It has been 9 months of this #kidsandcovid thread.

Starting a new section tonight as kids are getting sick more and getting sicker more.

GIF from Rosemary's Baby - this 9 months has also spawned demons. Not just COVID and mutations but how the privileged react to it all.
Covid Once Spared the Young. Now More Are Going to the Hospital

Spencer w/B.1.1.7. variant has kept him mostly bedridden and suffering headaches/swollen ankles since March 17.

Michigan 50 pediatric cases in hospitals Thurs. And more here:
H/t @CM01647759
https://www.bloomberg.com/news/articles/2021-04-19/covid-once-spared-the-young-now-more-are-going-to-the-hospital?utm_campaign=news&utm_medium=bd&utm_source=applenews
As Trump Demanded Schools Reopen, His Experts Warned of ‘Highest Risk’ - The New York Times
https://twitter.com/jaketapper/status/1282020490417188864?s=20
July 11/12 and then December. Plenty of studies but a very flawed one highlighted when teams changed.

57k cases vs 70k cases. <crazypillsgif> <explainitlikeim5>
August 9: How widespread is COVID-19 in children? A look at the latest data as schools reopen

Nearly 9% of all coronavirus cases are in kids, the latest AAP report found.

Ah memories! When the AAP report was publicized.

Awww how cute/s. 338,982 kids with COVID.
August 11: COVID cases in children nearly doubled in just 4 weeks

The cumulative number of new COVID cases among children in the US jumped by 90% during a recent 4-wk period, according to a report that confirms children are not immune to the coronavirus.
https://www.mdedge.com/pediatrics/article/226818/coronavirus-updates/covid-19-cases-children-nearly-doubled-just-4-weeks
To now: As of April 15, over 3.63 million children have tested positive for COVID since the pandemic began. Similar to previous weeks, we have seen another increase in new reported cases – about 88,500 new child cases.

So 300+k in July to this now.

And
We
Are
Ok
With
It
!
3,631,189 total child COVID-19 cases reported, and children represented 13.6% (3,631,189/26,617,913) of all cases

Overall rate: 4,824 cases per 100,000 children in the population
88,497 new child cases reported the past week from 4/8/21-4/15/21 (3,542,692 to 3,631,189) children represented 20.6% (88,497/429,727) of new weekly cases

Over 2 weeks, 4/1/21-4/15/21, there was a 5% increase in cumulated # of cases (161,689 new cases (3,469,500 to 3,631,189)
To summarize:
July 30, 2020: 338,982 kids
April 15, 2021: 3,631,189 kids

July: 447 cases per 100,000 children in the population
April: 4,824 cases per 100,000 children

And they just keep going. And no one tries to stop it except the people who are begging for this to change.
Could it get worse? "P1 accelerates intubation of young people and Sao Paulo advises them to seek care on 1st day of symptoms."

Yes. Worse than adding 3.3 million cases in kids in 9 months worse. Because they're getting sicker, faster.

From @DGBassani https://twitter.com/DGBassani/status/1384270368660025347?s=20
Minnesota: Some see teens speaking truth to power. Some see that and holy 💩those are HS students in Minneapolis.
https://twitter.com/loisbeckett/status/1384213472766939140?s=20
That many HS kids participating in school classes there? Not supposed to be per the CDC map, eh?
"But they're open in Israel!" 🤡

And look how it's done. After months of lockdowns, vaccination, and now testing and taking care of business. https://twitter.com/wsbgnl/status/1383914579390914565?s=20
"White blobs are bad." We've all seen the NYT report on the neurological issues that kids are having. But how about a really great thread on it?

Yes! Here from @Dr_FarrisD https://twitter.com/Dr_FarrisD/status/1383556638884257793?s=20
Finally: "Sometimes we tell ourselves atrocities don't occur in the present."

From @fitterhappierAJ

https://twitter.com/fitterhappierAJ/status/1380172351053127684?s=20

9 months. Any steps forward? I feel like it's more backwards now.
Backwards - an example immediately so adding it in - Ducey and the mask mandate in schools in Arizona.

