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CLINICAL COURSE
CRITERIA RANGE SYMPTOMS
Asymptomatic 4% no clinical signs or symptoms with normal chest
imaging
Mild 51% fever, fatigue, myalgia, cough
Moderate 39% pneumonia with symptoms or subclinical disease
with abnormal chest imaging
Severe 5% dyspnea, central cyanosis, hypoxia
Critical 0.6% acute respiratory distress syndrome [ARDS],
respiratory failure, shock, or multi-organ
dysfunction
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SYMPTOMS
The virus usually cause a milder infection in
children than in adults or older people. But there have
been cases of kids developing more serious symptoms,
sometimes several weeks after being infected with the
virus.
Most common symptoms:
fever.
dry cough.
tiredness.
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Serious symptoms:
difficulty breathing or shortness of breath.
chest pain or pressure.
loss of speech or movement.
Someone infected with virus
may take 4 – 6 days to show
the symptoms.
For someone it may
take 14 days to show up the symptoms.
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Call your doctor if child has a fever, cough, belly pain,
vomiting, diarrhea, rash, dizziness, or is just not feeling
well.
Tell the doctor if they have been near someone with
COVID-19 or lived in or traveled to an area where lots of
people have the corona virus.
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STEPS TO BE TAKEN IF CHILD IS
SUSPECTED WITH COVID 19
People should call their doctor if they have the symptoms
Keep in mind that so far, infections in children have been
less common and there is no evidence that children are
more susceptible to this virus.
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STEPS TO BE TAKEN IF CHILD HAS COVID 19
Stay calm
Talk to a health care provider. You can:
Call your doctor. Your doctor knows your child's
health history and will know if your child has any
special risks.
Get a Telehealth visit. If this option is available in
your area, a health care provider can see your child
while you stay at home. If the doctor thinks your child
needs care right away, they will guide you on where to
go.
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Help your child get plenty of rest and drink lots of liquids.
Watch for signs that your child might need more medical
help. Call Emergency,if your child:
looks very sick to you
has breathing problems. Look for muscles pulling in
between the ribs or the nostrils puffing out with each
breath.
is confused or very sleepy
has chest pain
has cold, sweaty, pale or blotchy skin
is dizzy
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PREVENTIVE MEASURES
How Can I Keep My Family Safe if My Child Has
Symptoms?
Keep your child home.
If the doctor thinks your child
might have corona virus,
the whole family will need
to stay home.
Keep other people and pets
in the house away from your child as much as possible.
Try to have one person only
care for the sick child so others are not exposed.
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If your child is over 2 years old and can wear a face
mask without finding it hard to breathe.
Don't leave your child alone
while they're wearing a mask.
If your child can't wear one,
the caregiver should wear one when
in the same room.
The care giver can teach the child how to use mask.
Ask child use a different bathroom from others. If that
isn't possible, wipe down the bathroom often.
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Sing the ABC song at a normal tempo or the happy
birthday song twice, to make the hand washing effective.
Use regular household cleaners or wipes to clean things
that get touched a lot (doorknobs, light switches, toys,
remote controls, phones, etc.). Do this every day.
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TIPS TO DEAL WITH CHILDREN
Talking to children about COVID-19 :-
Simple Reassurance
Give Them Control – wash hands often, using
tissues while coughing and sneezing, getting good
sleep
Stick to the normal routine
Watch for anxiety
Avoid friightening news
shown on TV, computer, social media
Role model
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Spending Time:-
Talk on the phone or do a video call with family and
friends.
Text or use other messaging
apps to talk with family and friends.
Play online games that let
them play with other kids from home.
Do puzzles or Legos. Keep these clean and keep separate
from other toys in the house.
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lunch, chores, exercise, some online social time with
friends, and then homework in the afternoon.
Family time & reading before bed.
Bed time routine – story telling, brushing,going to bed
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Use positive discipline:-
Everyone is more anxious and worried during the
pandemic. Younger children more likely to act out their
stress, anxiety or fear through their behavior.
Older children and teens may be extra irritable as they
miss out on time with friends and special events being
cancelled.
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Redirect bad behavior.
Creative play.
Notice good behavior and point it out
Use rewards & privileges
Ignoring bad behavior
Use time-outs.
Set special time with each child. You choose the time,
and let your child choose the activity.
Avoid physical punishment