Children with long covid

Authors: Helen Thomson

New Sci. 2021 Feb 27; 249(3323): 10–11.Published online 2021 Mar 3. doi: 10.1016/S0262-4079(21)00303-1PMCID: PMC7927578PMID: 33686318

Abstract

Almost half of children who contract covid-19 may have lasting symptoms, which should factor into decisions on reopening schools,

A SERIOUS picture is emerging about the long-term health effects of covid-19 in some children, with UK politicians calling the lack of acknowledgment of the problem a “national scandal”.

Children seem to be fairly well-protected from the most severe symptoms of covid-19. According to the European Centre for Disease Prevention and Control, the majority of children don’t develop symptoms when infected with the coronavirus, or their symptoms are very mild.

However, it is becoming increasingly apparent that a large number of children with symptomatic and asymptomatic covid-19 are experiencing long-term effects, many months after the initial infection.Go to:

Long-term symptoms

Symptoms of long covid were first thought to include fatigue, muscle and joint pain, headache, insomnia, respiratory problems and heart palpitations. Now, support groups and researchers say there may be up to 100 other symptoms, including gastrointestinal problems, nausea, dizziness, seizures, hallucinations and testicular pain.

Most long covid research is based on adults. There is less information about under-18s, in part because it takes longer to get ethical approval to study children, says Natalie Lambert at Indiana University School of Medicine.

A recent study found that 13.3 per cent of adults with symptomatic covid-19 have symptoms lasting more than 28 days (medRxiv, doi.org/ghgdsv). Long-lasting symptoms were more likely to occur with increasing age and BMI, and were more likely in women than men, although it isn’t clear why. Experiencing more than five symptoms in the first week post-infection was associated with a greater likelihood of having symptoms further down the line.

Evidence from the first study of long covid in children suggests that more than half of children aged between 6 and 16 years old who contract the virus have at least one symptom lasting more than 120 days, with 42.6 per cent impaired by these symptoms during daily activities. These interim results are based on periodic assessments of 129 children in Italy who were diagnosed with covid-19 between March and November 2020 at the Gemelli University Hospital in Rome (medRxiv, doi.org/fv9t).

The UK Office for National Statistics’s latest report estimates that 12.9 per cent of UK children aged 2 to 11, and 14.5 per cent of children aged 12 to 16, still have symptoms five weeks after their first infection. Almost 500,000 UK children have tested positive for covid-19 since March 2020.

Most medical bodies say it normally takes a few days or weeks to recover from covid-19, and that most will make a full recovery within 12 weeks.

UK advocacy group Long Covid Kids says that it currently has details of 1200 children with long covid from 890 families in England. “And that number has been rising quickly,” says founder Sammie Mcfarland. “Not one has returned to their previous health, and most are unable to do their normal activities.”

The consequences of long covid in children can be debilitating. At a UK parliamentary briefing on 26 January, Mcfarland described how her 14-year-old daughter started to become vacant, weak and unresponsive after catching covid-19 in March 2020. After three weeks in bed, she did some gentle exercise in the garden and clutched her chest, complaining of heart pain. “She went very floppy and almost couldn’t make it back into the house to bed,” says Mcfarland. “And she pretty much stayed there [in bed] for the next seven months.”

She went very floppy and almost couldn’t make it back to bed. She stayed there for seven months

Since August 2020, Mcfarland says there have been times where her daughter would feel better and they would go out of the house for a picnic, but they soon realised that every trip out triggered a long period of relapse, an issue that seems to be common in adults with long covid too.

Other cases seem to present very differently. Charlie Mountford-Hill has five children, all of whom have long covid after contracting the virus in the early stages of the pandemic. Almost a year after catching covid-19, her 4-year-old still has a sore neck, lethargy, stomach problems and headaches. Her 10-year-old has fatigue and gastric problems with pain around his heart. “Although they have bad periods and better periods, they are never well,” says Mountford-Hill.

Seeking long-covid care

A common frustration among parents is the lack of support from doctors. Mcfarland says they can dismiss the symptoms as not being related to covid-19 because they are so varied. Often, blood tests and scans also fail to supply any answers. “The majority of people known to Long Covid Kids have been unable to get support,” she says. The group is now working with NHS England to try to get access to care.

Several parents gave evidence at the parliamentary briefing on long covid in children, run by MP Layla Moran. She told New Scientist that the “lack of support, acknowledgement and treatment of long covid in children is a national scandal”. In a letter to the Prime Minister that was shown to New Scientist, several MPs refer to the situation as a crisis that needs to be taken more seriously.

