Department of Research Service, Hainan Women and Children's Medical Center, Haikou, China.
Eur Rev Med Pharmacol Sci. 2020 Oct;24(20):10867-10873. doi: 10.26355/eurrev_202010_23450.
To summarize the experience of three Chinese cities (Wuhan, Shanghai and Haikou) and provide a reference for global efforts to combat COVID-19 spread among children.
Through collecting the measures and outcomes of preventing and controlling COVID-19 in China's three hospitals, we compared the effect of different strategies.
From January to March 2020, the number of suspected and confirmed COVID-19 cases in Wuhan increased exponentially, and Wuhan Children's Hospital as a whole was transformed into a designated quarantine and treatment facility, which is the "Wuhan Model". Shanghai has more children's hospitals with better capabilities to tackle public health emergency. Besides, it is far away from Wuhan and had a small caseload. Children's Hospital of Fudan University, a facility in Shanghai to treat pediatric infectious diseases, is famous for its well-equipped building for infectious disease treatment and professional medical team, and therefore no major transformation was required. That is the "Shanghai Model". Haikou is located on an island. Amid the outbreak, large numbers of tourists and travelers from Hubei had already arrived in Haikou. Hainan Women and Children's Medical Center, as the only pediatric care hospital in Hainan Province, did not have a separate building for infectious disease treatment. After a citywide survey of the medical resources and facilities available, a temporarily idle hospital 3 kilometers away from Hainan Women and Children's Medical Center was requisitioned as the quarantine and treatment facility for pediatric cases. That is the "Hainan Model". The three models enabled the treatment of all suspected and confirmed cases and no fatality was reported.
The COVID-19 coping strategies for children should be designed according to the existing conditions of the local children's hospitals and the risk levels of the epidemic.
总结中国三个城市（武汉、上海和海口）的经验，为全球抗击 COVID-19 儿童传播提供参考。
通过收集中国三家医院预防和控制 COVID-19 的措施和结果，我们比较了不同策略的效果。
从 2020 年 1 月至 3 月，武汉疑似和确诊 COVID-19 病例数量呈指数级增长，武汉儿童医院整体转变为指定隔离治疗场所，这就是“武汉模式”。上海有更多儿童专科医院，应对突发公共卫生事件的能力更强。此外，上海离武汉较远，病例数量较少。上海复旦大学附属儿科医院是一家治疗儿科传染病的医疗机构，以其配备完善的传染病治疗大楼和专业的医疗团队而闻名，因此无需进行重大转型。这就是“上海模式”。海口位于一个岛屿上。疫情爆发期间，大量来自湖北的游客和旅行者已经抵达海口。海南妇女儿童医疗中心是海南省唯一的儿科医疗机构，没有单独的传染病治疗大楼。在对全市医疗资源和设施进行调查后，征用了距离海南妇女儿童医疗中心 3 公里的一家闲置医院作为儿科病例的隔离和治疗场所。这就是“海南模式”。这三种模式能够治疗所有疑似和确诊病例，且没有死亡病例报告。
应根据当地儿童医院的现有条件和疫情风险水平制定 COVID-19 儿童应对策略。
