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SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020.
MMWR Morb Mortal Wkly Rep. 2020 Sep 18; 69(37):1324-1329.MM

Abstract

Since February 12, 2020, approximately 6.5 million cases of SARS-CoV-2 infection, the cause of coronavirus disease 2019 (COVID-19), and 190,000 SARS-CoV-2-associated deaths have been reported in the United States (1,2). Symptoms associated with SARS-CoV-2 infection are milder in children compared with adults (3). Persons aged <21 years constitute 26% of the U.S. population (4), and this report describes characteristics of U.S. persons in that population who died in association with SARS-CoV-2 infection, as reported by public health jurisdictions. Among 121 SARS-CoV-2-associated deaths reported to CDC among persons aged <21 years in the United States during February 12-July 31, 2020, 63% occurred in males, 10% of decedents were aged <1 year, 20% were aged 1-9 years, 70% were aged 10-20 years, 45% were Hispanic persons, 29% were non-Hispanic Black (Black) persons, and 4% were non-Hispanic American Indian or Alaska Native (AI/AN) persons. Among these 121 decedents, 91 (75%) had an underlying medical condition,* 79 (65%) died after admission to a hospital, and 39 (32%) died at home or in the emergency department (ED).† These data show that nearly three quarters of SARS-CoV-2-associated deaths among infants, children, adolescents, and young adults have occurred in persons aged 10-20 years, with a disproportionate percentage among young adults aged 18-20 years and among Hispanics, Blacks, AI/ANs, and persons with underlying medical conditions. Careful monitoring of SARS-CoV-2 infections, deaths, and other severe outcomes among persons aged <21 years remains particularly important as schools reopen in the United States. Ongoing evaluation of effectiveness of prevention and control strategies will also be important to inform public health guidance for schools and parents and other caregivers.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