H/t @lynchem1 https://twitter.com/RealBlue75/status/1384283902836023302?s=19
There is a story - Chicken Little - that I hated as a kid. Each time I heard about it, I'd argue Henny Penny's case.

She became alarmed when an acorn fell on her head. She convinced others, etc, bad ending. https://en.m.wikipedia.org/wiki/Henny_Penny

I argued that she was right to be alarmed.
And that had they kept at the level of wariness throughout their journey, nothing bad would've happened and they would've gotten the proper info about the acorn.

Better safe than sorry.

How are we trapped in a real life version of this book? Where warning/caution is bad?
The shadow orphan crisis of Covid-19

More than 40,000 children. Who will help them?

Well I'm assuming blue check folks, everyone salivating over going maskless (the bad people, not the cool ones), and everyone actively working to muffle ZeroCovid? https://www.vox.com/science-and-health/22386227/covid-19-child-bereavement-orphans
Shots in Little Arms: When Can Kids Get the Vaccine?

Shots
In
*Little*
Arms

Hurry up baby, we've got tickets to <whispers: where do people who vacation with kids go?> Euro Disney?

https://nymag.com/intelligencer/2021/04/when-can-kids-get-the-covid-vaccine-heres-what-we-know.html
South Carolina: Higher percentage of positive COVID-19 cases coming from kids

In April, DHEC reports 7.1% of new cases are coming from children 10 and under

https://www.wyff4.com/article/dhec-higher-percentage-of-positive-covid-19-cases-coming-from-kids/36166720#

Read the image (or the whole thing) (or none of it - I can't tell you what to do)!
Without comment. Except saying without comment. Is there a better way to do that? 👀 maybe?
A New Mexico school sent all kids back in person in one day. We followed a teacher to see how it went.

Is this Covi-ganda?

They do have some really good things like going outside to eat. https://www.usatoday.com/in-depth/news/education/2021/04/20/new-mexico-high-school-reopening-after-covid/7128544002/
There are so many tweets too. New Hampshire: More than 100 Gilford High students in quarantine

Via @CoastalBendBern from @NhCardona603 https://twitter.com/NhCardona603/status/1384340817272315906?s=20
A reminder this awful, extremely important thread exists:

https://twitter.com/Cleavon_MD/status/1384346611858350084?s=20

Because we do not act. (You can help push via http://ZeroCovid.us )
Finally, that WaPo thing and I'm encouraging you to read this from @Loretta_Torrago:

1 from her timeline (follow for more)
https://twitter.com/Loretta_Torrago/status/1384650275554676736?s=20

2 her own thread which is aces as they said way back, maybe in the 1918-21 pandemic. I'm bringing it back! https://twitter.com/Loretta_Torrago/status/1384530424773316611?s=20
#kidsandcovid and with over 3 and a half million kids in the US (way under counted) with Covid, we don't count Long COVID well (do we?), with 3k+ cases of MISC, we find this out today: https://twitter.com/yaneerbaryam/status/1384985738320744450?s=19
Please read the above on the COVID herd immunity WHO connection. No #COVIDisAirborne and no #ZeroCovid when you're trying to get everyone sick by infection, as well as some other well funded ideas.

These people have played a part in the deaths of 3+ million people. Mind blowing.
Study shows COVID-19 case rates in schools higher than previously believed

The Omaha Public School district program tested asymptomatic students and staff.

I'm sorry. I need Miss Jay for the faux surprise.
They found that infection rates in schools involved in the first phase of the pilot program were:

2️⃣.5️⃣ times higher for staff

Nearly 6️⃣ times higher for students

Than what was being reported through routine self-initiated tests and reporting.
The results show as many as:

9 in 10 student COVID-19 cases
7 in 10 staff cases

Might be missed by conventional reporting

Missed
In
School
Symptoms absent
Errors of
Denial

There were also 10x more cases in the community than thought. Oopsie.
Props to them in Nebraska! Did this from November to December at 3 schools in South Omaha at the middle and high school levels. The specific schools were not identified in the study, but it was mentioned that all teachers and staff, and 12% of students, participated.