The lack of information on long covid in children is especially pertinent to decisions around schools reopening, as they are due to do in parts of the UK and the US in the coming weeks.

500,000 Children in the UK who have tested positive for covid-19

“We certainly don’t have enough data on the long-term impacts of covid in children to make good policy decisions right now,” says Lambert, who is director of research for Survivor Corps, the largest covid-19 advocacy group in the world. On 18 February, the UK’s National Institute for Health Research awarded £1.4 million for a study to assess risk factors and prevalence of long covid in children.

Nurseries have been allowed to stay open in England while primary and secondary schools have remained shut since 5 January. When asked on 5 February whether the impact of long covid in children has been considered in relation to the reopening of schools, the UK Department for Education gave no reply.

12.9% Percentage of UK children aged 2 to 11 who still have covid-19 symptoms five weeks after initial infection

Sending thousands of children back to school is “insane”, says McFarland. “Sending children back to school seems to be inviting the possibility of giving a whole generation long-term chronic health issues. Why take the risk of opening schools before children have been vaccinated?”

14.5% Percentage of UK children aged 12 to 16 who still have covid-19 symptoms five weeks after initial infection

So far, no coronavirus vaccines have been approved for use in children, although CanSino Biologics in China is testing one in 6 to 12-year-olds, according to data revealed at a recent New York Academy of Science meeting. CEO Xuefeng Yu says that preliminary data will be analysed soon. US company Codagenix is also planning to test a nasal vaccine in children.

The good news is that evidence suggests children don’t easily pass covid-19 to each other in the classroom. In one study, a 9-year-old in France with flu and covid-19 was found to have exposed more than 80 other children at three different schools. However, no one became infected with covid-19 as a result, despite numerous flu infections within the schools, suggesting that although the environment was conducive to transmitting respiratory viruses, covid-19 wasn’t passed on as easily.

More recently, a study of children between 5 months and 4 years old in nurseries in France has shown low levels of infection and transmission of covid-19. The study also shows that staff weren’t at greater risk of infection than a control group of adults. The results suggest that children are more likely to get covid-19 from family members than from their peers or teachers at nursery, although more evidence is needed, say the study’s authors, because the study happened when strict measures were in place to control the virus, and before fast-spreading variants appeared.

Until now, the focus of the pandemic has been on preventing severe disease and deaths in the older generations, but Mcfarland says thoughts need to turn to the legacy the virus is leaving on children.

Speech Therapist: 364% Surge In Baby And Toddler Referrals Thanks To Mask Wearing

A speech therapist says that mask wearing during the pandemic has caused a 364% increase in patient referrals of babies and toddlers.

Authors: by Paul Joseph Watson via Summit News, SUNDAY, JAN 30, 2022 – 03:50 PM

Jaclyn Theek told WPBF News that before the pandemic, only 5 per cent of patients were babies and toddlers, but this has soared to 20 per cent.

Parents are describing their children’s speech problems as “COVID delayed,” with face coverings the primary cause of their speaking skills being seriously impaired.

As young as 8 months old, babies start learning how to speak by reading lips, a thankless task if parents and caregivers smother themselves with masks to comply with mandates.

“It’s very important kids do see your face to learn, so they’re watching your mouth,” said Theek.

The news report featured one such mother, Briana Gay, who is raising five children but having speech problems with her youngest.

“It definitely makes a difference when the world you’re growing up in you can’t interact with people and their face, that’s super important to babies,” said Gay.

According to Theek, since the pandemic, autism symptoms are also skyrocketing.

“They’re not making any word attempts and not communicating at all with their family,” she said.

As we previously highlighted, Forbes deleted an article written by an education expert who asserted that forcing schoolchildren to wear face masks was causing psychological trauma.

A study by researchers at Brown University found that mean IQ scores of young children born during the pandemic have tumbled by as much as 22 points while verbal, motor and cognitive performance have all suffered as a result of lockdown.

Michael Curzon noted that two of the primary causes for this are face masks and children being atomized as a result of being kept away from other children.

“Children born over the past year of lockdowns – at a time when the Government has prevented babies from seeing elderly relatives and other extended family members, from socialising at parks or with the children of their parent’s friends, and from studying the expressions on the faces behind the masks of locals in indoor public spaces – have significantly reduced verbal, motor and overall cognitive performance compared to children born before, according to a new U.S. study. Tests on early learning, verbal development and non-verbal development all produced results that were far behind those from the years preceding the lockdowns,” he wrote.

