox response team holds briefing, Do Not Sell or Share My Personal Information, Call for statewide indoor mask policies. and/or the original MMWR paper copy for printable versions of official text, figures, and tables. Unadjusted age-specific cumulative and weekly COVID-19associated hospitalization rates (hospitalizations per 100,000 children and adolescents residing in the catchment area) during March 1, 2020August 14, 2021, were calculated by dividing the total number of hospitalized patients by the National Center for Health Statistics population estimates within each age group for the counties included in the surveillance catchment area. However, deathsoften a lagging indicatorcontinue to fall, and the ECDC noted that deaths declined 10% last week compared to the week . We do not know the long-term effects of Omicron so we should still try our best to protect our children as much as possible.". Public health experts caution that the magnitude of childhood infections matters even if most cases are mild, because scientists are still working to understand the long-term impacts of the disease, including long Covid, the presence of lingering neurological, physical or psychiatric symptoms after Covid infection. FDA also said children ages 5 to 11 who have compromised immune systems can receive a third dose of the vaccine as part of the primary series of shots. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. including in-person school attendance and a return of younger children to congregate child care settings, preventive measures to reduce the . Texas, with 45 percent of the state fully vaccinated, is averaging 15,000 Covid cases a day, at the higher end of state Covid rates when adjusted for population. The proportions who died during hospitalization were compared using Fishers exact test. Pediatric hospitalizations are highest in Oklahoma, Ohio, Louisiana and Kentucky, after adjusting for population, according to data compiled by the Department of Health Human Services. There are several steps the administration can take to protect our kids. A child is held by his mother as a nurse administers the children's dose of the Pfizer COVID-19 vaccine at Children's Hospital of Los Angeles, Nov. 3, 2021, in Los Angeles. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Seven-day averages. A federal survey offers a breakdown for infants, children and adolescents, but it is based on 14 states, many of which have not experienced the worst of the Delta-led wave. The AAP said more than 3,200 children were hospitalized due to COVID-19 between Aug. 13 and Sept. 16 among 24 states and one city reporting child hospitalizations. In Shelby County, which includes Memphis, 37 percent of the population has been fully vaccinated, compared to Tennessees full vaccination rate of 40 percent. Louisiana Gov. The Centers for Disease Control and Prevention (CDC) reported that an average of 672 children with COVID-19 were admitted to hospitals daily during the week ending January 3, 2022"the highest number of the pandemic seen so far," says Dr. Greenspan. Its premature to predict whats going to happen with Omicron, because this virus has repeatedly surprised us, Dr. Malley said. Weekly / September 10, 2021 / 70(36);12551260. The Food and Drug Administration granted emergency use authorization for the Pfizer-BioNTech COVID-19 vaccine for adolescents aged 1215 years on May 10, 2021. Among 164 hospitalized children and adolescents with COVID-19 during June 20July 31, 2021, for whom complete clinical data were available,***** 38 (23.2%) were admitted to an ICU, 16 (9.8%) required IMV, and three (1.8%) died. In states where data was available, less than 2% of all child COVID-19 cases required hospitalization and 0.00% to 0.03% were fatal. in the U.S. has 12 beds, said Dr. Christopher Carroll, a pediatric intensivist at Connecticut Childrens Medical Center. "A person who has been fully vaccinated and boosted against COVID-19 will be less sick than someone who hasn't been vaccinated," says Dr. Kallah. The increase comes as other respiratory viruses, . Nanduri S, Pilishvili T, Derado G, et al. And who wants their child to have a bad cold if there is anything we can do about it?" The doctors said you should absolutely bring your child to the ER if they appear dehydrated or have labored breathing, but not with mild COVID cases. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Users are referred to the electronic PDF version (https://www.cdc.gov/mmwr) Charles Muro, age 13, is inoculated by Nurse Karen Pagliaro at Hartford Healthcares mass [+] vaccination center at the Connecticut Convention Center in Hartford, Connecticut on May 13, 2021. Trained surveillance staff members conducted medical chart abstractions for all pediatric COVID-NET patients using a standardized case report form. of pages found at these sites. You may opt-out by. Her research focuses on drivers of population health disparities. The US Centers for Disease Control and Prevention has publicly shared information about the safety of Covid-19 vaccines for children, including data that shows serious side effects are rare. A child received a Covid test at a booth in Brooklyn this month. children admitted to the hospital with Covid-19, lingering neurological, physical or psychiatric symptoms. 