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Back in March 2020, when life as we knew it came to a halt, many parents found solace in one reassuring thought: children are safe from the worst impacts of COVID-19. Initially, it appeared that kids were largely spared from severe effects of the virus.
However, we now understand that this notion isn’t as solid as we once believed. While children generally cope better than adults, they can still experience long-lasting symptoms after infection, known as COVID long-haulers. Additionally, they may develop a rare but severe complication called MIS-C, which can lead to serious health issues, including organ failure or even death. Tragically, both medically vulnerable children and those without pre-existing conditions can require hospitalization.
Surge in Pediatric Hospitalizations in Michigan
Currently, Michigan is witnessing a concerning increase in COVID-related hospitalizations among children. By the end of March, the number of cases in this demographic rose by 133% compared to the previous month. As of April 12, 49 children were hospitalized with confirmed or suspected COVID-19 cases.
“Our state is experiencing its highest rate of pediatric hospitalizations during the entire pandemic,” stated Dr. Mark Johnson, a pediatric nephrologist at Michigan Children’s Hospital and chief medical officer for the Detroit Health System.
Children with pre-existing health conditions are particularly feeling the impact of this rise. Dr. Lisa Chen, an emergency medicine physician at the University of Michigan’s C.S. Mott Children’s Hospital, noted, “We are seeing more admissions among children with baseline health issues like asthma or Crohn’s disease, and they’re now presenting with COVID.”
The exact cause of this spike in pediatric cases is still under investigation, but experts have proposed several theories.
Schools and Youth Sports May Contribute to the Rise
During the initial phases of the pandemic, Michigan implemented strict lockdowns. Schools switched to remote learning, and extracurricular activities were suspended. These measures significantly limited children’s interactions. However, the current situation differs. While the governor has suggested pausing in-person classes and sports for two weeks, these measures are not mandated, leading to an increase in cases linked to both schools and sports activities.
According to recent reports, Michigan has seen a 77% increase in cases since mid-February, primarily due to youth sports.
Emergence of Transmissible Variants in Michigan
The spread of COVID-19 variants is also a significant concern. By early April, CDC Director Dr. Rochelle Walensky confirmed that the B.1.1.7 variant, first identified in the U.K., has become the predominant strain in the United States. This variant is known for its increased transmissibility, which has contributed to the current increase in pediatric cases. Some experts are investigating whether this variant is associated with more severe illness, although more research is needed.
In the U.K., a surge related to the B.1.1.7 strain led to a 30% increase in hospitalizations within just one week. While this surge did not directly cause an increase in pediatric hospitalizations, cases of MIS-C did rise.
Potential Increase in MIS-C Cases in Michigan
Dr. Maria Thompson, a pediatric infectious diseases specialist at Helen DeVos Children’s Hospital, expressed concern that as COVID-19 cases rise among young people, we may also see a corresponding increase in MIS-C cases. This condition, which can manifest weeks after a COVID infection, occurs more frequently in seemingly healthy children rather than those with existing health issues.
While MIS-C is rare and often treatable, the long-term effects remain largely unknown. Children diagnosed with MIS-C typically require ongoing monitoring from a cardiologist into adolescence. As of late March, Michigan has reported 95 cases of MIS-C, with five resulting in fatalities.
Vaccines: A Key to Protection
In Michigan, over 60% of individuals aged 65 and older have received vaccinations. However, children under 16 are not yet eligible for vaccination, leaving them vulnerable. The approval of COVID-19 vaccines for younger children is still pending, which emphasizes the importance of community responsibility. Adults can help protect children by wearing masks, practicing social distancing, and getting vaccinated when possible. The lower the virus circulation, the better it is for everyone.
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Summary:
Michigan is experiencing a worrying rise in COVID-19 hospitalizations among children, with a significant increase in cases attributed to variants and the loosening of restrictions on schools and sports. The emergence of conditions such as MIS-C is also concerning, making it crucial for adults to take protective measures to safeguard children from the virus.