Covid-19 risk for children is “tiny”, says a UK hospitals survey by British Medical Journal.

28 August 2020 By Paul Martin

Must we say it again?

The British Medical Journal “reveals” with what uncovered two and a half months back. Suddenly the media has woken up.

This Week wrote:

The biggest study yet of children admitted to hospital with Covid-19 has revealed that the virus poses a “vanishingly small” threat to school students. 

Children’s risk of needing hospital treatment for coronavirus is “tiny”, with the likelihood of needing critical care “even tinier”, the British Medical Journal (BMJ) study found. 

“Black children, those who are obese and very young babies have a slightly higher risk”, the BBC says.What do the figures say?

The BMJ analysed the outcome of 651 children [defined as under 19s] hospitalised with coronavirus in England, Wales and Scotland. The research spanned two-thirds of all children’s admissions in the UK between January and July.

[Between 17 January and 3 July 2020, 69 516 patients of all ages (range 0-106 years) were enrolled at 260 hospitals across England, Scotland, and Wales. Of these, 651 were patients under 19 years old with laboratory confirmed SARS-CoV-2 (651/69 516 (0.9%) of the total cohort, the BMJ writes.]

The study “confirms what is already known about the minimal effects of the virus on children”, the BBC reports.

The study “tracked patients for a minimum of two weeks during which time 18% of children were admitted to intensive care”, The Telegraph says. Just 1% of children died in hospital, a “strikingly low” fatality rate compared with 27% across all ages.

All of the children that [sic] were killed by the virus suffered from underlying health issues, including “cancer and serious neurological, blood or heart issues”, The Guardian reports. 

Calum Semple, professor in child health and outbreak medicine at the University of Liverpool and co-lead of the study, stressed that the children who died suffered from “profound co-morbidities – not a touch of asthma and not cystic fibrosis”. 

Researchers warned that children with such serious conditions remain vulnerable to the virus and must take precautions.

Children of black ethnicity were “three times more likely to suffer severe Covid-19”, The Telegraph notes. However, researchers said the “absolute risk is so low that it made little difference and parents should not be concerned”, the paper adds.

“For a black healthy child, there is no risk at all,” Semple said. “I can say with absolute confidence to the mother of a black child in Liverpool, or Brixton or Glasgow, that they are safe to go back to school.” 

The study concluded that the “risk of a child developing severe disease with the coronavirus is rare and death ‘exceptionally’ so”, Yahoo News adds. What is the reaction?

Semple said that the study means parents can be “confident that their children are not going to be put at direct harm by going back to school”. He added: “We do know that they are at harm by being kept away from school because of the lack of educational opportunities, and that’s affecting mental health.”

Co-author Olivia Swann, clinical lecturer in paediatric infectious diseases at the University of Edinburgh, said: “Nothing is ever risk free, as a parent and a children’s doctor and as a researcher I find this study and these numbers extremely reassuring.

“The absolute risk of any child being admitted with Covid is tiny. The absolute risk of them being admitted to critical care is even lower.” 

Both Semple and Swann said their children will be returning to school next month. The study has been seen by chief medical officer Chris Whitty, ahead of his statement this weekend encouraging parents to send their children back to school, The Telegraph reports.

How do other countries compare?

Data collated by Unicef shows the “direct impact of Covid-19 on child and adolescent mortality [is] very limited”, with the main threat coming from “indirect effects stemming from strained health systems, household income loss, and disruptions to care-seeking”.

A study led by a team at London’s Great Ormond Street Hospital in June found that child deaths in Europe are “extremely rare”, with just four of the 582 children studied succumbing to the virus, “two of whom had known underlying health conditions”, the BBC says. 

And research published by the Centre for Disease Control and Prevention (CDC) in the US found that “most reported SARS-CoV-2 infections in children [under 18-years-old] are asymptomatic or mild”.

In June, it was reported that a high number of child deaths in Indonesia highlighted the danger of Covid-19 to young people. 

The country has “one of the world’s highest rates of child deaths from the novel coronavirus”, with a total of 715 people under 18-year-old contracting the coronavirus and 28 dying, according to a health ministry document dated 22 May seen by Reuters.

Experts attributed the high death rate among children to a “devil’s circle” of malnutrition, anaemia and inadequate child health facilities, mirroring Unicef’s warning that secondary factors increase child mortality.

The study was a “gargantuan” effort on behalf of NHS staff, ITV News reported. Around three thousand nurses and medical students from 216 hospitals filled in paper-based reports and manually uploaded them to the study team.

This is how The Mirror headlined the story:

Coronavirus ‘hasn’t killed a single healthy child in the UK’ new study claims

The newspaper added: “As schools get ready to return, experts say parents can be reassured by the research which shows the six children who have lost their lives with Covid-19 also had other serious illnesses or underlying health problems.”