Guides and practices

Coronavirus (COVID-19) - guidance for schools and other educational settings: This includes guidance on the first phase of the wider opening of schools and other educational settings from 1st June 2020. It also includes the latest science and the management of risk and rate of COVID-19 transmission in these settings.

Data and tools

Indicators related to under 18 conceptions, pregnancy and birth: This includes a 2020 update of indicators related to under 18 conceptions, pregnancy and birth, such as conceptions, abortions and birth rates for women under 18 and conceptions for women under 16 etc. This profile is available at a local, regional, and national level.

2020 child health profiles: This profile provides an overview of child health and wellbeing for each local authority in England for 2020. It includes indicators on mortality, school readiness, vaccination, hospital admissions, road accidents etc.

Reports

Policy Brief - The Impact of COVID-19 on children: While children are not on the forefront of this pandemic, the risk to their wellbeing is colossal across all ages, with a disproportionate burden on poorer countries and more vulnerable children. The mortality from virus itself, the lockdown, and the potential longer term effects of delayed implementation of the sustainable development goals will affect children in multiple ways - poverty, exacerbating the learning crisis, threats to child health and survival, and risks to child safety. This policy brief by the UN provides a deeper analysis of these effects. It goes on to identify a series of immediate and sustained actions for the attention of governments and policymakers.

Research

An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic - an observational cohort study: This observational cohort study carried out in Bergamo province retrospectively reviewed patients diagnosed with Kawasaki disease between 2015 and 2020, with patients divided into two groups depending on time of presentation. The SARS-CoV-2 epidemic was associated with high incidence of severe form of Kawasaki disease with a 30-fold increased incidence of Kawasaki-like disease in the last month. It is likely that other countries will face a similar outbreak of the Kawasaki disease, and management must be prompt and aggressive.

Behavioural activation for overweight and obese adolescents with low mood delivered in a community setting: This feasibility study looks at a community approach of delivering a behavioural activation intervention by a non-specialist for overweight and obese adolescents with low mood or depression in the UK. The study found good levels of engagement and acceptability. It shows promising results and should be evaluated further for effectiveness and cost-effectiveness in a randomized control trial.

Exposure and attitudes to adolescent health amongst Paediatric trainees in Northern Ireland: This mixed methods study aimed to assess the exposure and attitudes of paediatric trainees in Northern Ireland. While they identified adolescent health as an important field like paediatrics and neonates, their knowledge, confidence, skills and previous teaching was lower in adolescent medicine than in neonatal medicine and general paediatrics. Teaching for adolescent health in undergraduate and postgraduate studies was also rated poorly. Therefore education to enhance learning is required to improve adolescent health outcomes.

Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: This study modelled three scenarios in 118 low- and middle- income countries on maternal and child deaths, if routine healthcare visits continue to be disrupted and access to food is decreased (health system collapses, unavoidable shocks, and intentional choices). Across all three scenarios, reduced coverage of childbirth interventions - parenteral administration of uterotonics, antibiotics, and anticonvulsants, and clean birth environments would account for 60% of additional maternal health deaths. Similarly, reduced coverage of antibiotics for pneumonia and neonatal sepsis and oral rehydration solution would account for 41% additional child deaths.

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