It is important not to panic. Your child is only likely to get infected if they come into close contact with someone with COVID-19 who has symptoms of infection (cough, difficulty in breathing or fever). Close contact is defined as either direct face to face contact or being within 2 metres of that person for 15 minutes or more.
Reassuringly, COVID-19 seems to infect children far less frequently than it does adults. And if children are infected, they generally experience mild illness. So far, most severe cases have been in elderly people with medical conditions such as heart problems or lung disease. Although we do not yet fully understand whether any specific groups of children are at higher risk of severe disease than others, NHS advice is currently that children vulnerable to influenza are also likely to be more vulnerable to COVID-19. However, from what we know so far from China and Italy, there have been extremely few severe cases in children, even those with cancer or weakened immune systems.
For specific information for children and young people with cancer undergoing cancer treatment, click here.
If you are worried about your child's breathing and are not sure if they need to be seen by a healthcare professional, click here to help you decide.
Our local and regional paediatric services are well set up and have detailed plans in place to treat and support all children who have severe COVID-19 disease. There is a national plan in place for children that require intensive care support (PICU).
As of 16/03/2020, the UK government has taken a far more robust approach to reducing the spread of COVID-19, which was made even more stringent on 23/3/20. People should only be leaving their houses for one of four reasons:
- To travel to and from work where absolutely necessary
- To shop for essential items
- To fulfil any medical or care needs
- To exercise once a day
If any member of your family develops a fever or persistent cough, then your whole family needs to self-isolate for 14 days. The main reason for this is to protect those most vulnerable to severe COVID-19 from infection. This includes all people over the age of 70 and adults with long-term health problems such as breathing problems, heart problems, chronic kidney or liver disease, those with central nervous system conditions and those with weakened immune systems. This approach is called social distancing and is the most effective way of minimising the impact of this pandemic. For parents, this means trying to minimise the contact that your child/children have with people from vulnerable groups. This is because children may have the infection with almost no symptoms and potentially may infect other people.
Families of the most vulnerable children will be contacted directly and asked to start shielding their child from COVID-19. This is the most drastic form of social distancing and involves staying at home and avoiding any face to face contact with anyone outside of their household unit for at least 12 weeks. For more information about shielding including which patients fall into this extremely vulnerable group, click here.
It is extremely important to realise that not every child with a fever has COVID-19. All the other conditions that can make children unwell are still ongoing during the COVID-19 pandemic. If you are not sure if your child is unwell and whether they need to be seen by someone, take a look at the red / amber / green criteria below to help you decide.