Abstract
Background: Indonesia has a high number of COVID-19 cases and mortalities relative to not only among the Asia Pacific region but the world. Children were thought to be less affected by the virus compared to adults. Most of the public data reported combined data between adults and children. The Indonesian Pediatric Society (IPS) was involved in the COVID-19 response, especially in the area of child health. One of IPS's activities is collecting data registries from each of their chapters to provide a better understanding of COVID-19 in children.Objective: The objective of this study was to share the data of suspected and confirmed COVID-19 cases in children from IPS's COVID-19 data registry.Method: This is a retrospective study from the IPS's COVID-19 registry data. We collected the data of COVID-19 in children during March to December 2020 from each of the IPS chapters. We analyzed the prevalence, case fatality rate (CFR), age groups, diagnosis, and comorbidities of the children diagnosed with COVID-19.Result: As of December 21, 2020, there were 35,506 suspected cases of children with COVID-19. In total, there were 522 deaths, with a case fatality ratio (CFR) of 1.4. There were 37,706 confirmed cases with 175 fatalities (CFR 0.46). The highest mortality in confirmed COVID-19 cases was from children ages 10–18 years (42 out of 159 cases: 26%). The most common comorbidity and diagnosis found were malignancy (17.3%) and respiratory failure (54.5%).Conclusion: The CFR of confirmed COVID-19 cases in children in Indonesia is high and should be a major public concern.
Highlights
Indonesia is situated in the world’s largest archipelago, comprising more than 17,000 islands with 34 provinces
The aim of this paper is to provide a big picture data of children with confirmed COVID-19 in Indonesia based on Indonesian Pediatric Society (IPS) data
There were 37,706 reported confirmed COVID-19 cases in which 175 cases resulted in death (CFR 0.46)
Summary
Indonesia is situated in the world’s largest archipelago, comprising more than 17,000 islands with 34 provinces. On February 11, 2020, WHO declared the disease COVID-19, caused by SARS-CoV-2 [2] They subsequently declared COVID-19 a global pandemic on March 11, 2020. Ten months into the pandemic in Indonesia, the number of cases had grown to a total of 671,778, with the number of total deaths 20,085 (as of December 21, 2020) [3]. This number has put Indonesia in the top three Southeast Asian countries with the highest number of COVID-19 cases and ranked in the top 20 worldwide [4]. One of IPS’s activities is collecting data registries from each of their chapters to provide a better understanding of COVID-19 in children
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