Whitehouse Centers for Disease Control and Prevention US Department of Homeland Security - Federal Emergency Management Agency

Parents and children

Information about COVID-19 in children is somewhat limited, but the information that is available suggests that children with confirmed COVID-19 generally had mild symptoms. Person-to-person spread from or to children, as among adults, is thought to occur mainly via respiratory droplets produced when an infected person coughs, sneezes, or talks. Recent studies indicate that people who are infected but do not have symptoms likely also play a role in the spread of COVID-19.

However, a small percentage of children have been reported to have more severe illness. People who have serious chronic medical conditions are believed to be at higher risk. Despite lower risk of serious illness among most children, children with COVID-19-like symptoms should avoid contact with others who might be at higher risk, such as older adults and adults with serious chronic medical conditions.

Last updated March 19, 2020 | Source: CDClinks to external site

As public conversations around COVID-19 increase, children may worry about themselves, their family, and friends getting ill with COVID-19. Parents play an important role in helping children make sense of what they hear in a way that is honest, accurate, and minimizes anxiety or fear. CDC has created guidance to help adults have conversations with children about COVID-19 and ways they can avoid getting and spreading the disease.

Last updated March 19, 2020 | Source: CDClinks to external site

No. The symptoms of COVID-19 are similar in children and adults. However, children with confirmed COVID-19 have generally presented with mild symptoms. Reported symptoms in children include cold-like symptoms, such as fever, runny nose, and cough. Vomiting and diarrhea have also been reported. It’s not known yet whether some children may be at higher risk for severe illness, for example, children with underlying medical conditions and special healthcare needs. There is much more to be learned about how the disease impacts children.

Last updated March 23, 2020 | Source: CDClinks to external site

You can encourage your child to help stop the spread of COVID-19 by teaching them to do the same things everyone should do to stay healthy.

  • Clean hands often using soap and water or alcohol-based hand sanitizer
  • Avoid people who are sick (coughing and sneezing)
  • Clean and disinfect high-touch surfaces daily in household common areas (e.g. tables, hard-backed chairs, doorknobs, light switches, remotes, handles, desks, toilets, sinks)
  • Launder items including washable plush toys as appropriate in accordance with the manufacturer’s instructions. If possible, launder items using the warmest appropriate water setting for the items and dry items completely. Dirty laundry from an ill person can be washed with other people’s items.

You can find additional information on preventing COVID-19 at Prevention for 2019 Novel Coronavirus and at Preventing COVID-19 Spread in Communities. Additional information on how COVID-19 is spread is available at How COVID-19 Spreads.

Last updated March 23, 2020 | Source: CDClinks to external site

  • Stay in touch with your child’s school.
    • Many schools are offering lessons online (virtual learning). Review assignments from the school, and help your child establish a reasonable pace for completing the work. You may need to assist your child with turning on devices, reading instructions, and typing answers.
    • Communicate challenges to your school. If you face technology or connectivity issues, or if your child is having a hard time completing assignments, let the school know.
  • Create a schedule and routine for learning at home, but remain flexible.
    • Have consistent bedtimes, and get up at the same time, Monday through Friday.
    • Structure the day for learning, free time, healthy meals and snacks, and physical activity.
    • Allow flexibility in the schedule—it’s okay to adapt based on your day.
  • Consider the needs and adjustment required for your child’s age group.
    • The transition to being at home will be different for preschoolers, K-5, middle school students, and high school students. Talk to your child about expectations and how they are adjusting to being at home versus at school.
    • Consider ways your child can stay connected with their friends without spending time in person.
  • Look for ways to make learning fun.
    • Have hands-on activities, like puzzles, painting, drawing, and making things.
    • Independent play can also be used in place of structured learning. Encourage children to build a fort from sheets or practice counting by stacking blocks.
    • Practice handwriting and grammar by writing letters to family members. This is a great way to connect and limit face-to-face contact.
    • Start a journal with your child to document this time and discuss the shared experience.
    • Use audiobooks or see if your local library is hosting virtual or live-streamed reading events.

