Abstract

The epidemic of coronavirus disease 2019 (COVID-19) broke out in Wuhan, China, in December 2019 and rapidly spread across the world. In order to counter this epidemic, several countries put in place different restrictive measures, such as the school’s closure and a total lockdown. However, as the knowledge on the disease progresses, clinical evidence showed that children mainly have asymptomatic or mild disease and it has been suggested that they are also less likely to spread the virus. Moreover, the lockdown and the school closure could have negative consequences on children, affecting their social life, their education and their mental health. As many countries have already entered or are planning a phase of gradual lifting of the containment measures of social distancing, it seems plausible that the re-opening of nursery schools and primary schools could be considered a policy to be implemented at an early stage of recovery efforts, putting in place measures to do it safely, such as the maintenance of social distance, the reorganisation of classes into smaller groups, the provision of adequate sanitization of spaces, furniture and toys, the prompt identification of cases in the school environment and their tracing. Therefore, policy makers have the task of balancing pros and cons of the school re-opening strategy, taking into account psychological, educational and social consequences for children and their families. Another issue to be considered is represented by socio-economic disparities and inequalities which could be amplified by school’s closure.

Highlights

  • Was the first European country to implement a national lockdown to contain the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and mitigate the impact of an inevitable surge of COVID-19 cases

  • As observed in a series of 731 pediatric COVID19 cases the cumulative incidence of patients with asymptomatic, mild or moderate disease was 97%, suggesting a milder presentation in children [1]. This finding is consistent with the results of a systematic review, which found that children at any age were mostly reported to have mild symptoms or were asymptomatic and that pediatric patients with COVID-19 had generally a good prognosis and recovered within 1 or 2 weeks after disease onset [2]

  • A testing of at risk individuals in Iceland through oro- and nasopharyngeal swabs showed that children under 10 years of age were less likely to test positive (6.7%) compared to other age groups, and that in the general population screening no child under 10 years of age resulted positive [5]

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Summary

Introduction

Main text Italy was the first European country to implement a national lockdown to contain the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and mitigate the impact of an inevitable surge of COVID-19 cases. As observed in a series of 731 pediatric COVID19 cases the cumulative incidence of patients with asymptomatic, mild or moderate disease was 97%, suggesting a milder presentation in children [1].

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