I am a Parent

Is Covid-19 Dangerous in Children?

COVID-19 appears on average to be milder in children than it does in healthy adults or in older adults.  Of the first 70,000 patient in China diagnosed with COVID-19, only 2.1 percent were children under 9 years old.  However, an very small number of recent cases of a condition related to COVID-19 called Multisystem Inflammatory Syndrome in Children (also known as MIS-C) have been reported.  Although rare, MIS-C can cause children to become ill for no apparent reason.  Learn more about MIS-C here.

Does that Mean Children Are Not Getting Infected?

No. While we don’t know exactly how many children are infected, there are a number of studies where all family members have been tested. These suggest that children are frequently infected, but often have few or no symptoms.

Is COVID-19 More Dangerous for Children with Other Medical Conditions?

It seems likely that children with serious medical illness may be more at risk of becoming more ill if they become infected, but we don’t know for sure. In adults, those with serious underlying conditions such as heart and lung disease or cancer are more likely to have severe symptoms with COVID-19. No reports yet help us know if this will be true for children.

If They Are Infected but Not Sick, Can They Spread the Virus that Causes COVID-19?

We don’t yet know how important infected children are in the spread of the disease but we think it is highly likely that infected children can spread COVID-19. With most viral diseases, children are most infectious when they have symptoms since coughing and runny noses help spread droplets with the virus. This is probably true for COVID-19.

What Are the Symptoms of COVID-19 in Children?

Many children have few or no symptoms. Symptoms include fever, runny nose, and dry cough, and occasionally, diarrhea. In a few children, this has progressed to shortness of breath. Some of those with progressive symptoms have developed pneumonia. A very small number have required intensive care.

Is There Any Treatment for COVID-19 in Children?

When should I keep my child home from school

As with other viral illnesses in children, most can be treated at home and will do well. At present there are no specific drugs to treat the infection. Drink plenty of fluids. Medications to reduce fever may make your child more comfortable.

Should I Get My Child Tested for COVID-19 if They Have a Runny Nose, Fever, or Cough?

In general, testing is not necessary, and it is best to avoid visits to a doctor’s office or emergency department if your child has mild or moderate illness. Testing will become more available in the future, but is still largely limited to people who are more severely ill or when knowing the diagnosis will make a difference in treatment or management.

When Should I Seek Care?

You can think of this as you would any cold or flu. If your child has difficulty breathing, is not able to keep down fluids or is very limp or non-responsive you should seek care immediately. There are good sources of information you can use to help you decide. Utah Department of Health has an information line 800-456-7707. You can also use Intermountain Healthcare’s Connect Care online or through the mobile app.

How Should I Protect the Rest of My Family if My Child Is Sick?

First, we should all take precautions to avoid infection in the first place. Wash hands frequently with soap and water, or if that’s not an option, use alcohol-based hand sanitizer. Clean commonly touched surfaces in your house. Stay home when sick and cover your cough with tissue or cough into your elbow.

If someone in the household is sick, all of these steps become even more important, especially paying attention to cleaning your hands after touching the ill person, handling their tissues, etc. In addition, if age appropriate, the ill person should sleep in a separate bedroom. Avoid sharing household items with the patient. You should not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items. After the patient uses these items, you should wash them thoroughly. Wash bed sheets and clothing, especially if they have contact with mucous, blood or stool.

What about Face Masks?

Face masks worn in public do not provide any meaningful protection to healthy people. However, if the person with COVID-19 wears a mask, it helps protect those around them. Caring for a sick child or adult in your house does increase the close exposure. CDC recommends using a face mask if you are cleaning up blood, stool or body fluid such as saliva, sputum, nasal mucus, vomit, urine.

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