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MMWR Morb Mortal Wkly Rep . SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020

tetano

Editor, Senior Moderator
MMWR Morb Mortal Wkly Rep


. 2020 Sep 18;69(37):1324-1329.
doi: 10.15585/mmwr.mm6937e4.
SARS-CoV-2-Associated Deaths Among Persons Aged <21 Years - United States, February 12-July 31, 2020


Danae Bixler, Allison D Miller, Claire P Mattison, Burnestine Taylor, Kenneth Komatsu, Xandy Peterson Pompa, Steve Moon, Ellora Karmarkar, Caterina Y Liu, John J Openshaw, Rosalyn E Plotzker, Hilary E Rosen, Nisha Alden, Breanna Kawasaki, Alan Siniscalchi, Andrea Leapley, Cherie Drenzek, Melissa Tobin-D'Angelo, Judy Kauerauf, Heather Reid, Eric Hawkins, Kelly White, Farah Ahmed, Julie Hand, Gillian Richardson, Theresa Sokol, Seth Eckel, Jim Collins, Stacy Holzbauer, Leslie Kollmann, Linnea Larson, Elizabeth Schiffman, Theresa S Kittle, Kimberly Hertin, Vit Kraushaar, Devin Raman, Victoria LeGarde, Lindsey Kinsinger, Melissa Peek-Bullock, Jenna Lifshitz, Mojisola Ojo, Robert J Arciuolo, Alexander Davidson, Mary Huynh, Maura K Lash, Julia Latash, Ellen H Lee, Lan Li, Emily McGibbon, Natasha McIntosh-Beckles, Renee Pouchet, Jyotsna S Ramachandran, Kathleen H Reilly, Elizabeth Dufort, Wendy Pulver, Ariela Zamcheck, Erica Wilson, Sietske de Fijter, Ozair Naqvi, Kumar Nalluswami, Kirsten Waller, Linda J Bell, Anna-Kathryn Burch, Rachel Radcliffe, Michelle D Fiscus, Adele Lewis, Jonathan Kolsin, Stephen Pont, Andrea Salinas, Kelsey Sanders, Bree Barbeau, Sandy Althomsons, Sukhshant Atti, Jessica S Brown, Arthur Chang, Kevin R Clarke, S Deblina Datta, John Iskander, Brooke Leitgeb, Talia Pindyck, Lalita Priyamvada, Sarah Reagan-Steiner, Nigel A Scott, Laura J Viens, Jonathan Zhong, Emilia H Koumans, Pediatric Mortality Investigation Team



Collaborators, Affiliations
Free article

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).[SUP]†[/SUP] 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.
 
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