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Pediatrics and COVID-19

Educational Objective
To understand how COVID-19 is affecting the field of Pediatrics
1 Credit CME

Years from now, today’s children will tell the next generation about their experiences during the coronavirus disease 2019 (COVID-19) pandemic. What they recount will depend on how old they are currently and the circumstances in which they currently live. If an effective vaccine is developed soon, today’s infants will have no recollection of the direct effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on their lives. Toddlers may have some vague nondescript recollections, but older children will vividly recollect missed milestones that can never be restored. An entire birth cohort of children will have missed seminal events such as middle school, high school or college graduations, senior proms, and sports seasons, that will be indelibly lacking from their memories, their yearbooks, and their Instagram feeds. These lacunae in their childhood experiences will assuredly be conveyed to their children, especially as their offspring approach the events they missed.

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Article Information

Corresponding Author: Dimitri A. Christakis, MD, MPH, University of Washington, Child Health Institute, 6200 NE 74th St, Ste 120B, Seattle, WA 98115-8160 (jamapeds@jamanetwork.org).

Conflict of Interest Disclosures: None reported.

References
1.
Castagnoli  R , Votto  M , Licari  A ,  et al  Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents: a systematic review.   JAMA Pediatr. Published online April 22, 2020. doi:10.1001/jamapediatrics.2020.1467PubMedGoogle Scholar
2.
Patel  AB , Verma  A .  Nasal ACE2 levels and COVID-19 in children.   JAMA. Published online May 20, 2020. doi:10.1001/jama.2020.8946PubMedGoogle Scholar
3.
Cheung  EW , Zachariah  P , Gorelik  M ,  et al.  Multisystem inflammatory syndrome related to COVID-19 in previously healthy children and adolescents in New York City.   JAMA. Published online June 8, 2020. doi:10.1001/jama.2020.10374PubMedGoogle Scholar
4.
Zeng  L , Xia  S , Yuan  W ,  et al.  Neonatal early-onset infection with SARS-CoV-2 in 33 neonates born to mothers with COVID-19 in Wuhan, China.   JAMA Pediatr. Published online March 26, 2020. doi:10.1001/jamapediatrics.2020.0878PubMedGoogle Scholar
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Jensen  SK , Dickie  EW , Schwartz  DH ,  et al.  Effect of early adversity and childhood internalizing symptoms on brain structure in young men.   JAMA Pediatr. 2015;169(10):938-946. doi:10.1001/jamapediatrics.2015.1486PubMedGoogle ScholarCrossref
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Hernandez  DJ .  Double jeopardy: how third-grade reading skills and poverty influence high school graduation. Published April 2011. https://eric.ed.gov/?id=ED518818
7.
Xie  X , Xue  Q , Zhou  Y ,  et al.  Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China.   JAMA Pediatr. Published online April 24, 2020. doi:10.1001/jamapediatrics.2020.1619PubMedGoogle Scholar
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Christakis  DA .  The challenges of defining and studying “digital addiction” in children.   JAMA. 2019;321(23):2277-2278. doi:10.1001/jama.2019.4690PubMedGoogle ScholarCrossref
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Dooley  DG , Bandealy  A , Tschudy  MM .  Low-income children and coronavirus disease 2019 (COVID-19) in the US.   JAMA Pediatr. Published online May 13, 2020. doi:10.1001/jamapediatrics.2020.2065PubMedGoogle Scholar
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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