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Coronavirus disease (COVID-19): What parents should know

What is a ‘novel’ coronavirus?

A novel coronavirus (CoV) is a new strain of coronavirus.

The disease caused by the novel coronavirus first identified in Wuhan, China, has been named coronavirus disease 2019 (COVID-19) – ‘CO’ stands for corona, ‘VI’ for virus, and ‘D’ for disease. Formerly, this disease was referred to as ‘2019 novel coronavirus’ or ‘2019-nCoV.’

The COVID-19 virus is a new virus linked to the same family of viruses as Severe Acute Respiratory Syndrome (SARS) and some types of common cold.

COVID-19 has been described as a pandemic by the World Health Organization. What does that mean?

Characterizing COVID-19 as a pandemic is not an indication that the virus has become deadlier. Rather, it’s an acknowledgement of the disease’s geographical spread.

UNICEF has been preparing and responding to the epidemic of COVID-19 around the world, knowing that the virus could spread to children and families in any country or community. UNICEF will continue working with governments and our partners to stop transmission of the virus, and to keep children and their families safe.

There’s a lot of information online. What should I do?

There are a lot of myths and misinformation about coronavirus being shared online – including on how COVID-19 spreads, how to stay safe, and what to do if you’re worried about having contracted the virus.

So, it’s important to be careful where you look for information and advice. This explainer contains information and recommendations on how to reduce the risk of infection, whether you should take your child out of school, whether it’s safe for pregnant women to breastfeed, and precautions to take when traveling. UNICEF has also launched a portal where you can find more information and guidance about COVID-19. In addition, the WHO has a useful section addressing some of the most frequently asked questions.

It’s also advisable to keep up to date on travel, education and other guidance provided by your national or local authorities for the latest recommendations and news.

How does the COVID-19 virus spread?

The virus is transmitted through direct contact with respiratory droplets of an infected person (generated through coughing and sneezing), and touching surfaces contaminated with the virus. The COVID-19 virus may survive on surfaces for several hours, but simple disinfectants can kill it.

What are the symptoms of coronavirus?

Symptoms can include fever, cough and shortness of breath. In more severe cases, infection can cause pneumonia or breathing difficulties. More rarely, the disease can be fatal.

These symptoms are similar to the flu (influenza) or the common cold, which are a lot more common than COVID-19. This is why testing is required to confirm if someone has COVID-19. It’s important to remember that key prevention measures are the same – frequent hand washing, and respiratory hygiene (cover your cough or sneeze with a flexed elbow or tissue, then throw away the tissue into a closed bin). Also, there is a vaccine for the flu – so remember to keep yourself and your child up to date with vaccinations.

How can I avoid the risk of infection?

Here are four precautions you and your family can take to avoid infection:

Wash your hands frequently using soap and water or an alcohol-based hand rub

Cover mouth and nose with flexed elbow or tissue when coughing or sneezing. Dispose of used tissue immediately

Avoid close contact with anyone who has cold or flu-like symptoms

Seek medical care early if you or your child has a fever, cough or difficulty breathing

What is the best way to wash hands properly?

Step 1: Wet hands with running water

Step 2: Apply enough soap to cover wet hands

Step 3: Scrub all surfaces of the hands – including back of hands, between fingers and under nails – for at least 20 seconds.

Step 4: Rinse thoroughly with running water

Step 5: Dry hands with a clean cloth or single-use towel

Wash your hands often, especially before eating; after blowing your nose, coughing, or sneezing; and going to the bathroom.

If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water, if hands are visibly dirty.

Should I wear a medical mask?

The use of a medical mask is advised if you have respiratory symptoms (coughing or sneezing) to protect others. If you don’t have any symptoms, then there is no need to wear a mask.

If masks are worn, they must be used and disposed of properly to ensure their effectiveness and to avoid any increased risk of transmitting the virus.

The use of a mask alone is not enough to stop infections and must be combined with frequent hand washing, covering sneezes and coughs, and avoiding close contact with anyone with cold or flu-like symptoms (coughing, sneezing, fever).

Does COVID-19 affect children?

This is a new virus and we do not know enough yet about how it affects children or pregnant women. We know it is possible for people of any age to be infected with the virus, but so far there have been relatively few cases of COVID-19 reported among children. The virus is fatal in rare cases, so far mainly among older people with pre-existing medical conditions.

What should I do if my child has symptoms of COVID-19?

Seek medical attention, but remember that it’s flu season in the Northern Hemisphere, and symptoms of COVID-19 such as cough or fever can be similar to those of the flu, or the common cold – which are a lot more frequent.

Continue to follow good hand and respiratory hygiene practices like regular handwashing, and keep your child up to date with vaccinations – so that your child is protected against other viruses and bacteria causing diseases.

As with other respiratory infections like the flu, seek care early if you or your child are having symptoms, and try to avoid going to public places (workplace, schools, public transport), to prevent it spreading to others.

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What should I do if a family member displays symptoms?

