Epidemiology of Coronavirus Disease 2019 in Infants and Toddlers, Seoul, South Korea
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Purpose: Coronavirus disease 2019 (COVID-19) has posed a significant burden to infant and toddler’s care globally, while the disease severity is generally mild in this age group. In this study, we aimed to assess epidemiological and clinical aspects of COVID-19 in infants and toddlers in Seoul, South Korea. Methods: We used Seoul Metropolitan Government’s epidemiological investigation database to describe the epidemiological and clinical characteristics of COVID-19 in infants and toddlers, between March 2020 to December 2021. Results: A total of 5,025 infants and toddlers aged <5 years was diagnosed between the observed period. 2,720 (54.1%) had symptoms, and fever was the most common symptom in 1,941 (74.1%). Of the diagnosed cases, 96.4% did not have underlying diseases. In a district level, extended opening of childcare facility was associated with increased risk of COVID-19 in infants and toddlers. Conclusions: An efficient monitoring system, resembling routine clinical care, is crucial, considering the low rates of severe progression and fatality among infants and toddlers. Moreover, a well-grounded intervention based on scientific evidence, rather than unconditional closures, is necessary to establish a suitable childcare policy that ensures safety from infectious diseases while not overlooking the developmental aspects of social skills.
Abstract
Purpose: Coronavirus disease 2019 (COVID-19) has posed a significant burden to infant and toddler’s care globally, while the disease severity is generally mild in this age group. In this study, we aimed to assess epidemiological and clinical aspects of COVID-19 in infants and toddlers in Seoul, South Korea. Methods: We used Seoul Metropolitan Government’s epidemiological investigation database to describe the epidemiological and clinical characteristics of COVID-19 in infants and toddlers, between March 2020 to December 2021. Results: A total of 5,025 infants and toddlers aged <5 years was diagnosed between the observed period. 2,720 (54.1%) had symptoms, and fever was the most common symptom in 1,941 (74.1%). Of the diagnosed cases, 96.4% did not have underlying diseases. In a district level, extended opening of childcare facility was associated with increased risk of COVID-19 in infants and toddlers. Conclusions: An efficient monitoring system, resembling routine clinical care, is crucial, considering the low rates of severe progression and fatality among infants and toddlers. Moreover, a well-grounded intervention based on scientific evidence, rather than unconditional closures, is necessary to establish a suitable childcare policy that ensures safety from infectious diseases while not overlooking the developmental aspects of social skills.
참고문헌 (15)
- Choi JH, "Risk factors for severe COVID-19 in children : a systematic review and meta-analysis", J Korean Med Sci, 37, pp.e35~ (2022)
- Dasdemir S, "Croup as a previously unrecognized symptom of COVID-19 in infants", Pediatr Infect Dis J, 41, pp.e332~ (2022)
- Brookman S, "Effect of the new SARS-CoV-2 variant B. 1. 1. 7 on children and young people", Lancet Child Adolesc Health, 5, pp.e9~e10 (2021)
- Trevisanuto D, "Coronavirus infection in neonates : a systematic review", Arch Dis Child Fetal Neonatal Ed, 106, pp.330~335 (2021)
- Costa P, "The impact of the COVID-19 pandemic on young children and their caregivers", Child Care Health Dev, 48, pp.1001~1007 (2022)
- Jansen DEMC, "COVID-19 containment measures at childcare and schools in 19 European countries : an observational study on local, federal and national policies", Int J Public Health, 66, pp.1604010~ (2021)
- "Population statistics from resident registration" (2022)[URL]
- "Childcare information portal" (2022)[URL]
- Jang EJ, "Presumed population immunity to SARS-CoV-2 in South Korea, April 2022", Osong Public Health Res Perspect, 13, pp.377~381 (2022)
- Graff K, "Risk factors for severe COVID-19 in children", Pediatr Infect Dis J, 40, pp.e137~e145 (2021)
- Silverberg SL, "Child transmission of SARS-CoV-2 : a systematic review and meta-analysis", BMC Pediatr, 22, pp.172~ (2022)
- Bhuiyan MU, "Epidemiology of COVID-19 infection in young children under five years : a systematic review and meta-analysis", Vaccine, 39, pp.667~677 (2021)
- Gilliam WS, "COVID-19 transmission in US child care programs", Pediatrics, 147, pp.e2020031971~ (2021)
- Cho EY, "School closures during the coronavirus disease 2019 outbreak", Clin Exp Pediatr, 64, pp.322~327 (2021)
- Neuberger F, "Delta and Omicron : protective measures and SARS-CoV-2 infections in day care centres in Germany in the 4th and 5th wave of the pandemic 2021", 2022, 2022, pp.22, 2106~