COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020
Open accessAbstract
Approximately 56 million school-aged children (aged 5-17 years) resumed education in the United States in fall 2020.* Analysis of demographic characteristics, underlying conditions, clinical outcomes, and trends in weekly coronavirus disease 2019 (COVID-19) incidence during March 1-September 19, 2020 among 277,285 laboratory-confirmed cases in school-aged children in the United States might inform decisions about in-person learning and the timing and scaling of community mitigation measures. During May-September 2020, average weekly incidence (cases per 100,000 children) among adolescents aged 12-17 years (37.4) was approximately twice that of children aged 5-11 years (19.0). In addition, among school-aged children, COVID-19 indicators peaked during July 2020: weekly percentage of positive SARS-CoV-2 test results increased from 10% on May 31 to 14% on July 5; SARS-CoV-2 test volume increased from 100,081 tests on May 31 to 322,227 on July 12, and COVID-19 incidence increased from 13.8 per 100,000 on May 31 to 37.9 on July 19. During July and August, test volume and incidence decreased then plateaued; incidence decreased further during early September and might be increasing. Percentage of positive test results decreased during August and plateaued during September. Underlying conditions were more common among school-aged children with severe outcomes related to COVID-19: among school-aged children who were hospitalized, admitted to an intensive care unit (ICU), or who died, 16%, 27%, and 28%, respectively, had at least one underlying medical condition. Schools and communities can implement multiple, concurrent mitigation strategies and tailor communications to promote mitigation strategies to prevent COVID-19 spread. These results can provide a baseline for monitoring trends and evaluating mitigation strategies.
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The incidence of Covid-19 is reported to be higher among 12-to-17-year-old adolescents than among younger children.
“The incidence of Covid-19 is reported to be higher among 12-to-17-year-old adolescents than among younger children.21”
From Safety, immunogenicity, and efficacy of the BNT162b2 covid-19 vaccine in adolescents (2021) · cites this paper as [21]
The majority of children with confirmed SARS-CoV-2 infection have been asymptomatic or had mild COVID-19 disease.
“During the SARS-CoV-2 pandemic, the majority of children with confirmed infection have been asymptomatic or have had mild COVID-19 disease.2”
From SARS-CoV-2 vaccine testing and trials in the pediatric population: biologic, ethical, research, and implementation challenges (2021) · cites this paper as [2]
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- Authors
- Leeb, R. T., Price, S., Sliwa, S., Kimball, A., Szucs, L., Caruso, E., Godfred-Cato, S., & Lozier, M.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Leeb, Rebecca T.
- Venue
- MMWR. Morbidity and Mortality Weekly Report
- Published
- 2020-10-02
- Volume
- 69
- Issue
- 39
- Pages
- 1410-1415
- ISSN
- 0149-2195 (ISSN-L)
- 1545-861X
- PMC
- PMC7537558
- OpenAlex
- W3090936981
- Cited by
- 185
- References
- 9
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 8 · 2023: 17 · 2022: 38 · 2021: 88 · 2020: 25
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- MMWR Morbidity and Mortality Weekly Report (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Keywords
- COVID-19 pandemic, SARS-CoV-2, school-aged children, adolescents, laboratory-confirmed cases, underlying disease, severe COVID-19 outcomes, hospitalization, intensive care unit admission, COVID-19 mortality, in-person learning, mitigation measures, positive test results, test volume
- MeSH terms
- COVID-19, COVID-19 Testing, Adolescent, Child, Child, Preschool, Chronic Disease, Female, Hospitalization, Humans, Male, Pneumonia, Viral, United States, Incidence, Treatment Outcome, Coronavirus Infections, Clinical Laboratory Techniques, Pandemics
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