Covid Updates

Vaccines have been estimated to have saved more than 20 million deaths. The Lancet Infectious Diseases new release: COVID-19 vaccines are estimated to have prevented 20 million deaths worldwide in the first year of the vaccine program, modelling study find

Omicron has been associated with lower rates of MIS-C in children compared to other surges –95% less than alpha. WSJ: Covid-19 Complication Among Children Fades in Latest Wave of Virus.

Getting boosted is important for those >50 years. There was a 29-fold reduction when comparing 2 boosters vs unvaccinated and a 4-fold reduction when comparing 2nd booster vs 1 booster. CDC: Rates of COVID-19 Cases and Deaths by Vaccination Status

Vaccination Reduces Risk of COVID-19 Associated MIS-C & New Quarantine Guidelines

M Levy et al. JAMA. Published online December 20, 2021. doi:10.1001/jama.2021.23262. Open Access: Multisystem Inflammatory Syndrome in Children by COVID-19 Vaccination Status of Adolescents in France

Key findings:

  • From September 1, 2021, to October 31, 2021, a total of 107 children with MIS-C were hospitalized in France…33 (31%) were adolescents eligible for vaccination
  • Among those with MIS-C, 0 had been fully vaccinated, 7 had received 1 dose with a median (IQR) time between vaccine injection and MIS-C onset of 25 (17-37) days, and 26 had not been vaccinated. The HR for MIS-C was 0.09 (95% CI, 0.04-0.21; P < .001) after the first vaccine dose compared with unvaccinated adolescent. Because there were no MIS-C cases in those who were vaccinated, an HR cannot be calculated in this group.
  • The study had limitations, including the low number of patients, use of national data to calculate HR without considering regional variations, and inability to control for individual risks of MIS-C, such as sex, race and ethnicity, and comorbidities

My take: This study indicates that COCID-19 vaccination likely results in a marked decrease in the risk of MISC-C. This finding provides an additional reason favoring vaccination in adolescents in terms of risk-benefit calculation for immunization.

12/27/21: CDC Updates and Shortens Recommended Isolation and Quarantine Period for General Population

AAP Behind the Scenes (Fall 2020)

This Georgia AAP (virtual) board meeting started with a brief review from Dr. Kathleen Tomey (Department of Health)

Some slides:

This data should be interpreted based on limited testing in this age group

AAP Update from Dr. Scornik:

Toolkit available at Georgia AAP Website
Full link: Race, Postoperative Complications, and Death in Apparently Healthy Children
Link to register: Fall AAP Meeting

Safe sleep initiatives briefly discussed by Dr. Sarah Lazarus which aligns with Strong4Life campaign:

From Dr. Evan Anderson’s presentation to AAP Board Meeting
Dr. Anderson notes that COVID-19 mortality and morbidity IN CHILDREN exceeding other conditions with vaccines like Varicella and Influenza.
Letter from AAP President to FDA (Dr. Hahn) and HHS (Alex Azar)

Other information:

Update on E-Cigarettes Webinar*+: Wednesday, October 28 at 12:30 pm
Please note new date! Here’s a chance to still register.
First in a series of three webinars offered to Georgia Pediatricians on the growing epidemic of youth e-cigarette use
Faculty: Alice Little Caldwell, MD, FAAP

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Summer Georgia AAP Board Meeting: COVID-19, Pediatric Practices, and Resources

This year’s Summer Georgia AAP Board Meeting included presentations from Kathleen Toomey (commissioner of the Department of Public Health), Sally Goza (National AAP President),Kristie Clarke/Anne Kimball (CDC Liaison) and Evan Anderson (infectious disease committee).  Also a fair amount of information was shared by more than 75 participants.

Useful Links:

  • RIVM Children and COVID-19 Describes experience with opening schools in Europe and Australia. “Schools have now reopened in various other European countries. RIVM is in close contact with sister organisations in these countries to evaluate the impact of this policy on the spread of the novel coronavirus there. Denmark was the first country to reopen childcare and primary education, as of 15 April. They have not reported any negative effects after reopening the schools and are not seeing any increase in the reproduction number. ”  There were several studies showing no transmission
  • Nature (June 11) Why children avoid the worst coronavirus complications might lie in their arteries Evidence is mounting that healthy blood vessels protect children from serious effects of COVID-19, such as stroke
  • Georgia Department of Public Health: DPH COVID-19 Website: One fatality due to COVID-19 in Georgia Pediatric population, 0-17 years.

From Dr. Goza -AAP website/resources/agenda:

From Dr Goza: AAP has been working on health equity and racism prior to recent events, including policy statement last year.  Now with additional input:

From Kristie Clarke/Anne Kimball –they note that recent MMWR reports that the pediatric population now representing 5% of COVID-19  cases with more widespread testing.


From Dr. Terri McFadden (Ga. AAP Chair):

Related material from The Children’s Care Network: Website: Call Your Pediatrician Video -Dr. Anna Kuo (2 minutes) “Now, more than ever, it is important that practices actively reach out to families to educate them on the importance of staying connected to their medical home. Kids Health First partnered with Dr. Anna Kuo from Peachtree Park Pediatrics, to create a video aimed towards parents. This video highlights the importance of scheduling patient visits, staying up-to-date on immunizations and assuring families of the safety measures practices are implementing to ensure the health and well-being for all. “

“Coronavirus Disease 2019 and the Pediatric Gastroenterologist”

Full Text: KF Murray, BD Gold, R Shamir et al. JPGN 2020; 70: 720-6. Coronavirus Disease 2019 and the Pediatric Gastroenterologist. This article includes CME availability too!

Some excerpts:

  • The latest global count updates can be found at:
  • SARS-CoV-2 is a positive-sense, single-stranded RNA virus belonging to the genus Betacoronavirus, and phylogenetically related (88%–89% similarity) to the two bat-derived SARS-like coronaviruses, bat-SL-CoVZC45 and bat-SL-CoVZXC21….
  • Routine gastroenterology practice poses increased risk of exposure and potential viral transmission during ambulatory interaction, especially during endoscopic procedures…
  • The use of telemedicine is now a critical tool for the pediatric gastroenterologists and their patients, whether in the academic setting or private practice…The recently published AAP guideline, entitled Telehealth Payer Policy in Response to COVID-19 ( and, which outlines policy changes aiming to alleviate barriers to telehealth care, along with a webinar on telehealth and guidance on structuring your practice during the pandemic are tools that can be employed in both the academic and private practice pediatric gastroenterologist office to facilitate ongoing quality care of their patients

My take: This article provides a concise update and numerous resources.  As the information about the coronavirus is rapidly changing, the recommendations will continue to evolve.

Also, JPGN has a large number of articles available on its COVID-19 page: Link: COVID-19 page This page includes articles related to endoscopy, PPE, telemedicine, and central line infections.  Also, based on a personal communication, there will be a link to a recently published article soon on “Pediatric Crohn’s Disease and Multisystem Inflammatory Syndrome in Children (MIS-C) and COVID-19 Treated With Infliximab.”(Dolinger M T, Person H, Smith R, et al. Journal of Pediatric Gastroenterology & Nutrition 2020;  PMID: 32452979 DOI: 10.1097/MPG.0000000000002809)