Ashikkali Loucia, Carroll Will, Johnson Christine
F1, Royal Derby Hospital, UK. Conflicts of interest: none declared.
Consultant Paediatrician, Staffordshire Children's Hospital at Royal Stoke, Stoke-on-Trent, UK. Conflicts of interest: none declared.
Paediatr Child Health (Oxford). 2020 Dec;30(12):430-437. doi: 10.1016/j.paed.2020.09.004. Epub 2020 Sep 16.
Since the detection of COVID-19 in December 2019, the rapid spread of the disease worldwide has led to a new pandemic, with the number of infected individuals and deaths rising daily. Early experience shows that it predominantly affects older age groups with children and young adults being generally more resilient to more severe disease.1, 2, 3 From a health standpoint, children and young people are less directly affected than adults and presentation of the disease has shown different characteristics. Nonetheless, COVID-19 has had severe repercussions on children and young people. These indirect, downstream implications should not be ignored. An understanding of the issues is essential for those who hope to advocate effectively for children to prevent irreversible damage to the adults of the future. This article reviews some of the evidence of harm to children that may accrue indirectly as a result of pandemics. It explores the physical and psychological effects, discusses the role of parenting and education, offering practical advice about how best to provide support as a healthcare professional.
自2019年12月发现新型冠状病毒肺炎（COVID-19）以来，该疾病在全球范围内的迅速传播引发了一场新的大流行，感染人数和死亡人数每日都在上升。早期经验表明，它主要影响老年人群体，儿童和年轻人通常对更严重的疾病更具抵抗力。1,2,3从健康角度来看，儿童和年轻人受到的直接影响比成年人小，且疾病表现出不同的特征。尽管如此，COVID-19对儿童和年轻人仍产生了严重影响。这些间接的、下游的影响不应被忽视。对于那些希望有效倡导保护儿童以防止对未来成年人造成不可逆转损害的人来说，了解这些问题至关重要。本文回顾了一些可能因大流行而间接对儿童造成伤害的证据。它探讨了身体和心理影响，讨论了育儿和教育的作用，并为医疗保健专业人员提供了关于如何最好地提供支持的实用建议。
