COVID-19 (Corona) virus – what you need to know regarding children
The United Nations’ Central Emergency Response Fund (CERF) is providing USD$15 million to help fund global efforts to contain the COVID-19 (Corona) virus.
It comes as the World Health Organization (WHO) upgrades the global risk of the coronavirus outbreak to ‘very high’ – its top level of risk assessment. The WHO has said there is still a chance of containing the virus if its chain of transmission is broken.
There has been a sudden increase of cases in countries like Italy, the Islamic Republic of Iran and the Republic of Korea which, says the WHO, are deeply concerning. There are now cases linked to Iran in Bahrain, Iraq, Kuwait and Oman, along with cases linked to Italy in Algeria, Austria, Croatia, Germany, Spain and Switzerland.
The UN funding has been released to the WHO and the United Nations Children’s Fund (UNICEF). It will fund essential activities including monitoring the spread of the virus, investigating cases, and the operation of national laboratories.
The WHO has called for US$675 million to fund the fight against coronavirus. There is a window of opportunity to contain the spread of the virus if countries take robust measures to detect cases early, isolate and care for patients, and trace contacts.
Emergency Relief Coordinator and Under-Secretary-General for Humanitarian Affairs, Mark Lowcock said: “We do not yet see evidence that the virus is spreading freely. As long as that’s the case, we still have a chance of containing it. But swift and robust action must be taken to detect cases early, isolate and care for patients, and trace contacts. We must act now to stop this virus from putting more lives at risk.
“This grant from the UN’s Emergency Fund will help countries with fragile health systems boost their detection and response operations. It has the potential to save the lives of millions of vulnerable people.”
This is a critical juncture in the outbreak. The focus is on containing COVID-19 by strengthening surveillance, conducting thorough outbreak investigations to identify contacts and applying appropriate measures to prevent further spread.
Tedros Adhanom Ghebreyesus, WHO Director-General, said: “The potential spread of the virus to countries with weaker health systems is one of our biggest concerns. These funds will help support these countries get ready for detecting and isolating cases, protecting their health workers, and treating patients with dignity and appropriate care. This will help us save lives and push back the virus”
UNICEF is leading on preventative actions in communities across the affected countries with risk communication, providing hygiene and medical kits to schools and health clinics and monitoring the impact of the outbreak to support continuity of care, education and social services.
“At this pivotal moment, every effort must be made to push back against the outbreak,” said UNICEF Executive Director Henrietta Fore. “These crucial funds will support our global efforts to bolster weaker health systems and inform children, pregnant women and families about how to protect themselves.”
UNICEF has published the following guidance for parents who may be concerned about how the virus can affect children:
What is a ‘novel’ coronavirus?
A novel coronavirus (CoV) is a new strain of coronavirus.
The disease caused by the novel coronavirus first identified in Wuhan, China, has been named coronavirus disease 2019 (COVID-19) – ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for disease. Formerly, this disease was referred to as ‘2019 novel coronavirus’ or ‘2019-nCoV.’
The COVID-19 virus is a new virus linked to the same family of viruses as Severe Acute Respiratory Syndrome (SARS) and some types of common cold.
How does the COVID-19 virus spread?
The virus is transmitted through direct contact with respiratory droplets of an infected person (generated through coughing and sneezing), and touching surfaces contaminated with the virus. The COVID-19 virus may survive on surfaces for several hours, but simple disinfectants can kill it.
What are the symptoms of coronavirus?
Symptoms can include fever, cough and shortness of breath. In more severe cases, infection can cause pneumonia or breathing difficulties. More rarely, the disease can be fatal.
These symptoms are similar to the flu (influenza) or the common cold, which are a lot more common than COVID-19. This is why testing is required to confirm if someone has COVID-19. It’s important to remember that key prevention measures are the same – frequent hand washing, and respiratory hygiene (cover your cough or sneeze with a flexed elbow or tissue, then throw away the tissue into a closed bin). Also, there is a vaccine for the flu – so remember to keep yourself and your child up to date with vaccinations.
How can I avoid the risk of infection?
Here are four precautions you and your family can take to avoid infection:
- Wash your hands frequently using soap and water or an alcohol-based hand rub
- Cover your mouth and nose with a flexed elbow or tissue, when coughing or sneezing, and throw away the tissue into a closed bin
- Avoid close contact with anyone who has cold or flu-like symptoms
- Seek medical care early if you or your child has a fever, cough or difficulty breathing
Should I wear a medical mask?
The use of a medical mask is advised if you have respiratory symptoms (coughing or sneezing) to protect others. If you don’t have any symptoms, then there is no need to wear a mask.
If masks are worn, they must be used and disposed of properly to ensure their effectiveness and to avoid any increased risk of transmitting the virus.
The use of a mask alone is not enough to stop infections and must be combined with frequent hand washing, covering sneezes and coughs, and avoiding close contact with anyone with cold or flu-like symptoms (coughing, sneezing, fever).
Does COVID-19 affect children?
This is a new virus and we do not know enough yet about how it affects children or pregnant women. We know it is possible for people of any age to be infected with the virus, but so far there have been relatively few cases of COVID-19 reported among children. The virus is fatal in rare cases, so far mainly among older people with pre-existing medical conditions.
What should I do if my child has symptoms of COVID-19?
