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Since the start of the pandemic, nine children have been diagnosed with MIS-C in the Children's Hospital.
  - A.M. Costa Rica illustrative photo -

Published Thursday, October 15, 2020

Increase health complications in
children infected with covid-19

By the A.M. Costa Rica staff

Within one week there has been an increase in children hospitalized at the National Children's Hospital for complications related to covid-19.

Currently, the hospital has eight children hospitalized with general complications from covid-19, of these,  four have developed the Multisystem Inflammatory Syndrome in Children, MIS-C. One child is in intensive care, said Olga Arguedas- Arguedas, director of the Hospital.

In total, since the start of the pandemic, nine children have been diagnosed with MIS-C in the hospital.

Given this increase in cases, specialists call on families to protect their children, even though it is not the group with the highest mortality compared to the total sick population, it is necessary to be aware of the risk of complications due to the infection caused by covid-19 at any age.

According to specialists, MIS-C is a rare syndrome in children, but with a very high impact, as it can cause a critical condition and expansions of the coronary arteries of the heart as a sequel.

Specialists consider that MIS-C can happen during the intense phase of the infection. So far it is known that the minority of children infected with covid-19 develop MIS-C, but it is not known why it happens.

Without early diagnosis, the syndrome can lead to serious problems with vital organs, such as the heart, lungs, kidneys, or even death.

According to international reports, most children with MIS-C are between 3 and 12 years old, with an average age of 8; however, some cases have also occurred in older children and infants.

According to María Luisa Ávila, chief of the Infectious Diseases, in the case of families in which one or more members have suffered from covid-19, they should be cautious in the following warning signs that can be related to MIS-C:

• Severe stomach pain, diarrhea, or vomiting.

• Difficulty breathing, bluish lips or fingertips.

• An altered state of consciousness, confusion, disorientation or excessive drowsiness.

• New breakouts or bruises on the skin.

• Persistent fever.

If your son or daughter has any of these warning signs, call 911 and immediately seek medical attention, the specialist said.

The best way to help prevent a child from contracting MIS-C is to take steps to avoid exposure to covid-19 in your family and teach your child how to do the same.

"Remember the three key elements: wash hands, wear a face mask and maintain a social distance of two meters between people," the specialists said.

The specialists provide the following recommendations to maintain optimal health prevention measures at home:

• Keep your hands clean. Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, use a hand sanitizer that contains at least 70% alcohol.

• Avoid close contact with sick people. In particular, avoid people who cough, sneeze, or show other signs that they may be sick and contagious.

• Stay at home. But if you have to go out practice physical distancing at all times. This means that you and your child must stay at least 2 meters from other people when they are outside your home.

• Wear a fabric face mask in public places. When it is difficult to practice physical distancing, both you and your child should wear masks that cover the nose and mouth This goes for all children over the age of 2.

• Avoid touching your nose, eyes, and mouth. Encourage your child to follow your example and avoid touching their face.

• Even indoors, cover your mouth with a tissue or your elbow when you sneeze or cough. Practice covering  mouths when sneezing or coughing to prevent the spread of germs.

Practicing health prevention measures are essential to prevent the spread of the virus that is causing deaths in the country daily.

On Wednesday, the Ministry of Health reported the following updated statistics of the virus contagion in the country:

1,542 new covid-19 cases, bringing the total to 36,491 active cases.

15,407 foreign-born people have been infected with a total of 91,780 cases since March, approximately 16.7% of the total cases. Of these, authorities confirmed the death of 32 foreign-born patients.

• 553 patients are being treated in public hospitals, where 203 patients are in ICU’s in delicate health conditions (ages range from a 1-year-old baby to an 88-year-old person). And 350 patients are in recovery rooms. The majority of the rest of the infected patients are quarantined in their homes.

• 54,155 coronavirus patients have fully recovered, which is a 59% recovery rate of the total cases since March.

• 160,090 people have been ruled out.

• 267,827 medical covid-19 tests have been made.

1,134 deaths of people infected with covid-19, approximately 1.2% death rate of the total cases since March. Of these 423 women and 711 men. The ages range from 18 to a 100-year-old person.

Readers can see the updated number of total patients in each district at the National Distance Education University on its Covid-19 Map.

As of Wednesday night, the pandemic has  killed  1,090,641 patients worldwide, according to recent statistics reported by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University.

What additional advice would you give parents to prevent their children from getting covid-19? 
We would like to know your thoughts on this story. Send your comments to 

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