{"id":196,"date":"2020-09-17T00:15:00","date_gmt":"2020-09-17T00:15:00","guid":{"rendered":"https:\/\/covidqanda.org\/?p=196"},"modified":"2020-11-09T00:19:21","modified_gmt":"2020-11-09T00:19:21","slug":"what-are-considerations-for-babies-kids-with-underlying-health-conditions","status":"publish","type":"post","link":"https:\/\/covidqanda.org\/?p=196","title":{"rendered":"What are considerations for babies\/ kids with underlying health conditions?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\" id=\"ce93\"><strong>Question:&nbsp;<\/strong>My daughter was born in March and immediately diagnosed with a congenital heart defect. She has already had 2 open heart surgeries and needs another next month. She also has a feeding tube. If you haven\u2019t already done one, could you do a daily Q&amp;A on considerations for babies\/ kids with underlying health conditions? Thanks!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"d277\"><strong>Answer:<\/strong>&nbsp;You and your baby girl have been through such a challenging time these last six months. My hat\u2019s off to you both. I\u2019ve done several Q&amp;As on COVID and kids (most recently&nbsp;<a href=\"https:\/\/medium.com\/@madeleinefabic\/covid-19-questions-and-answers-updated-daily-part-2-6c6708931c29\">Q&amp;A of 9\/2<\/a>&nbsp;#Kids and&nbsp;<a href=\"https:\/\/medium.com\/@madeleinefabic\/covid-19-questions-and-answers-ee65d2f749e7\">Q&amp;A of 7\/24<\/a>&nbsp;#Children), but there\u2019s more data now and I don\u2019t believe we\u2019ve talked specifically about kids with underlying conditions. In short, while underlying conditions put infants\/children at greater risk of severe COVID-19 outcomes, the risks are still very small.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The good news is that severe COVID-19 outcomes among children are very rare. The\u00a0<a href=\"https:\/\/www.covkidproject.org\/\">COVKID Project\u00a0<\/a>tracks COVID-19 cases, hospitalizations, and deaths among children across the country. As of 14 September, among children and teens there were nearly 3.2 million total cases, 1,332 pediatric intensive care admissions, and 130 total deaths.<\/li><li>The not so good news is that children with underlying medical conditions might be at\u00a0<a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/pediatric-hcp.html\">increased risk<\/a>\u00a0of severe illness, and severe illness disproportionately affects Black, Hispanic, and American Indian children. Two days ago, CDC published a new report on COVID-19 deaths in children nationally, \u201c<a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/69\/wr\/mm6937e4.htm?s_cid=mm6937e4_w\">SARS-CoV-2\u2013Associated Deaths Among Persons Aged &lt;21 Years \u2014 United States, February 12\u2013July 31, 2020<\/a>.\u201d The report examined the demographic characteristics and underlying conditions of those who died. Of the 121 reported deaths as of 31 July, 75% (91) had 1 or more underlying medical conditions. Of all reported deaths, 78% (91) were among Black, Hispanic, and American Indian children. Focusing again more specifically on your circumstances, only 10% (12) of deaths were among infants, and of all 121 reported deaths only 2% (3) had congenital heart disease. So even among infants and children at greater risk, the risk is still very low but clearly not insignificant.<\/li><li>Turning to pediatric congenital heart disease more specifically \u2014 another\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/lanchi\/article\/PIIS2352-4642(20)30177-2\/fulltext\">study out of Europe published in\u00a0<em>Lancet<\/em><\/a> on pediatric COVID-19 found that of the entire cohort studied (585 children with COVID-19), 4% (25) had congenital heart disease, of whom only 5 needed intensive care. For more on pediatric congenital heart disease considerations,<a href=\"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/JAHA.120.017224\">\u00a0this article<\/a>\u00a0from several months ago published in the\u00a0<em>Journal of the American Heart Association<\/em>\u00a0and describes some of the potential vulnerabilities among pediatric patients and<a href=\"https:\/\/www.asecho.org\/wp-content\/uploads\/2020\/06\/COVID-Ped_June-2020.pdf\">\u00a0this article<\/a>\u00a0from June as well as this\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0894731720303138\">one from August<\/a>\u00a0published by the American Society of Echocardiography provide some specific guidelines for providers assisting pediatric congenital heart disease patients.<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Question:&nbsp;My daughter was born in March and immediately diagnosed with a congenital heart defect. She has already had 2 open heart surgeries and needs another next month. She also has a feeding tube. If you haven\u2019t already done one, could you do a daily Q&amp;A on considerations for babies\/ kids with underlying health conditions? Thanks! 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