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Experts: Children Rarely Transmit Coronavirus

Deacon

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Teens, Tweens more likely to spread virus (Medscape link)

Children and teens between ages 10-19 are more likely to spread the coronavirus among family members than adults and children under 10, according to a new study in South Korea. The results were published online as an early release article from the journal Emerging Infectious Diseases and could be updated before the official release in October.

Researchers at the CDC and Korea Centers for Disease Control and Prevention analyzed reports from nearly 60,000 people who had contact with 5,706 coronavirus patients between January and March. They found that 12% of household contacts had COVID-19, and about 2% of non-household contacts contracted the virus. ...

...If someone at home has tested positive for the coronavirus, social distancing and personal hygiene are the "most viable options" to prevent spread of the virus, the authors said. Future research might be able to explain whether wearing face masks at home could help, especially if some family members have underlying conditions or face a high risk of contracting COVID-19.
 

InTheLight

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ATLANTA (NEXSTAR) — A new report from the Centers for Disease Control and Prevention details a large coronavirus outbreak at an overnight camp in Georgia that resulted in 260 sick campers and staffers. Researchers say this seems to indicate children are susceptible to COVID-19 and have the ability to spread it.

According to the report, the camp in question, which took place at the end of June, had staff wear masks but did not require campers utilize face coverings. The report attendees stayed in cabins and took part in both indoor and outdoor activities.

The CDC says nearly 600 people attended the camp. Of the 344 people whose test results were reviewed by the CDC, 260 (76%) were positive.

The report says the attack rate was 44% — and even higher for children aged 6-10 years (51%).

“These findings demonstrate that SARS-CoV-2 spread efficiently in a youth-centric overnight setting, resulting in high attack rates among persons in all age groups, despite efforts by camp officials to implement most recommended strategies to prevent transmission,” the report details.



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Deacon

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From Medscape Medical News (Link)

School closures early in pandemic responses thwarted larger-scale investigations of schools as a source of community transmission," researchers note in a separate study published online July 30 in JAMA Pediatrics that examined levels of viral RNA in children and adults with COVID-19.

"Our analyses suggest children younger than 5 years with mild to moderate COVID-19 have high amounts of SARS-CoV-2 viral RNA in their nasopharynx compared with older children and adults," report Taylor Heald-Sargent, MD, PhD, and colleagues. "Thus, young children can potentially be important drivers of SARS-CoV-2 spread in the general population, as has been demonstrated with respiratory syncytial virus, where children with high viral loads are more likely to transmit."


Although the study "was not designed to prove that younger children spread COVID-19 as much as adults," it is a possibility, Heald-Sargent said in a related news release. "We need to take that into account in efforts to reduce transmission as we continue to learn more about this virus." Heald-Sargent is a pediatric infectious diseases specialist at Ann and Robert H. Lurie Children's Hospital and assistant professor of pediatrics at Northwestern University Feinberg School of Medicine in Chicago, Illinois.
 
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