(07-05-2020, 09:30 PM)akiddoc Wrote: I feel like a broken record here. There have been 130,000 deaths from Covid. 30 - 40 of those are in children under 18. 80% of the children who have died had serious pre-existing medical issues. The studies coming out of Europe show that children are less likely to catch it if exposed, far less likely to get sick if they catch it, and less likely to transmit it if infected. 170 kids died of Influenza this season. 500 kids die from Respiratory Syncytial Virus every winter. Coronavirus falls right in that general area of risk. Therefore, the risk to children is not enough to keep them out of school. The issue is how to keep the adults around them healthy.
If you are afraid to keep your kids out of school due to their health alone, it is not a valid risk assessment.
These
CDC tables (
public labs,
commercial labs) indicate there have been 70,000 positive tests of 5-17 year olds in the US (
total of 54M 5-17yo in US, rate of 130 per 100K) in the 4 months we've had this disease.
From the same table, and
US demographics
70K positive tests in 5-17 (pop 54M, rate of 130 per 100K)
842K positive tests in 18-49 (pop. 135.7M, rate of 620 per 100K)
341K positive tests in 50-64 (pop. 41.8M, rate of 816 per 100K)
255K positive tests in 65+ (pop. 52.8M, rate of 483 per 100K)
While we think of outbreaks in senior housing, it appears that the US has better managed the spread of cases to 65+yo versus younger adults.
We may also have done as well, or possibly better, with school age children: Schools have been shut down; most summer camps and sports leagues have not been held; this age group rarely works out of the house and doesn't do much shopping in person. I do expect that some children have had out-of-the-home care, and some (many?) have played with friends.
In any case, it is clear that children 5-17 are not mostly immune to the disease. They rarely die of the disease, I don't know whether they may suffer the long term impacts to their health.v
I worry that schools will be like congregate housing and there will be epidemics that will spread to many of the students. Then, as I see in the SCC congregate housing, those that take care of them will get sick with a pretty high probability. Virtually all parents will take care for their sick children, even if it means a risk to them. They will continue to feed them, give them their medications, see that they get treatment, and soothe their emotions.
I believe in private homes, the ratio of care givers (parents) to patients (children) will be higher than in congregate housing. Parents will generally not have training in how to avoid infection. They generally will not have access to PPE. They are on call 24 hours a day, with no days or weekends off.
Fortunately, parents will be in the 25-50 (maybe up to late 50s) age group. While there are fatal COVID cases in that group, it isn't crazy bad (but the death of one or both parents would be damaging to the child). However, in some cases (and perhaps more common in families with low incomes), grandparents may be the care givers to the children.
Short of institutionalizing all sick school-age kids (nobody wants that!), I can't think of any way to significantly reduce the chances of kids bringing home COVID-19 from school.