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Currently, about one-third of U.S. adults over 18 are fully vaccinated, and more than half have received at least one dose. However, we are still far from achieving herd immunity. Many experts believe COVID-19 is likely to become endemic, meaning it will remain with us and become as common as the cold or flu. The demographics of those at risk are changing.
Although the risk of severe outcomes from COVID-19 is significantly higher for adults — with children being 8,700 times less likely to die than seniors over 85 — the presence of COVID-19 among children is still alarming. As restrictions ease due to rising vaccination rates, there is a mistaken sense of security that could lead to increased cases among children, who remain unvaccinated for now. It’s essential to safeguard our kids until they can receive their shots.
Many families are now in a complex situation where adults and some adolescents over 16 are vaccinated, while younger children remain vulnerable. The Pfizer vaccine is anticipated to be approved for children aged 12 to 15 shortly, but those under 12 may need to wait until late 2021 or early 2022 for clinical trials to conclude. This gradual approach to vaccine approval is known as “age de-escalation,” where the vaccine is first tested in healthy adults before being administered to younger age groups.
As vaccine distribution progresses, it is likely that children, particularly younger ones, will become the primary demographic affected by COVID-19. While many feel a sense of relief with the vaccine rollout, parents of the approximately 30 million children too young for vaccination are left grappling with both hope and fear.
What Poses the Greatest Risk to Children?
The primary risk factor for unvaccinated children is the level of COVID-19 transmission in their communities. This risk fluctuates based on location, with rural areas often exhibiting lower vaccination rates. The less the virus spreads, the lower the risk for children. Experts suggest that restrictions could be relaxed when daily new cases drop to one-tenth to one-fifth of current averages — around 5,000 to 10,000 cases per day. However, families may have varying thresholds for acceptable risk, especially if a child has pre-existing health conditions.
Additionally, the emergence of more contagious variants, such as B.1.1.7, underscores the necessity for vigilance, especially as schools reopen. Schools are likely to become hotspots for future COVID-19 outbreaks due to the concentration of unvaccinated children in enclosed spaces. Preparing for the possibility that children may need to wear masks in school until vaccination rates increase is prudent.
Ultimately, each family must assess its comfort level with in-person interactions, including playdates and activities. For instance, even if concerts resume, parents must consider the safety of bringing unvaccinated children to large gatherings.
How to Protect Our Children from COVID-19
To safeguard our children, it’s imperative that vaccination efforts continue at a swift pace alongside other precautionary measures. As we navigate the ongoing pandemic, it’s vital to adhere to established protocols. Regardless of vaccination status, wearing masks, avoiding crowded spaces, ensuring good air circulation, and practicing proper hygiene remain essential.
Educating children on CDC guidelines, keeping their vaccinations current, and maintaining their social connections while exercising caution are key steps to ensure their safety until they can be vaccinated against COVID-19. The more we prioritize community safety, the better we can protect those who are still vulnerable.
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In summary, as COVID-19 transitions into a new phase, it is crucial for families to remain vigilant, especially in protecting children who are not yet vaccinated. The collective effort to vaccinate adults and ensure safety measures are upheld will help secure a healthier future for our children.