Last updated March 23, 2020 | Source: CDClinks to external site

  • Watch your child for any signs of illness.
    • If you see any sign of illness consistent with symptoms of COVID-19, particularly fever, cough, or shortness of breath, call your healthcare provider and keep your child at home and away from others as much as possible. Follow CDC’s guidance on “What to do if you are sick.”
  • Watch for signs of stress in your child.
    • Some common changes to watch for include excessive worry or sadness, unhealthy eating or sleeping habits, and difficulty with attention and concentration. For more information, see the “For Parents” section on CDC’s website, Manage Anxiety and Stress.
    • Take time to talk with your child or teen about the COVID-19 outbreak. Answer questions and share facts about COVID-19 in a way that your child or teen can understand.
    • Go to CDC’s Helping Children Cope with Emergencies or Talking with Children About COVID-19 for more information.
  • Teach and reinforce everyday preventive actions.
    • Parents and caretakers play an important role in teaching children to wash their hands. Explain that hand washing can keep them healthy and stop the virus from spreading to others.
    • Be a good role model—if you wash your hands often, they’re more likely to do the same.
    • Make handwashing a family activity.
  • Help your child stay active.
    • Encourage your child to play outdoors—it’s great for physical and mental health. Take a walk with your child or go on a bike ride.
    • Use indoor activity breaks (stretch breaks, dance breaks) throughout the day to help your child stay healthy and focused.
  • Help your child stay socially connected.

Last updated March 23, 2020 | Source: CDClinks to external site

  • Older adults and people who have serious underlying medical conditions are at highest risk of getting sick from COVID-19.
    • If others in your home are at particularly high risk for severe illness from COVID-19, consider extra precautions to separate your child from those people.
    • If you are unable to stay home with your child during school dismissals, carefully consider who might be best positioned to provide childcare. If someone at higher risk for COVID-19 will be providing care (older adult, such as a grandparent or someone with a serious underlying medical condition), limit your children’s contact with other people.
    • Consider postponing visits or trip to see older family members and grandparents. Connect virtually or by writing letters and sending via mail.

Last updated March 23, 2020 | Source: CDClinks to external site

  • Check with your school on plans to continue meal services during the school dismissal. Many schools are keeping school facilities open to allow families to pick up meals or are providing grab-and-go meals at a central location.

Last updated March 23, 2020 | Source: CDClinks to external site

Talk to the school or facility about their emergency operations plan. Understand the plan for continuing education and social services (such as student meal programs) during school dismissals. If your child attends a college or university, encourage them to learn about the school’s plan for a COVID-19 outbreak.

Last updated March 28, 2020 | Source: CDClinks to external site

  • The key to slowing the spread of COVID-19 is to practice social distancing. While school is out, children should not have in-person playdates with children from other households. If children are playing outside their own homes, it is essential that they remain 6 feet from anyone who is not in their own household.
  • To help children maintain social connections while social distancing, help your children have supervised phone calls or video chats with their friends.
  • Make sure children practice everyday preventive behaviors, such as washing their hands often with soap and water. Remember, if children meet outside of school in bigger groups, it can put everyone at risk.
    • Revise spring break plans if they included non-essential travel.
  • Information about COVID-19 in children is somewhat limited, but current data suggest children with COVID-19 may only have mild symptoms. However, they can still pass this virus onto others who may be at higher risk, including older adults and people who have serious underlying medical conditions.

Last updated March 30, 2020 | Source: CDClinks to external site

CDC recommends that everyone 2 years and older wear a cloth face covering that covers their nose and mouth when they are out in the community. Cloth face coverings should NOT be put on babies or children younger than 2 because of the danger of suffocation. Children younger than 2 years of age are listed as an exception as well as anyone who has trouble breathing or is unconscious, incapacitated, or otherwise unable to remove the face covering without assistance.

Wearing cloth face coverings is a public health measure people should take to reduce the spread of COVID-19 in addition to (not instead of) social distancing, frequent hand cleaning, and other everyday preventive actions. A cloth face covering is not intended to protect the wearer but may prevent the spread of virus from the wearer to others. This would be especially important if someone is infected but does not have symptoms. Medical face masks and N95 respirators are still reserved for healthcare personnel and other first responders, as recommended by current CDC guidance.

Last updated April 12, 2020 | Source: CDClinks to external site

In addition to following the recommendations to prevent getting sick and running essential errands, families should take extra steps recommended for persons with higher risk of severe COVID-19 illness and steps outlined for those with potential COVID-19 exposure or confirmed illness.

