Very few kids need to shield from Covid-19, says large British study

Covid-19, however, does increase the chance of serious illness in the most vulnerable children. PHOTO: REUTERS

LONDON (BLOOMBERG) - Most young people face an extremely low risk of illness and death from Covid-19 and have no need to shield from the virus, according to researchers behind a large British study.

The analysis, which its authors say is the most comprehensive on the topic to date, backs up clinical reports which show that children and teens are less likely to be hospitalised or face severe effects from the virus.

Covid-19, however, does increase the chance of serious illness in the most vulnerable children - those with complex disabilities and severe existing medical conditions - but even in those cases, the risks are smaller compared with adults.

In England, the highest rates of infection in recent weeks were seen in those aged 15 to 29, with the fastest jump in positive cases week-on-week among children aged five to 14.

With 68 per cent of adults in Britain having received at least one vaccine dose and more than 50 per cent fully vaccinated, the increase highlights the role that children may be playing in transmission.

"It is reassuring that these findings reflect our clinical experience in hospital - we see very few seriously unwell children," said Dr Elizabeth Whittaker, senior clinical lecturer in paediatric infectious diseases and immunology at Imperial College London. "We hope this data will be reassuring."

Though the data only measure the period up to February, the situation has not changed recently with the proliferation of the Delta variant, Dr Whittaker said.

Under 18s in England had about a one-in-50,000 chance of being admitted to intensive care with coronavirus during the first year of the pandemic, one study in the analysis found.

A number of conditions that were previously thought to increase the risks of coronavirus-related illness, such as active asthma or cystic fibrosis, brought "very little risk", researchers said at a media briefing.

"There's a general feeling among paediatricians that probably too many children were shielded in the first elements of the pandemic and that there's probably very few children that need to shield according to these data," University College London's professor of child and adolescent health Russell Viner said at the briefing. He was senior author of two of the studies involved.

The analysis is based on three papers that have not yet been peer reviewed, led by researchers at University College London, University of Bristol, University of York and the University of Liverpool.

Preliminary findings will be submitted to Britain's Joint Committee on Vaccination and Immunisation, the Department for Health and Social Care, and the World Health Organisation to help inform policies on shielding and vaccinations for under-18s in Britain and elsewhere, the statement said.

While most children have been spared the worst effects of the disease - showing mild to no symptoms - a small number of severe cases have led to hospitalisation and death.

A growing cohort of children is also suffering from so-called long Covid-19 - residual symptoms after infection ranging from extreme fatigue to depression.

With children now driving the spread of cases in many countries, governments have come under pressure to speed up inoculations for younger people.

The studies on young people did not look at the impact of long Covid-19, according to the statement.

The United States is one of the few countries offering Covid-19 vaccines to children aged 12 and over - the only group for which there is clinical data so far.

Britain has approved the Pfizer-BioNTech shot for adolescents, but has not rolled it out yet. Europe's drugs regulator also authorised the Pfizer-BioNTech vaccine, though only France and a limited number of other countries are administering it.

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