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Trop Med Int Health . Coronavirus Disease-19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?

tetano

Editor, Senior Moderator
Trop Med Int Health


. 2020 Nov 20.
doi: 10.1111/tmi.13529. Online ahead of print.
Coronavirus Disease-19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?


Aline de Siqueira Alves Lopes[SUP] 1 [/SUP], Sarah Cristina Fontes Vieira[SUP] 1 [/SUP], Roseane Lima Santos Porto[SUP] 2 [/SUP], Victor Santana Santos[SUP] 3 4 [/SUP], Debora Cristina Fontes Leite[SUP] 5 [/SUP], Luis Eduardo Cuevas[SUP] 6 [/SUP], Ricardo Queiroz Gurgel[SUP] 1 [/SUP]



Affiliations

Abstract

Objective: To describe COVID-19 deaths among children and adolescents in Sergipe, Brazil.
Methods: Ecological study of all COVID-19 reported cases and deaths occurring in children and adolescents <19 years of age in Sergipe reported by the health surveillance and mortality information systems of Sergipe's Health Secretary and hospital records.
Results: 37 deaths of children <19 years old were reported up to 30[SUP]th[/SUP] September 2020, corresponding to 4.87 deaths for 100,000 population <19 years old. Most deaths occurred among infants (44.1/100,000), and this age group had the highest case fatality rate (15.3 %). Most children had comorbidities such as chronic neurological diseases (n=7; 19%) and prematurity (n=4; 11%). Most children who died (n=18; 49%) were not admitted to intensive care units (ICU).
Conclusion: COVID-19 mortality in children and adolescents in Sergipe was higher than in other Brazilian states and in high-income countries. A large proportion of the deaths occurred among children with co-morbidities and a minority of children were admitted to ICU, reflecting the limited provision of such beds in the State. Newborns and infants are a high-risk group that must have priority in health public policy.

Keywords: Adolescents; COVID-19; Children; Deaths; Mortality.
 
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