Meanwhile
The program screened students and staff without symptoms weekly using a PCR test of saliva that the University of Nebraska Medical Center adapted from the saliva test developed at Yale University. It also conducted environmental air, surface and wastewater testing in the schools.
The 1st phase of the program found 46 cases in asymptomatic individuals -- about equally split between students and staff. + air and surface samples were also found only in choir rooms, environmental sampling "consistently" found the presence of COVID-19 in the schools' wasteH²0
A reminder from Monday:

July 30, 2020: 338,982 kids
April 15, 2021: 3,631,189 kids

July: 447 cases per 100,000 children in the population
April: 4,824 cases per 100,000 children

If you're not angry, you're not paying attention.
Finally, if you're paying attention there are things unsaid and said. It may not always be clear, but listen to people who have nothing to lose or gain from telling the truth. https://twitter.com/Loretta_Torrago/status/1385051808251351040?s=19
Earth Day and #kidsandcovid have something in common. All our little actions help a lot, but we are stuck in the sludge if the people who should lead, don't lead, or lead in the wrong direction. And there are people motivated by money who are being the scenes.
"We want people to report these cases as quickly as possible to us, so we can learn more about this in the future," Haupt said. "I don’t think it’s going to go away."

Theyre also going to be testing in Wisconsin schools.
Children make up nearly 21% of new COVID-19 cases
https://www.aappublications.org/news/2021/04/19/pediatric-covid-cases-041921
Oh look AAP is talking about COVID again.
Those stats from AAP are up thread. Including last week's 88,500 #kidsandcovid in one week. One week, more than all the people in Duluth Minnesota.

They don't include the 3.63 million number - just a link.

@KatyTurNBC @jaketapper @DrLeanaWen I remember you worrying abt this.
Finally, I haven't looked to see who has talked about this; kind of a self-care thing. But @LongCovidKids @dgurdasani1 @DrZoeHyde and all amazing people - "Long COVID, like all other serious COVID symptoms, appears to be highly rare in children" acceptable risk, etc. And 😳.
More excess deaths than 1918. Want this here in this thread. It's still happening.

How could this happen?

Sometimes, my brain starts to process before my defenses suppress and I feel the glass of sanity breaking. https://twitter.com/nytimes/status/1385652366339452929?s=19
Interesting thread on cases in kids in the UK: https://twitter.com/Kit_Yates_Maths/status/1385518637705015296?s=19
In the Netherlands - the use of kids to increase herd immunity. Which we do here and call it either OPEN THE SCHOOLS or a 100 day plan. https://twitter.com/SDicht/status/1384993257143349250?s=19
Meanwhile, in Georgia: https://twitter.com/ErrolWebber/status/1385180596058550279?s=19
Let's get out of there - to Quebec - and they know how bad it is and they do close schools (lots) as needed. https://twitter.com/Aaron_Derfel/status/1385063218624741377?s=19
Oh I have an idea. Let's get teachers like this in England together with the parent from Georgia above.
https://twitter.com/SarahDRasmussen/status/1385015734762459143?s=19
Good thing this doesn't happen in children's bodies ever, because their bodies are...how would anyone think this ever?

https://twitter.com/DrZoeHyde/status/1385463028146049026?s=19

Kids, go into respiratory therapy, pulmonology, or any of the other things on this list and never worry about a job.
This thread has seen a ton of patterns and trends from the beginning - kids don't get COVID to now - kids don't get COVID (Georgia mom tonight) to many other things.

Tonight there were a lot of posts with number of cases. This is important for a lot of reasons. Cases predict.
Increased cases means increased hospitalizations and then eventually, sadly, deaths.

What if we didn't know how many cases there were? How would that impact risk, awareness, and mitigation? How are the vaccines doing? Who knows!

Probably all great!
Except we know it wouldn't be great.

It'd be like walking in a room of invisible rattlesnakes. Especially if you were unable to be vaxxed, immuno-atypical, a child whose family won't vax, etc

And we know it doesn't work. Compare us with Vietnam.

