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COVID-19 vaccination for children in Malaysia - A position statement by the College of Paediatrics, Academy of Medicine of Malaysia
Ist Teil von
Malaysian journal of pathology, 2022-08, Vol.44 (2), p.177-185
Ort / Verlag
Kuala Lumpur: College of Pathologists, Academy of Medicine of Malaysia
Erscheinungsjahr
2022
Quelle
EZB Free E-Journals
Beschreibungen/Notizen
[...]the College recommends COVID-19 vaccination for children in Malaysia. Children infected by the Omicron variant generally present with body aches and tiredness,8 or symptoms mimicking a cold or flu lasting for three days.9 This is unlike the more defined presenting symptoms with the earlier variants, i.e. fever, cough, gastrointestinal symptoms (diarrhoea, nausea/vomiting) or loss of smell or taste.9-11 Although the Omicron variant has a lower risk of hospitalisation among adults,12 the clinical severity and disease spectrum of this variant in children is still ill-defined at this stage, i.e. if the extent of organ involvement and complications are milder or more severe than the earlier variants such as Delta.13 The experience with the Delta variant affecting children who later developed the multisystem-inflammatory syndrome in children (MIS-C) highlights a pressing situation as it could potentially cause a significant impact in tandem with the rising Omicron infections. [...]these cases were mild, requiring only conservative management.23-24 Studies are needed to determine if the omission of the second dose results in a significant reduction in postvaccination myocarditis without compromising the level of protection against COVID-19. Besides Hong Kong, a single dose regime was also initially offered to children aged 12-15 years old in the United Kingdom. In the USA alone, the childhood obesity rate among 2-19-year-olds experienced a 2-fold increase in the reported body mass index every month during this pandemic.30 The rise in the obesity rate was linked to school closures, increased stress and less opportunity for physical activity.