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Children are unlikely to have been the primary source of household SARS-CoV-2 infections
Yanshan Zhu.
Conor J Bloxham.
Katina D Hulme.
Jane E Sinclair.
Zhen Wei Marcus Tong.
Lauren E Steele.
Ellesandra C Noye.
Jiahai Lu.
Keng Yih Chew.
Janessa Pickering.
Charles Gilks.
Asha C Bowen.
Kirsty R Short.
Acceso Abierto
Atribución-NoComercial-SinDerivadas
10.1101/2020.03.26.20044826
BACKGROUND: Since its identification on the 7th of January 2020, SARS-CoV-2 has spread to more than 180 countries worldwide, causing >11,000 deaths. At present, viral disease and transmission amongst children is incompletely understood. Specifically, there is concern that children could be an important source of SARS-CoV-2 in household transmission clusters. METHODS: We performed an observational study analysing literature published between December 2019 and March 2020 of the clinical features of SARS-CoV-2 in children and descriptions of household transmission clusters of SARS-CoV-2. In these studies the index case of each cluster defined as the individual in the household cluster who first developed symptoms. FINDINGS: Drawing on studies from China, Singapore, South Korea, Japan, and Iran a broad range of clinical symptoms were observed in children. These ranged from asymptomatic to severe disease. Of the 31 household transmission clusters that were identified, 9.7% (3/31) were identified as having a paediatric index case. This is in contrast other zoonotic infections (namely H5N1 influenza virus) where 54% (30/56) of transmission clusters identified children as the index case. INTERPRETATION: Whilst SARS-CoV-2 can cause mild disease in children, the data available to date suggests that children have not played a substantive role in the intra-household transmission of SARS-CoV-2.
www.medrxiv.org
2020
Artículo
https://www.medrxiv.org/content/10.1101/2020.03.26.20044826v1.full.pdf
Inglés
VIRUS RESPIRATORIOS
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