Cape Times

Children need high compliance protection against Covid-19

- NICOLA DANIELS nicola.daniels@inl.co.za

THERE is a need to ensure high compliance when it comes to non pharmaceut­ical interventi­ons in households and schools to safeguard children from Covid-19, especially in those with underlying conditions.

There were close to 200 000 positive Covid-19 tests among children and adolescent­s, and the numbers of those tested, diagnosed, and admitted had increased during the third wave, a new surveillan­ce report by the National Institute for Communicab­le Diseases found.

The report looked at laboratory testing and epidemiolo­gy and clinical characteri­stics of laboratory­confirmed Covid-19 cases among children and adolescent­s aged 19 years and under, between March 1, 2020 and August 28, 2021.

“There have been 2.2 million tests among individual­s aged 19 (and under) with a 15.8% percentage testing positive, 184 187 laboratory­confirmed Covid-19 cases aged 19 (and under), 17 184 reported Covid-19- associated admissions and 565 Covid-19-related deaths during the surveillan­ce period,” the report states.

“The majority of the tests among individual­s aged 19 years (and under) were in five provinces: Gauteng (27.8%), KwaZulu-Natal (24.8%), Western Cape (12.2%), Eastern Cape (11.5%) and Free State (6.9%), together accounting for 80.9% of all tests.”

During the third wave, the report found that the testing rate had increased in all ages in the under 19 age group, with the 15 to 19 year age group peaking in weeks 26 and 33 of 2021.

Between weeks 27 and 33, the percentage testing positive among 10 to 14 years or 15-19 years surpassed that of individual­s over 19.

A total of 201 deaths (35.6%) were among adolescent­s aged 15-19 years and 108 (19.1%) were aged under one. Among 324 (57.3%) in-hospital deaths, with available data on underlying conditions, 168 (51.9%) reported more than one underlying condition.

Given their findings, the authors called for vaccinatio­n for children.

“While there remains a need to maintain heightened vigilance and consistent implementa­tion of non-pharmaceut­ical interventi­ons within schools and to discourage community and mass gatherings involving young people, vaccinatio­n in children – especially older children of 15 to 18 years – may need to be prioritise­d to close the immunity gap.”

Meanwhile, health officials yesterday confirmed the province was still in the third wave and on track to exit by September 27, as case numbers continued decreasing.

Health department chief of operations, Dr Saadiq Kariem said: “All indicators are trending down quite sharply; our oxygen indicators are going down quite sharply. There is a reduction in week on week admissions by 36%. The proportion positivity has decreased. In terms of the downward trend, we are currently seeing approximat­ely

1 000 new cases daily.” The province recorded an average hospital admission rate of 170 cases per day and around 52 new deaths each day.

“The province will have officially exited the third wave once we reach a daily caseload of approximat­ely 530 cases a day or 15% of cases compared to the peak of the third wave,” Premier Alan Winde added.

The province has vaccinated approximat­ely 36.6% of its adult population , with at least one dose,, with a total of 1 821 815 vaccinatio­ns completed by Wednesday.

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