Global Pediatric Pulmonology Alliance recommendation to strengthen prevention of pediatric seasonal influenza under COVI
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EDITORIAL
Global Pediatric Pulmonology Alliance recommendation to strengthen prevention of pediatric seasonal influenza under COVID‑19 pandemic Kun‑Ling Shen1 · Leyla Namazova‑Baranova2 · Yong‑Hong Yang3 · Gary Wing Kin Wong4 · Lanny J. Rosenwasser5 · Lance E. Rodewald6 · Anne Eng Neo Goh7 · Eitan Kerem8 · Chris O’Callaghan9 · T. Bernard Kinane10 · Basil Elnazir11 · Rina Triasih12 · Rosemary Horne13 · Anne B. Chang14 · Jim Buttery15 · Ruth A. Etzel16 · Kazunobu Ouchi17 · Hilary Hoey18 · Varinder Singh19 · Genesis C. Rivera20 · Spencer S. Li21 · Yu Guan21 on behalf of the Global Pediatric Pulmonology Alliance (GPPA) Council · Ling Cao22 · Yue‑Jie Zheng3 · Lu‑Zhao Feng23 · Wu Zhong24 · Zheng‑De Xie25 · Bao‑Ping Xu1 · Rong‑Jun Lin26 · Gen Lu27 · Qiang Qin1 · Chun‑Mei Zhu22 · Su‑Yun Qian28 · Gang Liu29 · Cheng‑Song Zhao29 · Zhuang Wei30 · Yu‑Hong Zhao31 on behalf of the Global Pediatric Pulmonology Alliance (GPPA) Expert Panel on Infectious Diseases & COVID-19 Received: 6 August 2020 / Accepted: 19 August 2020 © Children’s Hospital, Zhejiang University School of Medicine 2020
The World Health Organization (WHO) announced COVID19 as a global pandemic in March of 2020 [1]. The COVID19 pandemic may persist for a long period of time. Global prevention and control becomes a complex and challenging task, and such efforts should be sustained. Although general measures, such as social distancing, face masks, respiratory hygiene and hand sanitization, will bear fruits for decreas‑ ing spread of other respiratory illnesses including influenza, the specific prevention through vaccination is a key focus especially in the upcoming winter and spring seasons [2]. Winter and spring are the peak seasons for influenza and other common respiratory infectious diseases. Children are a high-risk group for influenza. The prevalence of influenza in children is 20–30% every year [3], and it often enhances outbreaks in the community. The pediatric population in child care centers, kindergartens and primary schools is closely confined and is vulnerable to mass outbreaks [4]. The high infection rate of influenza in children is also one of the important reasons for the spread of influenza virus in the community [5]. If an outbreak of influenza coincides with that of COVID-19, the impact on the pediatric population will be even more severe [6]. According to WHO, the COVID-19 outbreak in early 2020 occurred at the same time as the influenza outbreak [7], and the primary clinical manifestations of influenza and COVID-19 overlap considerably. An epidemic of influenza * Yong‑Hong Yang [email protected] Extended author information available on the last page of the article
would challenge the diagnosis and treatment in fever clinics and the supplies of personal protective equipment (PPE). Therefore, the upcoming winter and spring seasons are of high alert [8], as immense pressure will be placed on hos‑ pitals’ overall diagnosis and treatment capacity and on their critical care capacity. Co-infection of influenza and COVID19 can occur in patients and
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