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COVID-19 + children – from leaders across Europe


From the European Academy of Paediatrics, Don’t Forget the Bubbles, and LOW

In April this year, the UN published a policy brief on the impact that COVID was having on children. It highlights key areas of concern, affecting the safety, education, and welfare of children around the world. In its conclusion, it calls for more information, more solidarity, and more action.

We, paediatric leaders from across Europe, urge European leaders and national governments to take urgent and unified action to follow that lead, helping to mitigate the risks identified, to ensure the best possible future for our most precious asset – our children.

The UN Convention of the Rights of the Child enshrined the principles that we should follow when making decisions about children and young people. In particular they state:

  • In all actions concerning children, the best interests of the child shall be a primary consideration (Article 3)
  • All children and young people have a voice and the right to participate in decisions that affect them (Article 12)
  • All children and young people should have access to information required to make informed decisions with respect to their health and well-being (Article 17).

We have addressed three areas of concern – PROTECTION, PLAY, and EDUCATION – where we believe intervention is most needed. For each area we have defined a number of specific issues, providing evidence of the problem, recommending what we believe should be done, and finally suggesting how progress might be measured.

Some evidence remains uncertain, nowhere more pertinent than in the simple questions about how susceptible and how contagious children are compared to adults. Trials of novel therapies need to include studies in children, as physiology and pharmacokinetics can vary substantially. Careful psychological studies need to assess the true impact of the disease on vulnerable groups.

Much research is needed, and that needs coordinated funding across Europe. Some analysis will take years before it can answer some of the key questions, and so the funding needs to be sustained. In this document however we look at the policies that need to be urgently put in place that will help define the questions and direct that research.


1. Vaccination and routine screening

2. Physical and emotional safety

3. Long term dangers

Play (and exercise)

1. Child

2. Adolescent


1. School attendance

2. Examinations

3. Higher education

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