32941417

Citation

Bixler, Danae, et al. "SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020." MMWR. Morbidity and Mortality Weekly Report, vol. 69, no. 37, 2020, pp. 1324-1329.
Bixler D, Miller AD, Mattison CP, et al. SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(37):1324-1329.
Bixler, D., Miller, A. D., Mattison, C. P., Taylor, B., Komatsu, K., Peterson Pompa, X., Moon, S., Karmarkar, E., Liu, C. Y., Openshaw, J. J., Plotzker, R. E., Rosen, H. E., Alden, N., Kawasaki, B., Siniscalchi, A., Leapley, A., Drenzek, C., Tobin-D'Angelo, M., Kauerauf, J., ... Koumans, E. H. (2020). SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(37), 1324-1329. https://doi.org/10.15585/mmwr.mm6937e4
Bixler D, et al. SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020. MMWR Morb Mortal Wkly Rep. 2020 Sep 18;69(37):1324-1329. PubMed PMID: 32941417.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020. AU - Bixler,Danae, AU - Miller,Allison D, AU - Mattison,Claire P, AU - Taylor,Burnestine, AU - Komatsu,Kenneth, AU - Peterson Pompa,Xandy, AU - Moon,Steve, AU - Karmarkar,Ellora, AU - Liu,Caterina Y, AU - Openshaw,John J, AU - Plotzker,Rosalyn E, AU - Rosen,Hilary E, AU - Alden,Nisha, AU - Kawasaki,Breanna, AU - Siniscalchi,Alan, AU - Leapley,Andrea, AU - Drenzek,Cherie, AU - Tobin-D'Angelo,Melissa, AU - Kauerauf,Judy, AU - Reid,Heather, AU - Hawkins,Eric, AU - White,Kelly, AU - Ahmed,Farah, AU - Hand,Julie, AU - Richardson,Gillian, AU - Sokol,Theresa, AU - Eckel,Seth, AU - Collins,Jim, AU - Holzbauer,Stacy, AU - Kollmann,Leslie, AU - Larson,Linnea, AU - Schiffman,Elizabeth, AU - Kittle,Theresa S, AU - Hertin,Kimberly, AU - Kraushaar,Vit, AU - Raman,Devin, AU - LeGarde,Victoria, AU - Kinsinger,Lindsey, AU - Peek-Bullock,Melissa, AU - Lifshitz,Jenna, AU - Ojo,Mojisola, AU - Arciuolo,Robert J, AU - Davidson,Alexander, AU - Huynh,Mary, AU - Lash,Maura K, AU - Latash,Julia, AU - Lee,Ellen H, AU - Li,Lan, AU - McGibbon,Emily, AU - McIntosh-Beckles,Natasha, AU - Pouchet,Renee, AU - Ramachandran,Jyotsna S, AU - Reilly,Kathleen H, AU - Dufort,Elizabeth, AU - Pulver,Wendy, AU - Zamcheck,Ariela, AU - Wilson,Erica, AU - de Fijter,Sietske, AU - Naqvi,Ozair, AU - Nalluswami,Kumar, AU - Waller,Kirsten, AU - Bell,Linda J, AU - Burch,Anna-Kathryn, AU - Radcliffe,Rachel, AU - Fiscus,Michelle D, AU - Lewis,Adele, AU - Kolsin,Jonathan, AU - Pont,Stephen, AU - Salinas,Andrea, AU - Sanders,Kelsey, AU - Barbeau,Bree, AU - Althomsons,Sandy, AU - Atti,Sukhshant, AU - Brown,Jessica S, AU - Chang,Arthur, AU - Clarke,Kevin R, AU - Datta,S Deblina, AU - Iskander,John, AU - Leitgeb,Brooke, AU - Pindyck,Talia, AU - Priyamvada,Lalita, AU - Reagan-Steiner,Sarah, AU - Scott,Nigel A, AU - Viens,Laura J, AU - Zhong,Jonathan, AU - Koumans,Emilia H, AU - ,, Y1 - 2020/09/18/ PY - 2020/9/17/entrez PY - 2020/9/18/pubmed PY - 2020/9/18/medline SP - 1324 EP - 1329 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb. Mortal. Wkly. Rep. VL - 69 IS - 37 N2 - Since February 12, 2020, approximately 6.5 million cases of SARS-CoV-2 infection, the cause of coronavirus disease 2019 (COVID-19), and 190,000 SARS-CoV-2-associated deaths have been reported in the United States (1,2). Symptoms associated with SARS-CoV-2 infection are milder in children compared with adults (3). Persons aged <21 years constitute 26% of the U.S. population (4), and this report describes characteristics of U.S. persons in that population who died in association with SARS-CoV-2 infection, as reported by public health jurisdictions. Among 121 SARS-CoV-2-associated deaths reported to CDC among persons aged <21 years in the United States during February 12-July 31, 2020, 63% occurred in males, 10% of decedents were aged <1 year, 20% were aged 1-9 years, 70% were aged 10-20 years, 45% were Hispanic persons, 29% were non-Hispanic Black (Black) persons, and 4% were non-Hispanic American Indian or Alaska Native (AI/AN) persons. Among these 121 decedents, 91 (75%) had an underlying medical condition,* 79 (65%) died after admission to a hospital, and 39 (32%) died at home or in the emergency department (ED).† These data show that nearly three quarters of SARS-CoV-2-associated deaths among infants, children, adolescents, and young adults have occurred in persons aged 10-20 years, with a disproportionate percentage among young adults aged 18-20 years and among Hispanics, Blacks, AI/ANs, and persons with underlying medical conditions. Careful monitoring of SARS-CoV-2 infections, deaths, and other severe outcomes among persons aged <21 years remains particularly important as schools reopen in the United States. Ongoing evaluation of effectiveness of prevention and control strategies will also be important to inform public health guidance for schools and parents and other caregivers. SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/32941417/SARS_CoV_2_Associated_Deaths_Among_Persons_Aged_<21_Years___United_States_February_12_July_31_2020_ L2 - https://doi.org/10.15585/mmwr.mm6937e4 DB - PRIME DP - Unbound Medicine ER -