Children and COVID-19: State-Level Data Report

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American Academy of Pediatrics

State-level reports are the best publicly available and timely data on child COVID-19 cases in the United States. The American Academy of Pediatrics and the Children’s Hospital Association are collaborating to collect and share all publicly available data from states on child COVID-19 cases. The definition of “child” case is based on varying age ranges reported across states (see report Appendix for details and links to all data sources).

Reported COVID-19 cases among children spiked dramatically in 2022 during the Omicron variant surge, almost 4.5 million child cases were reported since the beginning of January. For the week ending February 10th, nearly 300,000 additional child COVID-19 cases were reported, down substantially from the peak level of 1,150,000 reported the week ending January 20th. However, child cases this week remained extremely high, over the peak level of the Delta surge in 2021.

Over 12.3 million children have tested positive for COVID-19 since the onset of the pandemic; over 2.9 million of these cases have been added in the past 4 weeks. For the 27th week in a row child COVID-19 cases are above 100,000. Since the first week of September, there have been nearly 7.3 million additional child cases.

The age distribution of reported COVID-19 cases was provided on the health department websites of 49 states, New York City, the District of Columbia, Puerto Rico, and Guam. Since the pandemic began, children represented 18.9% of total cumulated cases. For the week ending February 10, children were 21.9% of reported weekly COVID-19 cases (children, under age 18, make up 22.2% of the US population). A smaller subset of states reported on hospitalizations and mortality by age. There is an urgent need to collect more age-specific data to assess the severity of illness related to new variants as well as potential longer-term effects. It is important to recognize there are immediate effects of the pandemic on children’s health, but importantly we need to identify and address the long-lasting impacts on the physical, mental, and social well-being of this generation of children and youth.

Summary of Findings (data available as of 2/10/22):

Cumulative Number of Child COVID-19 Cases*

  • 12,341,801 total child COVID-19 cases reported, and children represented 18.9% (12,341,801/65,187,326) of all cases
  • Overall rate: 16,397 cases per 100,000 children in the population

Change in Child COVID-19 Cases*

  • 298,931 child COVID-19 cases were reported the past week from 2/3/22-2/10/22 (12,042,870 to 12,341,801) and children represented 21.9% (298,931/1,367,353) of the weekly reported cases
  • Over two weeks, 1/27/22-2/10/22, there was an 8.2% increase in the cumulated number of child COVID-19 cases since the beginning of the pandemic (930,754 cases added (11,411,047 to 12,341,801))

Cumulative Hospitalizations (24 states and NYC reported)*

  • Among states reporting, children ranged from 1.5%-4.6% of their total cumulated hospitalizations, and 0.1%-1.5% of all their child COVID-19 cases resulted in hospitalization

Cumulative Mortality (46 states, NYC, PR and GU reported)*

  • Among states reporting, children were 0.00%-0.23% of all COVID-19 deaths, and 3 states reported zero child deaths
  • ​In states reporting, 0.00%-0.01% of all child COVID-19 cases resulted in death

* Note: The numbers in this summary represent cumulative counts since states began reporting. In this summary and full report, the data are based on how public agencies collect, categorize and post information. All data reported by state/local health departments are preliminary and subject to change and reporting may change over time. Notably, in the summer of 2021, some states have revised cases counts previously reported, begun reporting less frequently, or dropped metrics previously reported. For example, due to several changes on their dashboards and the data currently available, AL and TX data in this report are not current (cumulative data through 7/29/21 and 8/26/21 respectively).

A number of factors might affect week to week comparisons. During holiday weeks states may change their reporting schedules which may cause irregularities in trends. Shortages of COVID-19 tests during surges and the use of COVID-19 home tests likely affect the undercounting of COVID-19 cases. The extremely high volume of cases during the Omicron surge may have created discontinuities in state reports week to week.

On 1/14/22, TX released new data that is NOT included in cumulative case counts or figures but located here and in Appendix 3B of this report (774,083 cumulative child cases as of 1/20/22). TX previously reported age for only a small proportion of total cases each week (eg, 2-20%); these cumulative cases through 8/26/21 are included (7,754)

Readers should consider these factors. States may have additional information on their web sites.

On Hospitalizations: For additional data and trends over time from the CDC on US child hospitalizations in all states, visit https://covid.cdc.gov/covid-data-tracker/#new-hospital-admissions 

On Mortality: For additional data on US child mortality from the CDC, visit https://covid.cdc.gov/covid-data-tracker/#demographics 

 

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