Coronavirus disease‐19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?
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
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| Veröffentlicht in: | Tropical medicine & international health 2021-01, Vol.26 (1), p.115-119 |
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| creator | Siqueira Alves Lopes, Aline Fontes Vieira, Sarah Cristina Lima Santos Porto, Roseane Santana Santos, Victor Fontes Leite, Debora Cristina Eduardo Cuevas, Luis Queiroz Gurgel, Ricardo |
| description | 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 |
| doi_str_mv | 10.1111/tmi.13529 |
| format | Article |
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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
Of 37 deaths of children < 19 years old were reported up to 30 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 (ICUs).
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 comorbidities 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.
ObjectifDécrire les décès par COVID‐19 chez les enfants et adolescents à Sergipe, au Brésil.
MéthodesEtude écologique de tous les cas et décès par COVID‐19 signalés chez des enfants et des adolescents <19 ans à Sergipe rapportés par les systèmes de surveillance de la santé et d’information sur la mortalité du Secrétariat de la Santé et les dossiers hospitaliers de Sergipe.
Résultats37 décès d'enfants <19 ans ont été signalés au 30 septembre 2020, correspondant à 4,87 décès pour 100.000 habitants de <19 ans. La plupart des décès sont survenus chez des nourrissons (44,1/100.000) et ce groupe d'âge avait le taux de létalité le plus élevé (15,3%). La plupart des enfants présentaient des comorbidités telles que des maladies neurologiques chroniques (n = 7; 19%) et une prématurité (n = 4; 11%). La plupart des enfants décédés (n = 18; 49%) n'avaient pas été admis dans des unités de soins intensifs.
ConclusionLa mortalité par COVID‐19 chez les enfants et les adolescents de Sergipe était plus élevée que dans les autres Etats brésiliens et dans les pays à revenu élevé. Une grande partie des décès est survenue chez des enfants souffrant de comorbidités et une minorité d’enfants avaient été admis aux soins intensifs, ce qui reflète la disponibilité limitée de ce type de lits dans l’Etat. Les nouveau‐nés et les nourrissons constituent un groupe à haut risque qui doit avoir la priorité dans les politiques de santé publiques.]]></description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/tmi.13529</identifier><identifier>PMID: 33217116</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescents ; Age Distribution ; Brazil - epidemiology ; Child ; Child, Preschool ; Children ; Comorbidity ; Coronaviruses ; COVID-19 ; COVID-19 - mortality ; deaths ; Ecological studies ; Fatalities ; Female ; Health surveillance ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Infants ; Information systems ; Intensive Care Units ; Male ; Mortality ; Neonates ; Neurological diseases ; Original ; Original Research Papers ; Public policy ; Teenagers ; Viral diseases</subject><ispartof>Tropical medicine & international health, 2021-01, Vol.26 (1), p.115-119</ispartof><rights>2020 John Wiley & Sons Ltd</rights><rights>2020 John Wiley & Sons Ltd.</rights><rights>2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4439-608d0011861d08c3a94f1619e106df9aa2841e78ac880c6e7146373522016ea23</citedby><cites>FETCH-LOGICAL-c4439-608d0011861d08c3a94f1619e106df9aa2841e78ac880c6e7146373522016ea23</cites><orcidid>0000-0002-0830-9657 ; 0000-0003-3806-2605 ; 0000-0003-0194-7397 ; 0000-0002-3254-3793 ; 0000-0002-6581-0587 ; 0000-0002-5396-2428</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftmi.13529$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftmi.13529$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33217116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siqueira Alves Lopes, Aline</creatorcontrib><creatorcontrib>Fontes Vieira, Sarah Cristina</creatorcontrib><creatorcontrib>Lima Santos Porto, Roseane</creatorcontrib><creatorcontrib>Santana Santos, Victor</creatorcontrib><creatorcontrib>Fontes Leite, Debora Cristina</creatorcontrib><creatorcontrib>Eduardo Cuevas, Luis</creatorcontrib><creatorcontrib>Queiroz Gurgel, Ricardo</creatorcontrib><title>Coronavirus disease‐19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description><![CDATA[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
Of 37 deaths of children < 19 years old were reported up to 30 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 (ICUs).
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 comorbidities 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.
ObjectifDécrire les décès par COVID‐19 chez les enfants et adolescents à Sergipe, au Brésil.
