Challenges of COVID-19 in children in low- and middle-income countries
| Autor: | Jose A. Castro-Rodriguez, Gilberto Bueno Fischer, Heather J. Zar, Jeanette Dawa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Sanitation
TB tuberculosis HIV Infections 0302 clinical medicine Risk Factors Pandemic Health care Medicine 030212 general & internal medicine Child Resource allocation LMICs low- and middle-income country COVID education.field_of_study COVID-19 Coronavirus disease 2019 Child Health Overcrowding ICU intensive care unit Indirect effects WHO World Health Organisation Coronavirus Infections Pulmonary and Respiratory Medicine medicine.medical_specialty HIC high income country Population Pneumonia Viral SARS-CoV-2 severe acute respiratory syndrome coronavirus 2 Article Education 03 medical and health sciences Betacoronavirus LRTI lower respiratory tract infection Water Supply Environmental health Humans Pediatrics Perinatology and Child Health education Developing Countries Pandemics Personal Protective Equipment Poverty business.industry SARS-CoV-2 Public health Malnutrition COVID-19 medicine.disease Crowding 030228 respiratory system Pediatrics Perinatology and Child Health Low-middle income countries business |
| Zdroj: | Paediatric Respiratory Reviews |
| ISSN: | 1526-0542 |
| DOI: | 10.1016/j.prrv.2020.06.016 |
| Popis: | As the coronavirus pandemic extends to low and middle income countries (LMICs), there are growing concerns about the risk of coronavirus disease (COVID-19) in populations with high prevalence of comorbidities, the impact on health and economies more broadly and the capacity of existing health systems to manage the additional burden of COVID-19. The direct effects of COVID are less of a concern in children, who seem to be largely asymptomatic or to develop mild illness as occurs in high income countries; however children in LMICs constitute a high proportion of the population and may have a high prevalence of risk factors for severe lower respiratory infection such as HIV or malnutrition. Further diversion of resources from child health to address the pandemic among adults may further impact on care for children. Poor living conditions in LMICs including lack of sanitation, running water and overcrowding may facilitate transmission of SARS-CoV-2. The indirect effects of the pandemic on child health are of considerable concern, including increasing poverty levels, disrupted schooling, lack of access to school feeding schemes, reduced access to health facilities and interruptions in vaccination and other child health programs. Further challenges in LMICs include the inability to implement effective public health measures such as social distancing, hand hygiene, timely identification of infected people with self-isolation and universal use of masks. Lack of adequate personal protective equipment, especially N95 masks is a key concern for health care worker protection. While continued schooling is crucial for children in LMICs, provision of safe environments is especially challenging in overcrowded resource constrained schools. The current crisis is a harsh reminder of the global inequity in health in LMICs. The pandemic highlights key challenges to the provision of health in LMICs, but also provides opportunities to strengthen child health broadly in such settings. |
| Databáze: | OpenAIRE |
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