300+ Covid-19 treatments are in development. Preventive measures to reduce transmission and severe outcomes in children and adolescents are critical, including vaccination, universal masking in schools, and masking by persons aged 2 years in other indoor public spaces and child care centers. Hospitalization Rates Hospitalizations by Age Characteristics Underlying Conditions Disclaimer. ** COVID-NET hospitalization data are preliminary and subject to change as more data become available. New York does not provide ages for statewide cases, so New York City data is used. COVID-19 in Kids and Toddlers: Symptoms Parents Need to Know, The COVID-19 Vaccine and Kids: Everything Parents Need to Know, Long COVID in Kids: What Happens When Coronavirus Symptoms Linger for Weeks or Months, The COVID-19 Vaccine and Kids: What Parents Need to Know, COVID-19 in Babies: What Parents Need to Know About Symptoms and Transmission. "I'm not seeing any patterns that suggest the virus is more . And when they come to the hospital and are tested for SARS-CoV-2, some turn out to be infected. Alabama, which reported a new record of 34 children hospitalized amid the Covid-19 pandemic last week, now has 38 children hospitalized, according to the Associated Press. Source: The American Academy of Pediatrics. (Some of those children arrived at the hospital with other medical issues.). Children younger than 5 aren't able to get vaccinated yet, so they're naturally more vulnerable to the virusand the same goes for older children and teens who are eligible but haven't gotten vaccinated yet. What are the implications for public health practice? Fourth, the number of fully vaccinated hospitalized adolescents remained low at the time of reporting, and hospitalization rates stratified by vaccination status are subject to error if misclassification of vaccination status occurred. says Dr. Greenspan. part 46.102(l)(2); 21 C.F.R. CDC is not responsible for the content Data on the following measures of severe disease were collected: median hospital length of stay, ICU admission, highest level of respiratory support received (i.e., invasive mechanical ventilation [IMV], bilevel positive airway pressure or continuous positive airway pressure, or high-flow nasal cannula), vasopressor use, and in-hospital death. The explosive growth of pediatric cases has led to a spike in child hospitalizations. (Beals, The Hill, 12/30/21; Bellisle/Tang, Associated Press, 12/30/21; Dress, The Hill, 12/31/21; Choi, The Hill, 12/30/21; Vakil, The Hill, 1/2; Kimball, CNBC, 1/3), Current ArticleWhy pediatric Covid-19 hospitalizations are rising (and how we can prevent it). As policy researchers, we know that there is clear evidence that universal mask policies and other mitigation strategies can reduce child risks. Close Rates of COVID-19-Associated Hospitalization . Don't panic if your child isn't eligible for vaccination yet. Those classified as children included all aged 0 through 17, 18 or 19 years old in 45 states and Washington, D.C. Three states included those through age 20, while Utah and Florida included only those through age 14. Victims of . and Ahmed Aboulenein. But new data from the U.S. Centers for Disease Control and Prevention has revealed a concerning trend: The rate . Adolescents whose vaccination status was checked against the immunization information system and who did not have documented receipt of any vaccine dose before the test date were considered unvaccinated. William Schaffner reports consultant fees from VBI Vaccines, outside the submitted work. And while unvaccinated adults are filling ICUs in parts of the South, minors in those areas are filling up the pediatric wings at an alarming pace. Florida currently leads the nation in kids hospitalized for Covid-19, with 32 pediatric hospitalizations per day between July 24 and 30 (a rate of 0.76 children hospitalized per 100,000 residents), Centers for Disease Control and Prevention (CDC) data shared with The Tampa Bay-Times shows. All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. 3501 et seq. Europe's seniors account for most new hospitalizations. Younger children do not yet qualify for vaccination, and only those age 16 and older qualify for booster shots, which offer the most effective shield against infection and hospitalization. OK, but where will the next pandemic come from? So far, Omicron actually appears less severe than previous strains of the coronavirus. Hall, DVM1; Alicia M. Fry, MD1; Meredith McMorrow, MD1; Carrie Reed, DSc1; Shikha Garg, MD1*; Fiona P. Havers, MD1*; COVID-NET Surveillance Team (View author affiliations). New York City leads spike in child hospitalizations nationwide. This conversion might result in character translation or format errors in the HTML version. States are ordered by the share of all residents who are fully vaccinated. Medical personnel surround a pregnant woman lying on her bed with monitoring devices placed on her belly as she gets ready before delivering her child at the maternity ward of a hospital in Paris on June 29, 2022. Inside one children's hospital in Chicago, Covid-19 cases are roughly three times higher than the hospital's previous peak in December 2020. James said that most of the older children being hospitalized are unvaccinated teens and that it has been difficult having families walk their children through ICU-level care. All approved vaccines (Pfizer, Moderna, and Johnson & Johnson) have been shown to protect against severe hospitalization and death, including against the transmissible Delta and Omicron variants. Dr. Rubin said the real-time data he had been analyzing, as a lead investigator with the PolicyLab Covid-19 forecasting model, indicated that in southwest Pennsylvania, where Omicron dominates, the proportion of pediatric admissions requiring intensive care services had dropped by half since early fall, and has continued to fall in the last month. Public health officials and experts also caution that even small increases in the number of pediatric Covid-19 patients can put a major strain on pediatric hospitals and I.C.U.s, many of which are already overstretched with nursing shortages and an unusual summer surge of respiratory syncytial virus or R.S.V. RELATED U.S. hospitalizations rising among children, . A jump in child COVID-19 hospitalizations in New York is a warning to get more children vaccinated in California and elsewhere as . part 56; 42 U.S.C. An infectious disease specialist with Children's Hospital New Orleans details the rise in COVID-19 hospitalizations among children. MMWR Morb Mortal Wkly Rep 2020;69:10818. Nine months of hospital data. ", "That is avoidable," Fauci added, saying that some children who are hospitalized with Covid-19 "need not be in that situation if they were vaccinated. Public health experts and state officials are raising alarms about a surge in COVID hospitalizations among children -- now at their steepest and seeing the most significant increase since the . Kids' COVID Hospitalizations Are Rising in Mass., But Doctors Offer This Context . 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child hospitalizations rising