MéthodesEtude écologique de tous les cas et décès par COVID‐19 signalés chez des enfants et des adolescents <19 ans à Sergipe rapportés par les systèmes de surveillance de la santé et d’information sur la mortalité du Secrétariat de la Santé et les dossiers hospitaliers de Sergipe.
Résultats37 décès d'enfants <19 ans ont été signalés au 30 septembre 2020, correspondant à 4,87 décès pour 100.000 habitants de <19 ans. La plupart des décès sont survenus chez des nourrissons (44,1/100.000) et ce groupe d'âge avait le taux de létalité le plus élevé (15,3%). La plupart des enfants présentaient des comorbidités telles que des maladies neurologiques chroniques (n = 7; 19%) et une prématurité (n = 4; 11%). La plupart des enfants décédés (n = 18; 49%) n'avaient pas été admis dans des unités de soins intensifs.
ConclusionLa mortalité par COVID‐19 chez les enfants et les adolescents de Sergipe était plus élevée que dans les autres Etats brésiliens et dans les pays à revenu élevé. Une grande partie des décès est survenue chez des enfants souffrant de comorbidités et une minorité d’enfants avaient été admis aux soins intensifs, ce qui reflète la disponibilité limitée de ce type de lits dans l’Etat. Les nouveau‐nés et les nourrissons constituent un groupe à haut risque qui doit avoir la priorité dans les politiques de santé publiques.]]></description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Age Distribution</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - mortality</subject><subject>deaths</subject><subject>Ecological studies</subject><subject>Fatalities</subject><subject>Female</subject><subject>Health surveillance</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Information systems</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Neurological diseases</subject><subject>Original</subject><subject>Original Research Papers</subject><subject>Public policy</subject><subject>Teenagers</subject><subject>Viral diseases</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1uFSEYhidGY2t14Q0YEjeaOC3fwADjwqae-NOk6qauyefAdGgYqDDT5rjyErxGr0ROT23URDYQePLwvXmr6jHQfSjrYJ7cPrC26e5Uu8BEWzNoxd3rM62bRoqd6kHO55RSzltxv9phrAEJIHYrv4opBrx0acnEuGwx25_ff0BHjMV5zASnGM5IPzpvkg0EgyFoore5t2HOxG2uCCaLJA7kY0zzWBTzC_I64TfnX5KrcU1yJBOG9eHD6t6APttHN_te9fntm9PV-_rk07vj1dFJ3XPOulpQZSgFUAIMVT3Djg8goLNAhRk6xEZxsFJhrxTthZXABZMlf0NBWGzYXvVq671YvkzWbCZN6PVFchOmtY7o9N8vwY36LF5qKVsmlSiCZzeCFL8uNs96ciWw9xhsXLJuyodAOyV4QZ_-g57HJYUSr1CSy5Zy1RXq-ZbqU8w52eF2GKB606EuHerrDgv75M_pb8nfpRXgYAtcOW_X_zfp0w_HW-UvHgSl5w</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Siqueira Alves Lopes, Aline</creator><creator>Fontes Vieira, Sarah Cristina</creator><creator>Lima Santos Porto, Roseane</creator><creator>Santana Santos, Victor</creator><creator>Fontes Leite, Debora Cristina</creator><creator>Eduardo Cuevas, Luis</creator><creator>Queiroz Gurgel, Ricardo</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0830-9657</orcidid><orcidid>https://orcid.org/0000-0003-3806-2605</orcidid><orcidid>https://orcid.org/0000-0003-0194-7397</orcidid><orcidid>https://orcid.org/0000-0002-3254-3793</orcidid><orcidid>https://orcid.org/0000-0002-6581-0587</orcidid><orcidid>https://orcid.org/0000-0002-5396-2428</orcidid></search><sort><creationdate>202101</creationdate><title>Coronavirus disease‐19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?</title><author>Siqueira Alves Lopes, Aline ; Fontes Vieira, Sarah Cristina ; Lima Santos Porto, Roseane ; Santana Santos, Victor ; Fontes Leite, Debora Cristina ; Eduardo Cuevas, Luis ; Queiroz Gurgel, Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4439-608d0011861d08c3a94f1619e106df9aa2841e78ac880c6e7146373522016ea23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Age Distribution</topic><topic>Brazil - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - mortality</topic><topic>deaths</topic><topic>Ecological studies</topic><topic>Fatalities</topic><topic>Female</topic><topic>Health surveillance</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Information systems</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Mortality</topic><topic>Neonates</topic><topic>Neurological diseases</topic><topic>Original</topic><topic>Original