COVID-19 can look different in different people. For many people, being sick with COVID-19 would be a little bit like having the flu. People can get a fever, cough, or have a hard time taking deep breaths.
Most people who are diagnosed with COVID-19 are not very sick. Only a fraction of people have had more serious problems. Based on available evidence, children do not appear to be at higher risk for COVID-19 than adults. While some children and infants have been sick with COVID-19, adults make up most of the known cases to date.
Though data shows that children are less affected by COVID-19, they may still fall ill and can be carriers of the virus. Parents are, therefore, urged to keep their children safe by following the instructions by health authorities, according to Dr Sadriya Al Khoji, National Lead, Healthy Children and Adolescents.
“They may act as carriers of the virus and spread it to others who may be at risk of developing complications if infected,” she said, as part of a social media campaign by the Ministry of Public Health, Primary Health Care Corporation (PHCC) and Hamad Medical Corporation (HMC). She also emphasized that parents must prioritize safety of their children and family. While the World Health Organisation (WHO) has said that all age groups can catch COVID19, evidence to date suggests that children and adolescents are less likely to get severe disease, but severe cases and deaths can still happen in these age groups.
The WHO has said: “While we are still learning about how COVID-19 affects people, older persons (persons over 60 years) and persons with pre-existing medical conditions, like high blood pressure, heart disease, lung disease, cancer or diabetes, appear to develop serious illness more often than others. As this is a new virus, we are still learning about how it affects children and adolescents.”
The Child and Adolescent Mental Health Services (CAMHS) team at Sidra Medicine, a member of Qatar Foundation, advice parents to talk to their children about COVID-19, and not to completely downplay the enormity of the situation. “Children are looking to their parents to understand COVID-19 and therefore it is important that parents respond to questions to help their children remain calm and feel reassured.
Frank discussions offer a number of learning opportunities, possibilities to increase resilience and help the children feel safe, which in turn will positively affect their physical and mental health,” said the CAMHS team at Sidra Medicine. The CAMHS team recommend parents take the following approach, especially with younger children. These include:
Reassurance: Be sure to offer reassurance about your ability as a parent to protect your child in the ways you can. Reassure your child’s safety, and discuss who the adults are in their life who will help keep them safe and how. It is okay to let your child know you do not have all the answers, information is evolving, and you will share with them what they need to know when you have important new information to share.
Let children know it is okay to feel uncomfortable or anxious at this time and that they may have mixture of different feelings (fear, worry, anger, even happiness for not having to go to school). Explain to them that this is natural, and that even adults feel this way (they will pick up on this anyway).
Talk with them about how they can reduce thoughts and feelings associated with anxiety if they have them, by talking with you (their parent) about this Check-in often with your children.
Maintaining a Routine: Maintain or re-establish normal routines as much as possible. For example: Write a daily schedule and post it in the house, include what parents are doing at certain times, (i.e. time parents leave and return from work, when parents will call to check-in, etc.) include a time for children to ask questions they have about the news or rumors they heard so they can process this and get accurate and reassuring information.
Try to increase your child’s sense of control through every day activities that they can help with and feel confident about, i.e. small chores or projects they can work on, helping to cook or learning a new skill. Promote good health practices and discuss why they are important; include regular hand washing times on your daily schedule. Practice how to cough into your elbow, how to wash hands the right way, and practice not touching your face.
Caring: Help to reduce panicking behaviours in children and prejudice/discrimination that have arisen during this time and reinforce care for others in appropriate ways. Use this as an opportunity to talk about how to help others and practice acts of kindness, especially if you know anyone who is selfquarantining, i.e. send them a meal through a meal delivery service, send them messages of encouragement to stay in touch.
Trusted source of information: It is strongly recommended to go to trusted sources of information for updates about COVID-19. Sidra Medicine advices checking Qatar’s Ministry of Public Health’s website page dedicated to COVID-19 or to call 16000.