Perhaps all the virtue signalers who think of themselves as such morally upstanding people for wearing masks will change their behavior given they are literally contributing to causing major cognitive problems in children.

Or maybe they simply won’t care, given that the mask is now a political status symbol above anything else.

Study Finds Teenage Boys Six Times More Likely To Suffer Heart Problems From Vaccine Than Be Hospitalized by COVID

Authors; Paul Joseph Watson via Summit News,

Research conducted by the University of California has found that teenage boys are six times more likely to suffer from heart problems caused by the COVID-19 vaccine than to be hospitalized as a result of COVID-19 itself.

“A team led by Dr Tracy Hoeg at the University of California investigated the rate of cardiac myocarditis – heart inflammation – and chest pain in children aged 12-17 following their second dose of the vaccine,” reports the Telegraph.

“They then compared this with the likelihood of children needing hospital treatment owing to Covid-19, at times of low, moderate and high rates of hospitalisation.”

Researchers found that the risk of heart complications for boys aged 12-15 following the vaccine was 162.2 per million, which was the highest out of all the groups they looked at.

This compares to the risk of a healthy boy being hospitalized as a result of a COVID infection, which is around 26.7 per million, meaning the risk they face from the vaccine is 6.1 times higher.

Even during high risk rates of COVID, such as in January this year, the threat posed by the vaccine is 4.3 times higher, while during low risk rates, the risk of teenage boys suffering a “cardiac adverse event” from the vaccine is a whopping 22.8 times higher.

The research data was based on a study of adverse reactions suffered by teens between January and June this year.

In a sane world, such data should represent the nail in the coffin for the argument that teenagers and children should be mandated to take the coronavirus vaccine, but it obviously won’t.

In the UK, the government is pushing to vaccinate 12-15-year-olds, even without parental consent, despite the Joint Committee on Vaccination and Immunisation (JCVI) advising against it.

Meanwhile, in America, Los Angeles County school officials voted unanimously to mandate COVID shots for all

Report from UK Shows 35% of Those Hospitalized with COVID Had Taken Two Doses of Vaccine

Nearly half of those hospitalized in Britain with the ‘Delta Variant’ were vaccinated.  

Sky News reported:

A report out of Britian shows that 35% of all individuals hospitalized with the ‘Delta Variant’ had taken two doses of the COVID-19 vaccine.  Another 10% had taken at least one dose of the COVID-19 vaccine.  Barely over half of those hospitalized had not taken the vaccine.

For More Information: https://www.thegatewaypundit.com/2021/08/report-uk-shows-35-hospitalized-covid-taken-two-doses-vaccine/

Chronic fatigue syndrome and long covid: moving beyond the controversy

Authors: Melanie Newman, freelance journalist

Many patients with “long” covid are experiencing extreme fatigue, a situation that has re-polarised approaches to treatment and rehabilitation. Melanie Newman reports

“I submitted the first positive trial of cognitive behavioural therapy [CBT] as a treatment for chronic fatigue in the ’90s,” recalls Michael Sharpe, a professor of psychological medicine who was then a lecturer at Oxford University. “Next thing, my head of department got an unsigned letter, sent to The BMJ, saying that the research study was made up.”

It was the start of a lengthy campaign to prevent and undermine his research by some advocates of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) who object to suggestions that their illness has a psychological element.

After a period of “a lot of awfulness” Sharpe moved to Edinburgh University, where he initially decided to abandon the field but was drawn back by the Pace trial.1 Pace examined the effectiveness of CBT and graded exercise therapy (GET), in which the patient does progressively more exercise over time, combined with medical care. It was always going to be controversial.

“The Medical Research Council was being lobbied, people were trying to stop participants joining the trial—we had so much flak,” he says. Published in 2011 in the Lancet, the Pace trial found that both CBT and GET led to greater improvements in some participants than medical care alone. Since then the trial has been a lightning rod for ME/CFS advocates’ anger, drawing ceaseless attacks on the conduct of the research, the researchers, and the results.

A decade after publication it seems unlikely that a consensus will ever be reached. The National Institute for Health and Care Excellence has since reviewed its guidance on ME/CFS, and the draft guidance2 expresses concerns about inappropriate use of exercise and CBT, stating that the evidence is mixed or unclear.