It does work for herd immunity.
All of this to say of all trends and patterns that I've seen in this thread, this is one of the worst. The worst? Most chilling? Because it seems to be, at its core, herd immunity dressed as a cool mom.

Seems it to me anyway.

Thanks @Loretta_Torrago! https://twitter.com/Loretta_Torrago/status/1385646583715295234?s=20
I just wanted to clarify what I mean by the tweet before last about "working for herd immunity." I meant for the Great Barrington type and that it "works" in a bad way.

And honestly, herd immunity when COVID and coronaviruses are more like dominos than a one and done is silly.
Anyway, what do we do here for Long Covid in kids? There's good news if we don't do much, because @LongCovidKids does, globally. Find out more here: https://twitter.com/LongCovidKids/status/1385831194005229569?s=19
Rochester Regional Health pediatrician discusses the rise in COVID-19 cases in children
https://www.whec.com/rochester-new-york-news/rochester-regional-health-discusses-the-rise-in-covid-19-cases-in-children-/6085307/
May I sum up the discussion in a gif?
Michigan among a few states seeing a spike in COVID-19 cases among children

https://www.wxyz.com/news/coronavirus/michigan-among-a-few-states-seeing-a-spike-in-covid-19-cases-among-children
That Michigan article made me look at the AAP information more in depth.

1. Shows how data is provided to AAP. Note green, yellow, teal. NY and TX esp 🙄
2. Data limitations
3. Cumulative # of #kidsandcovid up to 4/15
4. Cumulative cases/100k kids. Wowza! That tells a story.
1. Total cases and then percent increase in cases for 2 weeks. Of course Texas and NYS not included.
2. A graph of cases week by week in kids.
3/4. Check notes at bottom but data by state - with population of children in each state.

This is truly unbelievable.
Finally, child mortality. When we know better, we do better. If we know elimination works - and we do - and we don't pursue it, we are complicit in the incredible number of years lost here.

Small numbers? Each one is a child. There's no justification for preventable deaths.
"Long Covid Kids are calling for all counties to get involved in their campaign to raise awareness of the prevalence of Long Covid in children."

Lots of info on how to do it - please share with family/friends, docs/educators.

@LongCovidKids to follow https://www.longcovidkids.org/member-stories 
Schools Can Open Safely during COVID, the Latest Evidence Shows

The risk of COVID transmission in schools is very low if precautions are taken

https://www.scientificamerican.com/article/schools-can-open-safely-during-covid-the-latest-evidence-shows/

See my counter argument in the image below.
1/ Massachusetts Updates School Quarantine Guidance
Close contacts exposed to a COVID-positive individual in a classroom or on a bus while both individuals wore masks no longer have to quarantine unless they were within three feet of that person for a total of 15 minutes
Finally, it's Sunday night so we ask the question - is your school district in person? Should it be?

This week, previous 3 weeks from:
https://www.nbcnews.com/news/us-news/map-which-counties-are-ready-schools-fully-open-n1258397

Is it getting better?
Have to click above to see these. Very odd formatting!
#kidsandcovid if you want to look at the data on kids who passed from COVID, you can see it here:

https://data.cdc.gov/widgets/nr4s-juj3
Miami Private School, Centner Academy, Won’t Employ COVID-19 Vaccinated Employees
https://miami.cbslocal.com/2021/04/26/miami-private-school-centner-academy-covid-vaccinations/
Wow, now for something completely different I guess. At this point I understand this as much as the rich outdoor anti-mask folks.
Most Minnesota schools to stay open despite growing COVID-19 spread among students
https://www.dglobe.com/news/education/7001399-Most-Minnesota-schools-to-stay-open-despite-growing-COVID-19-spread-among-students
Makes sense!
Who paid these people? Was it ego? What would make them do this? https://twitter.com/s_j_prins/status/1386772271247859713?s=19
Like here when there is a conflict not disclosed? I'm just asking questions - are there more or are these people just completely untethered from both capital and reality? https://twitter.com/HttpStatus402/status/1386083264566374401?s=19
Originally from this thread: https://twitter.com/EpiEllie/status/1386124283777363969?s=19
You can follow @BernieDogs4.
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