Trends in U.S. Emergency Department Visits Related to Suspected or Confirmed Child Abuse and Neglect Among Children and Adolescents Aged &lt;18 Years Before and During the COVID-19 Pandemic — United States, January 2019–September 2020

Swedo, Elizabeth A.; Idaikkadar, Nimi; Leemis, Ruth W.; Dias, Taylor; Radhakrishnan, Lakshmi; Stein, Zachary; Chen, May; Agathis, Nickolas T.; Holland, Kristin M.

doi:10.15585/mmwr.mm6949a1

Cited by 140 publications

(130 citation statements)

References 5 publications

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“…This may also increase the risk of child abuse and other violence by increasing parental stress and family conflicts [ 25 ]. In the United States, the risk of family violence increased [ 26 ] and the proportion of ED visits related to child abuse and neglect per 100,000 cases increased [ 27 ] during the pandemic. In Korea, there has been no direct reports of increase in proportion of injury-related PED visits caused by child abuse after the COVID-19 outbreak.…”

Section: Discussionmentioning

confidence: 99%

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Impact of Covid-19 on the Visit of Pediatric Patients with Injuries to the Emergency Department in Korea

et al. 2021

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The total number of pediatric emergency department (PED) visitors has decreased worldwide since the coronavirus disease (COVID-19) outbreak. We hypothesized that this might also affect the number of PED visits due to injuries. Therefore, we investigated these changes in PED visits after the COVID-19 outbreak through a long-term multicenter observational study. We assessed the changes in the proportion of injured pediatric patients’ weekly visits and the trend in the rate changes since the COVID-19 epidemic began by segmented regression analysis. We also evaluated the weekly change in the distribution of detailed diagnostic codes among pediatric patients with injuries before and after the COVID-19 pandemic. The proportion of injury-related PED visits increased when COVID-19 was first confirmed in Korea. After the COVID-19 epidemic, the proportion of foreign body ingestions and fracture patients among all pediatric patients with injuries increased significantly every week. The changes in the proportion of injured pediatric patients after the COVID-19 outbreak may have been the result of social distancing to prevent the spread of the virus. The risk of pediatric infections decreased but the risk of injury remained. Therefore, parents should take precautions to prevent infectious diseases and be careful to prevent children’s injuries at home.

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Section: Discussionmentioning

confidence: 99%

“…In Korea, there has been no direct reports of increase in proportion of injury-related PED visits caused by child abuse after the COVID-19 outbreak. However, like other countries, the amount of child abuse and neglect might increase [ 25 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Covid-19 on the Visit of Pediatric Patients with Injuries to the Emergency Department in Korea

et al. 2021

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“…36 COVID-19-linked school closures have been shown to be correlated with decreased reporting. 183,184 Remote schooling, especially if students' cameras are off, may reduce opportunity for educators to observe risks, or to provide practical supports and relationships to promote resilience.…”

Section: Impact Of School Closures On Overall Well-beingmentioning

confidence: 99%

COVID-19 and Education Disruption in Ontario: Emerging Evidence on Impacts

Gallagher‐Mackay¹,

Srivastava²,

Underwood³

et al. 2021

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The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate and report on emerging evidence relevant to the COVID-19 pandemic, to inform Ontario's response. Our mandate is to provide weekly summaries of relevant scientific evidence for the COVID-19 Health Coordination Table of the Province of Ontario, integrating information from existing scientific tables, Ontario's universities and agencies, and the best global evidence. The Science Table summarizes its findings for the Health Coordination Table and the public in Science Briefs.

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“… 6 Children continue to be disproportionately affected by the Covid-19 pandemic in social costs (stressors, school closures, loss of social support, and child maltreatment). 7-10 …”

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confidence: 99%

Evaluation of mRNA-1273 SARS-CoV-2 Vaccine in Adolescents

Ali¹,

et al. 2021

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Background The incidence of coronavirus disease 2019 (Covid-19) among adolescents between 12 and 17 years of age was approximately 900 per 100,000 population from April 1 through June 11, 2021. The safety, immunogenicity, and efficacy of the mRNA-1273 vaccine in adolescents are unknown. Methods In this ongoing phase 2–3, placebo-controlled trial, we randomly assigned healthy adolescents (12 to 17 years of age) in a 2:1 ratio to receive two injections of the mRNA-1273 vaccine (100 μg in each) or placebo, administered 28 days apart. The primary objectives were evaluation of the safety of mRNA-1273 in adolescents and the noninferiority of the immune response in adolescents as compared with that in young adults (18 to 25 years of age) in a phase 3 trial. Secondary objectives included the efficacy of mRNA-1273 in preventing Covid-19 or asymptomatic severe acute respiratory syndrome coronavirus 2 infection. Results A total of 3732 participants were randomly assigned to receive mRNA-1273 (2489 participants) or placebo (1243 participants). In the mRNA-1273 group, the most common solicited adverse reactions after the first or second injections were injection-site pain (in 93.1% and 92.4%, respectively), headache (in 44.6% and 70.2%, respectively), and fatigue (in 47.9% and 67.8%, respectively); in the placebo group, the most common solicited adverse reactions after the first or second injections were injection-site pain (in 34.8% or 30.3%, respectively), headache (in 38.5% and 30.2%, respectively), and fatigue (in 36.6% and 28.9%, respectively). No serious adverse events related to mRNA-1273 or placebo were noted. The geometric mean titer ratio of pseudovirus neutralizing antibody titers in adolescents relative to young adults was 1.08 (95% confidence interval [CI], 0.94 to 1.24), and the absolute difference in serologic response was 0.2 percentage points (95% CI, −1.8 to 2.4), which met the noninferiority criterion. No cases of Covid-19 with an onset of 14 days after the second injection were reported in the mRNA-1273 group, and four cases occurred in the placebo group. Conclusions The mRNA-1273 vaccine had an acceptable safety profile in adolescents. The immune response was similar to that in young adults, and the vaccine was efficacious in preventing Covid-19. (Funded by Moderna and the Biomedical Advanced Research and Development Authority; Teen COVE ClinicalTrials.gov number, NCT04649151 .)

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Trends in U.S. Emergency Department Visits Related to Suspected or Confirmed Child Abuse and Neglect Among Children and Adolescents Aged <18 Years Before and During the COVID-19 Pandemic — United States, January 2019–September 2020

Cited by 140 publications

References 5 publications

Impact of Covid-19 on the Visit of Pediatric Patients with Injuries to the Emergency Department in Korea

Impact of Covid-19 on the Visit of Pediatric Patients with Injuries to the Emergency Department in Korea

COVID-19 and Education Disruption in Ontario: Emerging Evidence on Impacts

Evaluation of mRNA-1273 SARS-CoV-2 Vaccine in Adolescents

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