September 27, 2021

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Corona virus: Should children be vaccinated?

Frequently Asked Questions

Status: 02.08.2021 7:43 pm.

What speaks in favor of vaccinating children and adolescents between the ages of 12 and 17, and what speaks against it? What do you know about potential side effects and long-term side effects? Answers to the most important questions.

From Anja Martini, tagesschau.de

Can I vaccinate my children – if so, where?

Yes, it is possible. BioNTech / Pfizer and Moderna vaccines are approved in the European Union for children from the age of twelve. Before each vaccination, there should be a detailed discussion with the vaccinating physician because vaccines are always about clinical risk-benefit assessment.

Anja Martini
tagesschau.de

What questions should parents and doctors ask themselves?

Parents or adolescents should weigh in on a number of questions: How high is the risk of the child becoming ill? Are there any previous diseases? How high is the risk of long-term effects after infection and what risks the vaccine may have, i.e. what vaccine reactions it may have. Is there a person who interacts with the child’s environment and is he at risk of becoming seriously ill?

What are the benefits of the vaccine?

According to current research, children are at lower risk for serious illness – but it can happen. Scientists from the UK and Scotland have studied the prevalence of the new delta variant. Child abuse is on the rise in the UK, according to reports. However, the number of affected children and adolescents seeking hospital treatment is low. This applies to both UK As well as For Scotland.

Robin Kobe, a pediatrician and pediatrician, says young children are often asymptomatic. tagesschau.de-Interview. Some of them may have a cold and a slight fever, says a doctor at the University of Hamburg-Ependorf Medical Center. Adolescents, on the other hand, were closer to the symptoms of adolescence. Sometimes they may have a sore throat, fever and cough, and a loss of taste and smell. Kobe reports that very serious illnesses occur very rarely. With the exception of Govt in children with previous illnesses, what does this mean? Especially the so-called PIM syndrome.

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What is PIM Syndrome?

About four to six weeks before the onset of SARS-CoV-2 infection, even previously healthy children may experience severe symptoms: high fever, inflammation of the mucous membranes, swollen lymph nodes, skin rash, red hands, and some heart problems. Novel Syndrome – Pediatric Inflammatory Multisystem Syndrome – is abbreviated as PIMS. It is an inflammation of many organs that is triggered by an overreaction of the immune system. The The German Society for Infectious Diseases (DGPI) has been registering cases of PIM syndrome since May 27, 2020. Hence serious diseases in children and adolescents. The DGPI will report 395 PIMS cases by July 25, 2021.

How high is the risk of long-term consequences of Govt disease?

Data on long-term effects in children are still vague. According to a UK survey, 10 to 15 percent of babies show at least one symptom after five weeks of severe infection.. A Canadian study estimates that six percent of affected children develop a long coccyx. Scientists evaluated data from more than 10,500 children tested for SARS-CoV-2. Between March 2020 and June 15, 2021 the children came to the emergency room. Data from 41 emergency clinics in ten countries were evaluated: three countries in Australia, Canada, Indonesia, the United States and South America and three countries in Western Europe.

Respiratory symptoms in two percent of cases, general physical symptoms such as fatigue and fever in two percent of cases, neurological symptoms such as headaches, seizures and loss of taste or smell in one percent of cases and psychological symptoms in one percent of cases develop depression and anxiety disorder. Persistent symptoms Children between the ages of 10 and 17 have more persistent symptoms than children under one year of age. A Russian study Coming to a similar conclusion.

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Vaccination in children, as in adults, can prevent the acute course and long-term effects of Govt 19 disease.

What speaks against the vaccine?

When vaccinating children, always focus on weighing the individual benefits and potential risks of the vaccine. One argument against the vaccine is that, from a medical perspective, children do not benefit from the vaccine because they often have only mild studies. In the United States and Israel, where children have been vaccinated for a long time, myocardial infarction and myocardial infarction occur in rare cases after a second vaccination with MRNA vaccines from BioTech / Pfizer and Moderna.

Expert groups are examining the link between youth vaccinations and the occasional inflammation of the heart muscle (myocarditis) or pericardium (pericarditis). Paul Ehrlich reported July 15, 2021, a total of 173 cases of heart attack and / or pericarditis in Germany by June 30, 2021 It is found in people who have been vaccinated with the BioNTech / Pfizer’s Comirnaty vaccine (over 54 million doses). In the production of SpikeWax from Moderna, there were 31 cases (with more than 6.4 million vaccine doses). According to the Paul Ehrlich Institute, the benefits of the vaccine outweigh the risks.

At this point another argument can be made against vaccinating children: In a plea to the World Health Organization (WHO) rich countries, the decision to vaccinate children is said to increase the global vaccine shortage and the injustice in distribution. Vaccines.

What do you know about vaccine reactions?

According to the manufacturers BioNTech / Pfizer and Moderna, the side effects of children with both vaccines are comparable to those of adults. This means there may be pain, swelling and redness at the injection site. Fatigue, headaches and muscle aches, cold, joint pain, fever, nausea, malaise and swelling of the lymph nodes are possible. Vaccine reactions last only a few days after vaccination.

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What does Stico say?

The Standard Vaccine Commission (STIKO) has not issued a general immunization recommendation for anyone over the age of twelve, but has recommended the corona vaccine for children and adolescents with some particularly dangerous pre-existing diseases. As children and adolescents are already vaccinated in other countries such as Israel, the United States and Canada, experiences and data on this are gradually increasing. STIKO wants to tackle this new data in the coming weeks. STIKO cannot rule out the possibility of updating or expanding its current recommendations at a later date.

Does it make sense to vaccinate for any pre-existing diseases?

In its recommendation, Stico recommends vaccinating children and adolescents with obesity, immunodeficiency, heart defects, chronic lung disease, diabetes and trisomy 21 against Govit-19. Stico recommends vaccinating children close to relatives or adolescents or persons at high risk for the severe course of Govt-19. As with adults, children and adolescents should receive two doses of corona vaccine at three to six week intervals.

What studies are currently underway for pediatric vaccines?

Bioendech / Pfizer launched a study in March 2021 on children aged six months to eleven years. Currently in the second phase, about 4500 young people are to be tested for the effectiveness and dosage of the vaccine. Results are available from September.

The Modern Phase II / III course began in March. More than 6,700 children under the age of six months and twelve are expected to participate. Again, this is about performance and size. It is not yet clear when the results will come.

Sinovak has been testing its vaccine in China since the beginning of May. In the second phase, children between the ages of three and 17 are to be tested here. It’s about performance and size.