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Covid-19 and Children

WHAT YOU NEED TO KNOW:

Compared with the number of adults, children are not getting coronavirus disease 2019 (COVID-19) in high numbers. COVID-19 is the disease caused by a coronavirus first discovered in December 2019. Coronavirus is the name of a group of viruses that generally cause upper respiratory (nose, throat, and lung) infections, such as a cold. The new virus can cause serious lower respiratory problems. Children with underlying health conditions, such as asthma, are at a higher risk for complications of COVID-19 than children without.

DISCHARGE INSTRUCTIONS:

Call your local emergency number (911 in the US) if:

  • Your child is having trouble breathing.
  • Your child has pain or pressure in his or her chest.
  • Your child seems confused.
  • You have trouble waking your child, or he or she cannot stay awake.
  • Your child's lips or face look blue.
  • Your child's abdominal pain becomes severe.

Call your child's doctor if:

  • Your child has any signs or symptoms of MIS-C.
  • Your child's symptoms get worse.
  • You have questions or concerns about your child's condition or care.

What you need to know about multisymptom inflammatory syndrome in children (MIS-C):

MIS-C is a condition that causes inflammation in your child's organs. MIS-C has developed in some children who were infected or were around someone who was. The cause of MIS-C is not known. Your child may have any of the following:

  • A fever
  • Abdominal pain, vomiting, or diarrhea
  • Neck pain
  • A skin rash or bloodshot eyes (whites of the eyes are reddish)
  • Being more tired than usual
Your child may need blood tests, a chest x-ray, or an ultrasound to check for signs of inflammation. MIS-C usually needs to be treated in the hospital. Your child may be given extra fluid. Medicines may be given to reduce inflammation or other symptoms. Your child may need to stay in the pediatric intensive care unit (PICU) if MIS-C becomes severe.

Help stop the spread of COVID-19 and keep your child safe:

Prevent COVID-19 Infection
  • Have your child wash his or her hands often. Have him or her use soap and water. Wash your child's hands for him or her if needed. Teach your child how to wash his or her hands properly. Your child should rub his or her soapy hands together and lace the fingers. Wash the front and back of each hand, and in between all fingers. Use the fingers of one hand to scrub under the fingernails of the other hand. Wash for at least 20 seconds. Teach your child a 20 second song to sing while handwashing. Rinse with warm, running water for several seconds. Then have your child dry with a clean towel or paper towel. Use hand sanitizer that contains alcohol if soap and water are not available. Tell your child not to touch his or her eyes, mouth, or face unless hands are clean. This may be more difficult for younger children.
    Handwashing
  • Teach your child to cover a sneeze or cough. Have your child turn away from others and cover his or her mouth or nose with a tissue. Throw the tissue away in a lined trash can right away. He or she can use the bend of the arm if a tissue is not available. Then have your child wash his or her hands well with soap and water or use hand sanitizer. Your child should also turn and cover if someone nearby has to sneeze or cough.
  • If you must go out, leave your child at home, if possible. Leave your child with another adult.
    • If it is not possible to leave your child at home:
      • Have your child wear a cloth face covering. Tell your child not to touch the covering or his or her eyes while you are out. Do not put a face covering on anyone who is younger than 2 years, has a lung condition, or cannot remove it.
      • Use disinfecting wipes to clean items you need to use to shop. Clean shopping cart handles, and the area where a toddler will sit or you will put a baby carrier. Wipe a cart made for children to drive in the store before your toddler gets into it. Wipe the seat, steering wheel, and any part your child must touch.
      • Use hand sanitizer while out in public. Have your child use hand sanitizer for 20 seconds while out in public. Make sure your child washes his or her hands with soap and water when you arrive home.

  • Have your child practice social distancing. Your child may not have symptoms of COVID-19 but still be a carrier of the virus. He or she may be able to pass the virus to another person. Your child should not visit older adults and should not have in-person play dates. Help your child stay 6 feet (2 meters) away from others while in public.
  • Clean and disinfect high-touch surfaces and objects often. Use a disinfecting solution or wipes. You can make a solution by diluting 4 teaspoons of bleach in 1 quart (4 cups) of water. Clean and disinfect even if you think no one living in or coming to your home is infected with the virus. You can wipe items with a disinfecting cloth before you bring them into your home. Wash your hands after you handle anything you bring into your home.
  • Wash your child's clothes, bedding, and stuffed animals. You can use regular laundry detergent. Follow instructions on the labels. Wash and dry on the warmest settings for the fabric.
  • Ask about medical appointments. Your child may be able to have appointments without having to go into a healthcare provider's office. Some providers offer phone, video, or other types of appointments. Your child will need to go in to receive vaccines. No COVID-19 vaccine is available for children younger than 16 years. Your child's provider can tell you which vaccines your child needs and when to get them.

What to do if your child is sick:

  • Try to keep your child away from others in your home while he or she is sick. Distance may help keep others in the house from getting sick. Keep sick children away from older adults and others who have underlying conditions such as diabetes and heart disease.
  • Give your child more liquids as directed. A fever makes your child sweat. This can increase his or her risk for dehydration. Liquids can help prevent dehydration.
    • Help your child drink at least 6 to 8 eight-ounce cups of clear liquids each day. Give your child water, juice, or broth. Do not give sports drinks to babies or toddlers.
    • Ask your child's healthcare provider if you should give your child an oral rehydration solution (ORS) to drink. An ORS has the right amounts of water, salts, and sugar your child needs to replace body fluids.
    • If you are breastfeeding or feeding your child formula, continue to do so. Your baby may not feel like drinking his or her regular amounts with each feeding. If so, feed him or her smaller amounts more often.
  • Give your child medicine as directed.
    • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
    • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him or her. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
    • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
    Acetaminophen Dosage in Children
    Ibuprophen Dosage in Children

  • Follow directions for when your child can be around others after he or she recovers. Your child will need to wait at least 10 days after symptoms first appeared. Then he or she will need to have no fever for 24 hours without fever medicine, and no other symptoms. A loss of taste or smell may continue for several months. It is considered okay to be around others if this is your child's only symptom. It is not known for sure if or for how long a recovered person can pass the virus to others. Your child may need to continue social distancing or wearing a face covering around others for a time.

Help your child stay active and socially connected:

  • Encourage outdoor play. Allow your child to play outdoors if weather allows. Schedule time to go for a walk or bike ride with your child. Remind him or her to stay 6 feet (2 meters) away from others who do not live in the home.
  • Schedule indoor breaks during the day. Stretch or dance with your child. Physical activities will help with your child's mood and energy. Physical activity also helps with your child's focus.
  • Help your child connect with family and friends. Video chats and phone calls can help your child stay connected. Be sure to monitor your child's online activities. Help your child to write letters and cards to family he or she cannot visit.

Follow up with your child's doctor as directed:

Write down your questions so you remember to ask them during your visits.

For more information:

  • Centers for Disease Control and Prevention
    1600 Clifton Road
    Atlanta , GA 30333
    Phone: 1- 800 - 232-4636
    Web Address: http://www.cdc.gov

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

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