Seek medical attention, but remember that it’s flu season in the Northern Hemisphere, and symptoms of COVID-19 such as cough or fever can be similar to those of the flu, or the common cold – which are a lot more frequent.
Continue to follow good hand and respiratory hygiene practices like regular handwashing, and keep your child up to date with vaccinations – so that your child is protected against other viruses and bacteria causing diseases.
As with other respiratory infections like the flu, seek care early if you or your child are having symptoms, and try to avoid going to public places (workplace, schools, public transport), to prevent spread to others.
What should I do if a family member displays symptoms?
You should seek medical care early if you or your child has a fever, cough or difficulty breathing. Consider calling ahead to tell your health care provider if you have traveled to an area where COVID-19 has been reported, or if you have been in close contact with someone with who has traveled from one of these areas and has respiratory symptoms.
Should I take my child out of school?
If your child is having symptoms, seek medical care, and follow the instructions from the health care provider. Otherwise, as with other respiratory infections like the flu, keep your child well rested at home while symptomatic, and avoid going to public places, to prevent spread to others.
If your child isn’t displaying any symptoms such as a fever or cough – and unless a public health advisory or other relevant warning or official advice has been issued affecting your child’s school – it’s best to keep your child in class.
Instead of keeping children out of school, teach them good hand and respiratory hygiene practices for school and elsewhere, like frequent handwashing (see below), covering cough or sneeze with a flexed elbow or tissue, then throwing away the tissue into a closed bin, not touching their eyes, mouths or noses if they haven’t properly washed their hands.
What is the best way to wash hands properly?
Step 1: Wet hands with running water
Step 2: Apply enough soap to cover wet hands
Step 3: Scrub all surfaces of the hands – including back of hands, between fingers and under nails – for at least 20 seconds.
Step 4: Rinse thoroughly with running water
Step 5: Dry hands with a clean cloth or single-use towel
Wash your hands often, especially before eating; after blowing your nose, coughing, or sneezing; and going to the bathroom.
If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water, if hands are visibly dirty.
What precautions should I take for my family if we travel?
Anyone planning a trip overseas should always check the travel advisory for their destination country for any restrictions on entry, quarantine requirements on entry, or other relevant travel advice.
In addition to taking standard travel precautions, and in order to avoid being quarantined or denied re-entry into your home country, you are also advised to check the latest COVID-19 update on the International Air Transport Association website, which includes a list of countries and restriction measures.
While traveling, all parents should follow standard hygiene measures for themselves and their children: Wash hands frequently or use an alcohol-based sanitizer with at least 60 per cent alcohol, practice good respiratory hygiene (cover your mouth and nose with your bent elbow or tissue when you cough or sneeze and immediately dispose of the used tissue) and avoid close contact with anyone who is coughing or sneezing. In addition, it is recommended that parents always carry a hand sanitizer, pack of disposable tissues, and disinfecting wipes.
Additional recommendations include: Clean your seat, armrest, touchscreen, etc. with a disinfecting wipe once inside an aircraft or other vehicle. Also use a disinfecting wipe to clean key surfaces, doorknobs, remote controls, etc at the hotel or other accommodation where you and your children are staying.
Can pregnant women pass coronavirus to unborn children?
At this time, there is not enough evidence to determine whether the virus is transmitted from a mother to her baby during pregnancy, or the potential impact this may have on the baby. This is currently being investigated. Pregnant women should continue to follow appropriate precautions to protect themselves from exposure to the virus, and seek medical care early, if experiencing symptoms, such as fever, cough or difficulty breathing.
Is it safe for a mother to breastfeed if she is infected with coronavirus?
All mothers in affected and at-risk areas who have symptoms of fever, cough or difficulty breathing, should seek medical care early, and follow instructions from a health care provider.
Considering the benefits of breastfeeding and the insignificant role of breastmilk in the transmission of other respiratory viruses, the mother can continue breastfeeding, while applying all the necessary precautions.
For symptomatic mothers well enough to breastfeed, this includes wearing a mask when near a child (including during feeding), washing hands before and after contact with the child (including feeding), and cleaning/disinfecting contaminated surfaces – as should be done in all cases where anyone with confirmed or suspected COVID-19 interacts with others, including children.
If a mother is too ill, she should be encouraged to express milk and give it to the child via a clean cup and/or spoon – all while following the same infection prevention methods.
What is UNICEF doing to help?
UNICEF’s current response focuses on supporting the Government of China and the broader East Asia and Pacific region countries where most of the cases have so far been reported. Since 29 January, UNICEF has flown in 13 tons of supplies, including protective suits, masks, goggles and gloves for use by health workers. Additional shipments are in the pipeline and UNICEF is pre-positioning supplies in key locations.
Given the unpredictable nature of the virus and the continued spread, UNICEF is also liaising with governments, World Health Organization counterparts and other partners in developing contingency plans in other regions, especially in countries with weaker health systems and limited capacity to deal with major disease outbreaks.
On 17 February, UNICEF appealed for US$42.3 million to scale up support for efforts to contain the COVID-19 virus outbreak. The preliminary funds will support UNICEF’s work to reduce the transmission of the virus including by strengthening risk communication and tackling misinformation so that children, pregnant women and their families know how to prevent COVID-19 spread and where to seek assistance.