Research Papers</topic><topic>Public policy</topic><topic>Teenagers</topic><topic>Viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Siqueira Alves Lopes, Aline</creatorcontrib><creatorcontrib>Fontes Vieira, Sarah Cristina</creatorcontrib><creatorcontrib>Lima Santos Porto, Roseane</creatorcontrib><creatorcontrib>Santana Santos, Victor</creatorcontrib><creatorcontrib>Fontes Leite, Debora Cristina</creatorcontrib><creatorcontrib>Eduardo Cuevas, Luis</creatorcontrib><creatorcontrib>Queiroz Gurgel, Ricardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siqueira Alves Lopes, Aline</au><au>Fontes Vieira, Sarah Cristina</au><au>Lima Santos Porto, Roseane</au><au>Santana Santos, Victor</au><au>Fontes Leite, Debora Cristina</au><au>Eduardo Cuevas, Luis</au><au>Queiroz Gurgel, Ricardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronavirus disease‐19 deaths among children and adolescents in an area of Northeast, Brazil: why so many?</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2021-01</date><risdate>2021</risdate><volume>26</volume><issue>1</issue><spage>115</spage><epage>119</epage><pages>115-119</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract><![CDATA[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
Of 37 deaths of children < 19 years old were reported up to 30 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 (ICUs).
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 comorbidities 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.
ObjectifDécrire les décès par COVID‐19 chez les enfants et adolescents à Sergipe, au Brésil.
MéthodesEtude écologique de tous les cas et décès par COVID‐19 signalés chez des enfants et des adolescents <19 ans à Sergipe rapportés par les systèmes de surveillance de la santé et d’information sur la mortalité du Secrétariat de la Santé et les dossiers hospitaliers de Sergipe.
Résultats37 décès d'enfants <19 ans ont été signalés au 30 septembre 2020, correspondant à 4,87 décès pour 100.000 habitants de <19 ans. La plupart des décès sont survenus chez des nourrissons (44,1/100.000) et ce groupe d'âge avait le taux de létalité le plus élevé (15,3%). La plupart des enfants présentaient des comorbidités telles que des maladies neurologiques chroniques (n = 7; 19%) et une prématurité (n = 4; 11%). La plupart des enfants décédés (n = 18; 49%) n'avaient pas été admis dans des unités de soins intensifs.
ConclusionLa mortalité par COVID‐19 chez les enfants et les adolescents de Sergipe était plus élevée que dans les autres Etats brésiliens et dans les pays à revenu élevé. Une grande partie des décès est survenue chez des enfants souffrant de comorbidités et une minorité d’enfants avaient été admis aux soins intensifs, ce qui reflète la disponibilité limitée de ce type de lits dans l’Etat. Les nouveau‐nés et les nourrissons constituent un groupe à haut risque qui doit avoir la priorité dans les politiques de santé publiques.]]></abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>33217116</pmid><doi>10.1111/tmi.13529</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0830-9657</orcidid><orcidid>https://orcid.org/0000-0003-3806-2605</orcidid><orcidid>https://orcid.org/0000-0003-0194-7397</orcidid><orcidid>https://orcid.org/0000-0002-3254-3793</orcidid><orcidid>https://orcid.org/0000-0002-6581-0587</orcidid><orcidid>https://orcid.org/0000-0002-5396-2428</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Access via Wiley Online Library; MEDLINE; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection) |
| subjects | Adolescent Adolescents Age Distribution Brazil - epidemiology Child Child, Preschool Children Comorbidity Coronaviruses COVID-19 COVID-19 - mortality deaths Ecological studies Fatalities Female Health surveillance Hospitalization - statistics & numerical data Humans Infant Infant, Newborn Infants Information systems Intensive Care Units Male Mortality Neonates Neurological diseases Original Original Research Papers Public policy Teenagers Viral diseases |
| title | Coronavirus disease‐19 deaths among children and adolescents in an area of Northeast, Brazil: why so many? |
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