4.7 Article

The toll of COVID-19 on African children: A descriptive analysis on COVID-19-related morbidity and mortality among the pediatric population in Sub-Saharan Africa

Journal

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
Volume 110, Issue -, Pages 457-465

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.ijid.2021.07.060

Keywords

SARS-CoV-2; COVID-19; Epidemiology; Africa; Children; Morbidity

Funding

  1. WHO Regional Office for Africa

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The study found that the cumulative incidence of COVID-19 among children in Sub-Saharan African countries is significantly lower compared to adults. The number of cases and deaths in children is also smaller than in the adult population. These differences may be related to biases in COVID-19 testing and reporting protocols implemented by different countries.
Introduction: Few data on the COVID-19 epidemiological characteristics among the pediatric population in Africa exists. This paper examines the age and sex distribution of the morbidity and mortality rate in children with COVID-19 and compares it to the adult population in 15 Sub-Saharan African countries. Methods: A merge line listing dataset shared by countries within the Regional Office for Africa was analyzed. Patients diagnosed within 1 March and 1 September 2020 with a confirmed positive RT-PCR test for SARS-CoV-2 were analyzed. Children's data were stratified into three age groups: 0-4 years, 5-11 years, and 12-17 years, while adults were combined. The cumulative incidence of cases, its medians, and 95% confidence intervals were calculated. Results: 9% of the total confirmed cases and 2.4% of the reported deaths were pediatric cases. The 12-17 age group in all 15 countries showed the highest cumulative incidence proportion in children. Adults had a higher case incidence per 10 0,0 0 0 people than children. Conclusion: The cases and deaths within the children's population were smaller than the adult population. These differences may reflect biases in COVID-19 testing protocols and reporting implemented by countries, highlighting the need for more extensive investigation and focus on the effects of COVID-19 in children. (c) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ )

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