Friday, June 18, 2021

The Morning: Kids, Covid and Delta

A guide to help parents

Good morning. How should Delta change the way parents think about Covid?

A park in El Paso this week.Ivan Pierre Aguirre for The New York Times

The unvaccinated

For most American adults, the Covid-19 situation is now straightforward. Vaccine shots are widely available, and once you've had one, Covid no longer needs to dominate your life. You are unlikely to contract any form of the virus and are virtually guaranteed not to suffer serious symptoms.

You can socialize with friends, indoors or outdoors. You don't need to wear a mask to protect yourself or others. For you, Covid has come to resemble a mild flu that you are unlikely to get.

For children under 12, however, the situation is more complicated. They are not yet eligible to receive a vaccine. And with the spread of the Delta variant of the virus, many parents are understandably anxious. Over the past week, I've received emails and social media messages from some of those parents, asking for help in thinking about Delta. I will try to provide it today.

How bad is Delta?

As each new coronavirus variant has emerged, people have feared that it would be a game-changer — resistant to the vaccines or vastly more serious. So far, though, all the variants have been much more similar to the original version of the virus than they have been different.

The vaccines are effective on all of them, and many of the early fears about severity of variant symptoms have not been borne out. That's why some public-health experts use the term "scariants."

Delta does appear to be worse than most, as I described in Monday's newsletter. It may be the worst variant yet, in terms of contagiousness and severity. Yet it also seems to be in the same broad range as the earlier ones.

Consider this data from England, where Delta is already widespread. Covid-related hospitalizations of children have risen from their lows of a few weeks ago, but the increases are not large:

By The New York Times | Source: National Health Service in England

The best assumption seems to be that Delta will be modestly worse for children than earlier versions of the virus. "I haven't seen data to make me particularly worried about Delta in kids," Jennifer Nuzzo, a Johns Hopkins epidemiologist, told me.

Covid vs. car trips

This evidence suggests that serious versions of Covid will continue to be extremely rare in children.

As you can see here, some common activities — and several other diseases — have caused significantly more childhood deaths than Covid has:

By The New York Times | Source: Centers for Disease Control and Prevention

The same is true for infants:

By The New York Times | Source: Centers for Disease Control and Prevention

Death is not the only outcome that parents fear, of course. Yet "long Covid" and hospitalization have also been very rare in children. It's just that society has been so focused on Covid that we have paid intense attention to the risks associated with it — even when they are smaller than other risks that we unthinkingly accept.

To take one example, we don't use the phrase "long flu," but it's a real problem, including for children: One academic study has found that up to 10 percent of people who contract influenza later develop cardiac inflammation.

Serious forms of Covid are so rare in children that a few countries with better recent Covid track records than the U.S. — like Britain, Germany and Israel — may not even officially urge vaccinations for most children. The decision will be up to individual parents.

It's true that children will face a higher risk of contracting Covid once they resume activities than they would on lockdown. The good news is that rates of Covid transmission in the U.S. have plummeted, which makes every activity safer than it would have been this past fall or winter.

Some basic principles

Different parents will make different decisions, and that's only natural. Here are a few guiding principles:

  • The interruption of school and other normal activities has caused substantial damage to children — academically, socially and psychologically. Helping children resume normal activities is important to their health. "Kids should be in camp," Dr. Jennifer Lighter, a pediatric infectious-disease specialist at N.Y.U., told me.
  • There are still enough Covid uncertainties that some precautions can make sense for children, like wearing masks indoors or avoiding crowded places. "The actual overall threat of death is minuscule, and the threat to health is quite low," Dr. Robert Wachter of the University of California, San Francisco, said, "but if I had young kids, I'd still really prefer they not get Covid."
  • The riskiest areas are those with the lowest vaccination rates, which tend to be in the Southeast and the Mountain West. "If I were living in a place where cases were rising, I'd be more worried that my children could contract Covid," Nuzzo said.
  • Polls suggest that many Democratic voters have an inflated sense of Covid's risks to children. If you're liberal, you may want to ask yourself if you fall into this category. (If you're conservative, you may want to encourage more of your friends to get vaccinated.)
  • The biggest risk to your child's health today almost certainly is not Covid. It's more likely to be an activity that you have long decided is acceptable — like swimming, riding a bicycle or traveling in a car.

A programming note: Next week, I'll be working on other Times projects. This newsletter will still arrive in your inbox every morning, written by my Morning colleagues, and I'll be back Monday, June 28.

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Now Time to Play

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If you're in the mood to play more, find all our games here.

Thanks for spending part of your morning with The Times. My colleagues will be writing The Morning next week, and I'll be back on June 28. — David

P.S. Denise Grady, who has reported on science and medicine for The Times for more than 22 years, is retiring.

There's no new episode of "The Daily." Instead, on Episode 4 of "Day X," an interview with the first soldier to be tried for terrorism in Germany since World War II. On "The Ezra Klein Show," Betsey Stevenson, an Obama administration economist, discusses inflation.

Lalena Fisher, Claire Moses, Ian Prasad Philbrick, Tom Wright-Piersanti and Sanam Yar contributed to The Morning. You can reach the team at themorning@nytimes.com.

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