You should seek medical care early if you or your child has a fever, cough or difficulty breathing. Consider calling ahead to tell your health care provider if you have traveled to an area where COVID-19 has been reported, or if you have been in close contact with someone with who has traveled from one of these areas and has respiratory symptoms.

Should I take my child out of school?

If your child is having symptoms, seek medical care, and follow the instructions from the health care provider. Otherwise, as with other respiratory infections like the flu, keep your child well rested at home while symptomatic, and avoid going to public places, to prevent spread to others.

If your child isn’t displaying any symptoms such as a fever or cough – and unless a public health advisory or other relevant warning or official advice has been issued affecting your child’s school – it’s best to keep your child in class.

Instead of keeping children out of school, teach them good hand and respiratory hygiene practices for school and elsewhere, like frequent handwashing (see below), covering cough or sneeze with a flexed elbow or tissue, then throwing away the tissue into a closed bin, not touching their eyes, mouths or noses if they haven’t properly washed their hands.

What precautions should I take for my family if we travel?

Anyone planning a trip overseas should always check the travel advisory for their destination country for any restrictions on entry, quarantine requirements on entry, or other relevant travel advice.

In addition to taking standard travel precautions, and in order to avoid being quarantined or denied re-entry into your home country, you are also advised to check the latest COVID-19 update on the International Air Transport Association website, which includes a list of countries and restriction measures.

While traveling, all parents should follow standard hygiene measures for themselves and their children: Wash hands frequently or use an alcohol-based sanitizer with at least 60 per cent alcohol, practice good respiratory hygiene (cover your mouth and nose with your bent elbow or tissue when you cough or sneeze and immediately dispose of the used tissue) and avoid close contact with anyone who is coughing or sneezing. In addition, it is recommended that parents always carry a hand sanitizer, pack of disposable tissues, and disinfecting wipes.

Additional recommendations include: Clean your seat, armrest, touchscreen, etc. with a disinfecting wipe once inside an aircraft or other vehicle. Also use a disinfecting wipe to clean key surfaces, doorknobs, remote controls, etc at the hotel or other accommodation where you and your children are staying.

Can pregnant women pass coronavirus to unborn children?

At this time, there is not enough evidence to determine whether the virus is transmitted from a mother to her baby during pregnancy, or the potential impact this may have on the baby. This is currently being investigated. Pregnant women should continue to follow appropriate precautions to protect themselves from exposure to the virus, and seek medical care early, if experiencing symptoms, such as fever, cough or difficulty breathing.

Is it safe for a mother to breastfeed if she is infected with coronavirus?

All mothers in affected and at-risk areas who have symptoms of fever, cough or difficulty breathing, should seek medical care early, and follow instructions from a health care provider.

Considering the benefits of breastfeeding and the insignificant role of breastmilk in the transmission of other respiratory viruses, the mother can continue breastfeeding, while applying all the necessary precautions.

For symptomatic mothers well enough to breastfeed, this includes wearing a mask when near a child (including during feeding), washing hands before and after contact with the child (including feeding), and cleaning/disinfecting contaminated surfaces – as should be done in all cases where anyone with confirmed or suspected COVID-19 interacts with others, including children.

If a mother is too ill, she should be encouraged to express milk and give it to the child via a clean cup and/or spoon – all while following the same infection prevention methods.

I’m worried about bullying, discrimination and stigmatization. What’s the best way to talk about what’s happening?

It’s understandable if you’re feeling worried about the coronavirus. But fear and stigma make a difficult situation worse. For example, there are reports emerging from around the world of individuals, particularly of Asian descent, being subject to verbal or even physical abuse.

Public health emergencies are stressful times for everyone affected. It’s important to stay informed and to be kind and supportive to each other. Words matter, and using language that perpetuates existing stereotypes can drive people away from getting tested and taking the actions they need to protect themselves and their communities.

Here are some do’s and don’ts for how to talk about the coronavirus with your children, family and friends:

DO: talk about the new coronavirus disease (COVID-19)

DON’T: attach locations or ethnicity to the disease. Remember, viruses can’t target people from specific populations, ethnicities, or racial backgrounds.

DO: talk about “people who have COVID-19”, “people who are being treated for COVID-19”, “people who are recovering from COVID-19” or “people who died after contracting COVID-19”

DON’T: refer to people with the disease as “COVID-19 cases” or “victims”

DO: talk about people “acquiring” or “contracting” COVID-19

DON’T: talk about people “transmitting COVID-19” “infecting others” or “spreading the virus” as it implies intentional transmission and assigns blame.

DO: speak accurately about the risk from COVID-19, based on scientific data and latest official health advice

DON’T: repeat or share unconfirmed rumours, and avoid using hyperbolic language designed to generate fear like “plague”, “apocalypse” etc.

DO: talk positively and emphasise the importance of effective prevention measures, including following our tips on handwashing. For most people this is a disease they can overcome. There are simple steps we can all take to keep ourselves, our loved ones and the most vulnerable safe.

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