Tensions have now resurfaced with the advent of the pandemic and “long” covid or post-covid symptoms. As many as 376 000 people in the UK report symptoms more than 12 months after the first onset of covid-19,3 often experiencing extreme fatigue along with a wide range of other symptoms.

For More Information: https://www.bmj.com/content/373/bmj.n1559

How to combat ‘COVID fatigue’: Medical experts on what works — and doesn’t

Authors: Meredith Deliso

“Throughout pandemics, the psychological footprint is often way bigger than the medical footprint,” Dr. Claude Mellins, a medical psychologist who co-leads a pandemic initiative called CopeColumbia for the Columbia University Irving Medical Center community, told ABC News.

One of the challenges is the pandemic makes it hard to turn to our normal coping strategies, such as being with people and engaging in fun activities, said Mellins, a professor of medical psychology in the Psychiatry Department at Columbia University Irving Medical Center and the Sociomedical Sciences Department at the Mailman School of Public Health.

People are “feeling unbelievably anxious of the uncertainty, and so they don’t want to be isolated, and they don’t want to do some of the things that we need to be there,” she added.

In the face of COVID fatigue, people are continually urged to not let their guard down. But how can public health officials accomplish this?

For More Information: https://abcnews.go.com/Health/combat-covid-fatigue-medical-experts-works/story?id=73861469

Fighting post-COVID fatigue: Here’s what doctors suggest

Authors: Rajeswari Parasa 

When TNM spoke to doctors about the post-recovery phase, they say it takes anywhere between four to twelve weeks for a patient to recover from the symptoms of COVID-19.

Doctors suggest that people should limit themselves to doing only mild muscle strengthening and breathing exercises. And that anything beyond mild exercises would only lead to tiredness and fatigue at least for the first two months after testing negative.

“Muscle weakness and fatigue are common in the post-recovery phase of COVID-19. There are two reasons for this, one being lack of nutrition and the other being drop in the oxygen levels, which affects the tissues during the infection. In order to improve the condition, one should properly hydrate themselves and see that electrolytes are maintained. Sodium, potassium, and other such microelements should be balanced with proper nutrition to the body,” says Dr. Raj Kumar Korra, a consultant pulmonologist.

He further suggests that basic muscle strengthening basic exercises such as walking, climbing stairs should be done along with breathing exercises to increase the capacity of the lungs.

Doctors also indicate that the presence of cough-like symptoms also hints at the presence of mild viral load in the body.

For More Information: https://www.thenewsminute.com/article/fighting-post-covid-fatigue-here-s-what-doctors-suggest-149119

What is COVID-19 brain fog — and how can you clear it?

Authors: Andrew E. Budson, MD, Contributor

As a cognitive behavioral neurologist, I’ve been hearing from many individuals who are complaining of “brain fog” after infection with COVID-19. So I thought it was worth discussing exactly what COVID-19 brain fog is, and some things to do that might help clear it.

There are many ways that COVID-19 can damage the brain. As I described in a previous blog post, some can be devastating, such as encephalitis, strokes, and lack of oxygen to the brain. But other effects may be more subtle, such as the persistent impairment in sustained attention noted by Chinese researchers.

In addition to direct effects on the brain, COVID-19 can also have long-term effects on other organ systems. So-called long haulers can have other lingering symptoms including fatigue, body aches, inability to exercise, headache, and difficulty sleeping. Some of these problems may be due to permanent damage to their lungs, heart, kidneys, or other organs. Damage to these organs — or even just the symptoms by themselves — can impair thinking and memory and cause brain fog. For example, how can you think clearly if you’re feeling fatigued and your body is aching? How can you concentrate if you were up half the night and awoke with a headache?

For More Information: https://www.health.harvard.edu/blog/what-is-covid-19-brain-fog-and-how-can-you-clear-it-2021030822076

How COVID-19 Spreads

Authors: CDC

COVID-19 spreads when an infected person breathes out droplets and very small particles that contain the virus. These droplets and particles can be breathed in by other people or land on their eyes, noses, or mouth. In some circumstances, they may contaminate surfaces they touch. People who are closer than 6 feet from the infected person are most likely to get infected.

COVID-19 is spread in three main ways:

  • Breathing in air when close to an infected person who is exhaling small droplets and particles that contain the virus.
  • Having these small droplets and particles that contain virus land on the eyes, nose, or mouth, especially through splashes and sprays like a cough or sneeze.
  • Touching eyes, nose, or mouth with hands that have the virus on them.

For More Information: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-covid-spreads.html