The Atlantic

Why the Coronavirus Hits Kids and Adults So Differently

COVID-19 is much less severe in children, and it could have to do with a child’s still-developing immune system.
Source: Arsh Raziuddin / The Atlantic

Editor’s Note: The Atlantic is making vital coverage of the coronavirus available to all readers. Find the collection here.

Only after New York City passed its current coronavirus peak did pediatricians notice a striking, new pattern: Dozens of kids who had been exposed to COVID-19 were coming in sick, but they weren’t coughing. They didn’t have severe respiratory distress. Instead, they had sky-high inflammation and some combination of fever, rashes on their hands and feet, diarrhea, vomiting, and very low blood pressure. When ICU doctors around the world gathered for a weekly online COVID-19 call on May 2, doctors elsewhere began sharing similar observations. “The tenor of the meeting completely changed,” says Steven Kernie, the chief of critical-care medicine at New York–Presbyterian Morgan Stanley Children’s Hospital, who was on the call.

Until then, the news about children and COVID-19, the disease caused by the novel coronavirus, had been largely good: Kids can get seriously sick, but they rarely do. They can spread the, , , , and —has found that children get less sick and are less contagious.

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