Protect children

Posted on 05/20/2022 at 06:00

(Credit: Marcello Ferreira / CB / DA Press)

With winter approaching, concerns about normal respiratory illnesses of the period are increasing, affecting children as well. For Andrea Jácomo, coordinator of the Department of Pediatrics of the Federal District Children’s Association (SPDF), this year was overweight, threatening children. “Since October, we have been dealing with out-of-season virus traffic. This is a global issue, including some capitals in the country,” he said. The pediatrician is the weekly interviewer on CB.Saúde, a Correio program in partnership with Brasília TV and presented by journalist Carmen Souza.

What happened to this deadly disease attacking children?

Since October last year, we have been dealing with seasonal infections. It is important to tell parents that this is something from around the world, including many capitals in the country. We have a respiratory virus that circulates now from May to July, but it has already spread in October. We contracted the menopausal flu late last year and in January simultaneously with another wave of Kovid with omicron in adults and children and now we are in the respiratory season. The peak of the omicron has passed, but other viruses continue to circulate and affect children.

We have noted an increase in ICU enrollment for severe respiratory symptoms. Can these viruses cause this symptom?

The main respiratory virus, bronchitis, has been identified in young children. People who have spent the first year of an epidemic more often are also affected by these viruses. We have the rhinovirus, the flu virus, the adenovirus, and the subsequent mutations that spread again and again as more and more children leave their homes. One of the unique features of winter is the crowded windows closed like yesterday, blocking the airflow and ventilation of classrooms and playrooms. This can give rise to airway cases.

How to protect children in this period of low temperatures?

It is important to pay attention to children under one year of age. The head, like most of their body, is a vascular surface, and young children lose a lot of heat in this area. It is necessary to use a hat. Take care in the morning with limbs: Protect hands and feet with gloves and socks. If it is too hot, we remove it because it is not good for the baby. For seniors who have to go to school soon, we have to put on one set of clothes and take it off during the day to Provides comfort in the heat of the day.

Winter officially begins in a month. There are a few
What precautions can be taken now?

It is very important to take care of yourself in winter. Keeping them hydrated is important because children do not sweat but lose heat to maintain their temperature. In dry climates we are accustomed to placing pools to control humidity. Homes with young children can not have this because of the risk of drowning. Therefore, we use the wet towel strategy. Humidifiers can be effective, but in the early morning, when it is cold, they can help mice hatch, causing an allergic attack. Maintenance is doubled.

These viruses have very similar symptoms. Is it possible to distinguish and show warning symptoms?

Some viruses have more specific symptoms. Bronchitis affects older children in the upper respiratory tract and we deal with it more easily. In young children there is bronchus-spasm, in which the child has difficulty breathing, using muscles to force breathing. Another warning sign for minors is refusal to breastfeed. The viral condition can cause high fever and become more persistent in the first 48 hours. You do not need to force food, because if the virus affects the throat, the child may vomit, we need to strengthen the water and give the child rest.

How did covid get into this? Is a diagnosis necessary in these cases?

Two weeks ago we had several cases of herpangina, a characteristic ulcer of the virus in the throat. If you have a clear picture, you do not need a diagnosis of Kovid. Sars-CoV can come with bronchiospasm, it can cause sore throat or gastrointestinal symptoms. There is no way to know if you have not tried it. However, it does not change the behavior, the treatment. Some viruses require the detection of long-term complications, and Sars-CoV is one of them.

We are beginning to see an increase in cases of Kovid-19 in DF. How does this scenario happen to children?

Our delivery rates have been steadily rising since early May. We had two vacations in April, the flexibility to use masks in closed spaces, the return of children’s parties and celebrations, all of which contributed to the increase in the number of cases that favored the spread. The number of children infected has doubled from this week to the previous one. A bright warning sign for everyone.

Are bigger warning signs related to overcrowding in hospitals, including pediatric ICUs?

Yes, the ICU for Kovid Children’s Hospital has not closed yet. Although the situation improved, other respiratory conditions did not allow this closure and the ICU remained busy.

Prevention and adherence to the vaccine is stagnant. For a pediatrician, what does this situation look like?

We are also stagnant. In April, there were more than 8,000 cases of acute respiratory illness in children under 19, according to the latest Ministry of Health epidemiology bulletin. Among them are nearly 6,000 children under the age of five. It is an age group that does not have access to vaccines, but we need to pay attention to them.

Various viruses can also occur.
Protected by vaccines?

Influenza In the vaccination season, it is given to children aged six months to five years by being dumped in a private network outside this age group. It is a vaccine that protects against severe forms of the disease and hospitalization or hospitalization.

How can parents help prevent the spread of these viruses?

Ideally, children should be allowed at least 48 hours without fever to resume activity. We know that the virus is most contagious during the fever. At that time, I left my children at home to protect my children and other people’s children.

Interns under the supervision of Michel Medeiros


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