  • Identify potential alternative caregivers, if you or other regular caregivers become sick and are unable to care for your child. If possible, these alternative caregivers would not be at higher risk of severe illness from COVID-19 themselves.
  • Try to have at least one month of medication and medical supplies on hand. Some health plans allow for a 90-day supply of prescription medications. Consider discussing this option with your child’s healthcare provider.
  • Review any care plans for your child, such as an asthma action plan, and make sure caregivers and backup caregivers are familiar with these plans.
  • If you do not have care plans or an emergency notebook, try to make them. They typically include important information about your child’s medical conditions, how to manage those conditions, how to get in touch with your child’s doctors, allergies, information on medications (names, dosages, and administration instructions), preferences (food and other) or special needs, daily routines and activities, friends, and details about routines that are important to support behavioral and emotional health.
  • Learn if your child’s healthcare providers, including doctors and therapists, have new ways to be contacted or new ways of providing appointments. If they offer telemedicine visits, find out how those are arranged and any additional information you need.
  • If your child receives any support care services in the home that need to be continued, make plans for what you will do if those direct care providers get sick, or if persons in your household are sick.
  • Discuss with the support care agencies and the providers ways to minimize risk for exposure to the virus that causes COVID-19.
    • If your child or other persons in your household are sick with COVID-19 and are able to recover at home, inform your direct care providers and consider postponing or rescheduling services until the criteria for discontinuing home isolation have been met.
    • Ask service providers if they are experiencing any symptoms of COVID-19, or if they have been in contact with someone who has COVID-19.
    • Tell the service provider to:
      • Wear a cloth face covering if they will be close (less than 6 feet) to you or persons in your household. Their cloth face covering helps protect you if they are infected but do not have symptoms.
      • Ask them to wash their hands with soap and water or, if unavailable, use hand sanitizer with at least 60% alcohol when they enter your home, before and after helping your child (dressing, bathing/showering, transferring, toileting and/or diapering, feeding), after handling tissues, and after changing linens or doing laundry. Learn more about proper handwashing.
    • Service providers and families should:
      • Routinely clean and disinfect frequently touched objects and surfaces (counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, bedside tables), and equipment such as wheelchairs, scooters, walkers, oxygen tanks and tubing, communication boards, and other assistive devices. Refer to CDC’s recommendations for Cleaning and Disinfecting Your Home.

Last updated April 21, 2020 | Source: CDClinks to external site

Children with complex, chronic medical conditions, including children with physical, developmental, behavioral, or emotional differences, can have special healthcare needs. It’s not known yet whether all of these children are at higher risk for severe illness from COVID-19.

Although most COVID-19 cases in children are not severe, serious illness that needs to be treated at the hospital still happens. Some data on children reported that the majority who needed hospitalization for COVID-19 had at least one underlying medical condition. The most common underlying conditions reported among children with COVID-19 include chronic lung disease (including asthma), heart disease, and conditions that weaken the immune system. This information suggests that children with these underlying medical conditions may be at risk for more severe illness from COVID-19.

More data are needed to learn which underlying or complex medical conditions may put children at increased risk. CDC is monitoring new information as it becomes available and will provide updates as needed.

Learn more about caring for children with special health care needs during a disaster and people who are at higher risk for severe illness from COVID-19.

Last updated April 21, 2020 | Source: CDClinks to external site

Supporting children with special healthcare needs can put additional demands and stress on families, especially during emergency situations. You have likely found ways to manage the stress and challenges unique to your family’s situation. It is important to continue your family’s coping methods, including reaching out to other family members, friends, support groups, and organizations that have been helpful in the past.

See information on ways to cope with stress (such as visiting parks, trails, or open spaces) and making your family stronger. If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety, or feel like you want to harm yourself or others:

Last updated April 21, 2020 | Source: CDClinks to external site

If your child’s healthcare provider tells you to go to the hospital for any health problem, including COVID-19:

  • Ask the healthcare provider to let the hospital know you are coming and to share the important information the hospital will need to know to care for your child.
  • Visiting policies may have changed due to COVID-19. If your child’s hospital policy does not allow an adult to stay with a child, ask your child’s healthcare provider for a statement explaining your child’s need for a familiar adult to be present.
  • Bring your care plans/emergency notebook with you along with paper and pen to write down questions you have during your time at the hospital.

Last updated April 21, 2020 | Source: CDClinks to external site

If your child with special healthcare needs becomes sick with symptoms of COVID-19, contact your child’s healthcare provider. If your child has new or worsening emergency warning signs, such as trouble breathing, pain or pressure in the chest, confusion or inability to wake them up, or bluish lips or face, call 911. If you think your child may have COVID-19, notify the operator so that first responders may be appropriately prepared to protect themselves and others.

Notify your child’s healthcare provider if someone else in your house becomes sick with COVID-19, so they can provide any advice specific for your child.

See additional information if someone in the home is sick with COVID-19 or suspected of having COVID-19.

Last updated April 21, 2020 | Source: CDClinks to external site

  • Call your child’s healthcare provider if you have any concerns about your child’s medical conditions. If you need emergency help, call 911.
  • Emergency departments have infection prevention plans to protect you and your child from getting COVID-19 if your child needs care for medical conditions not related to COVID-19. Do not delay getting emergency care for your child’s underlying condition or complex medical condition because you are afraid of getting exposed to COVID-19 when visiting the healthcare setting.

