College of Health Sciences, Chicago State University, Chicago, USA, University of Medical Sciences, Ondo City, Nigeria.
Deputy Editor, African Journal of Reproductive Health.
Afr J Reprod Health. 2020 Jun;24(s1):117-124. doi: 10.29063/ajrh2020/v24i2s.16.
COVID-19 is a new lethal disease with limited information on its transmissibility, the severity of its sequelae, its clinical manifestations, and epidemiology. This commentary analyzed the global epidemiology of COVID-19 among the vulnerable population. The analysis revealed that most pediatric COVID-19 cases are not severe, but related severe illness still occurs in children. All ages of children are susceptible to COVID-19, and no significant gender difference exists. COVID-19 infection during pregnancy produced fatal outcomes for mothers, but less risky for the baby. The hot spot clusters for COVID-19 are the prisons/jails, nursing/group homes, and long-term facilities where most of the vulnerable populations reside. Ethnic minority groups in the USA and UK are disproportionately exposed to COVID-19 infection and death than Caucasians. The difference may be because ethnic minorities are exposed to higher risks at work and the long-standing structural economic and health disparities in the two countries. There are now changes in guidelines on who is qualified to receive ventilators in dire situations in many countries around the world if the healthcare system is overwhelmed.
COVID-19 是一种新的致命疾病,其传染性、后遗症的严重程度、临床表现和流行病学方面的信息有限。本评论分析了 COVID-19 在易感染人群中的全球流行病学。分析表明,大多数儿科 COVID-19 病例并不严重,但仍有儿童发生相关重症疾病。所有年龄段的儿童都易感染 COVID-19,且无明显性别差异。COVID-19 感染对孕妇产生致命后果,但对婴儿的风险较小。COVID-19 的热点集群是监狱/拘留所、护理/团体之家和长期设施,这些地方是大多数易感染人群的所在地。美国和英国的少数族裔比白人更容易感染 COVID-19 并因此死亡。这种差异可能是因为少数族裔在工作中面临更高的风险,以及两国长期存在的结构性经济和健康差距。目前,如果医疗系统不堪重负,世界上许多国家在危急情况下谁有资格使用呼吸机的指南发生了变化。