Last updated April 21, 2020 | Source: CDClinks to external site

Helping children understand and follow recommendations, like social distancing and wearing cloth face coverings, can be challenging if your child has intellectual disabilities, sensory issues, or other special healthcare needs.

  • Keeping children at home and sheltering in place can lower stress created by social distancing and cloth face covering recommendations. Reach out to others for help in running essential errands.
  • Behavioral techniques can be used to address behavioral challenges and to develop new routines. These include social stories, video modeling, picture schedules, and visual cues. Try rewarding your child in small ways with his or her favorite non-food treat or activities to help switch routines and to follow recommendations.
  • Many of the organizations you turn to for information and support around your child’s complex, chronic medical condition may have information on their websites to help families address issues related to COVID-19.
  • Your child’s therapist(s) and/or teachers may also have resources to help successfully introduce new routines to your child.

Additional information on caring for children and on child development specific conditions are available.

Last updated April 21, 2020 | Source: CDClinks to external site

Yes. Under the Families First Coronavirus Response Act, signed into law by President Trump on March 18, 2020, the Food and Nutrition Service (FNS) issued a nationwide waiver allowing parents and guardians to pick-up meals and bring them home for their children.

Last updated April 26, 2020 | Source: USDAlinks to external site

Yes, so long as the school food authority has state agency approval, the necessary federal approvals, and adheres to all federal confidentiality requirements. For more details, see the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) meal delivery information.

Last updated April 26, 2020 | Source: USDAlinks to external site

Yes. Schools can provide up to two meals and/or snacks per day (excluding lunch and dinner in the same day). Under the nationwide waivers currently in place, multiple days of meals can be picked up at one time.

Last updated April 26, 2020 | Source: USDAlinks to external site

Yes. All states currently have a waiver in place that allows schools to serve meals through the Summer Food Service Program (SFSP) or Seamless Summer Option (SSO) during unexpected school closures, such as the current national emergency.

Last updated April 26, 2020 | Source: USDAlinks to external site

The U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) has provided a nationwide waiver for states to locally waive specific meal pattern requirements as needed to support access to nutritious meals when certain foods are not available due to the novel coronavirus. Local program operators must contact the state agency for approval to utilize this waiver, and requests should be targeted and justified based upon disruptions to the availability of food products resulting from unprecedented impacts of COVID-19.

Last updated April 26, 2020 | Source: USDAlinks to external site

States switch to their Summer Food Service Program (SFSP) or Seamless Summer Option (SSO) to serve meals to children when schools are closed. Through these summer meal programs, the U.S. Department of Agriculture (USDA) allows sites to serve up to two free meals a day to children 18 and under.

The Families First Coronavirus Response Act, signed by President Trump on March 18, 2020, allows USDA the ability to issue nationwide waivers to further increase flexibilities. USDA Food and Nutrition Service (FNS) has issued several nationwide waivers to make it as easy as possible for children to receive these meals. As a result of these waivers, schools and other sponsors are creatively feeding kids by delivering meals on bus routes, allowing parents to pick up a weeks’ worth of meals at a time, and entering into public private partnerships like USDA’s partnership with the Baylor Collaborative on Hunger and Poverty, McLane Global, and PepsiCo, which is providing meals for kids in rural areas. USDA FNS has a current list of approved waivers and meal sites near you.

The Families First Coronavirus Response Act also provides states with the option to provide EBT benefits to children who would normally be receiving free and reduced priced meals if schools were not closed due to COVID-19, known as Pandemic EBT or P-EBT. USDA has provided guidance to states on operating this program and continues to provide technical assistance to interested states. For logistical information about meal service, please contact your local state agency or school food authority.

Last updated April 26, 2020 | Source: USDAlinks to external site

Outdoor areas generally require normal routine cleaning and do not require disinfection. Spraying disinfectant on outdoor playgrounds is not an efficient use of disinfectant supplies and has not been proven to reduce the risk of COVID-19 to the public. You should maintain existing cleaning and hygiene practices for outdoor areas. If practical, high touch surfaces made of plastic or metal, such as grab bars and railings, should be cleaned routinely. Cleaning and disinfection of wooden surfaces (e.g., play structures, benches, tables) or groundcovers (e.g., mulch, sand) is not recommended.

Last updated May 04, 2020 | Source: CDClinks to external site

CDC is working with state and local health departments to investigate reports of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 and gather more information as quickly as possible about how common it is and who is at risk. As new information becomes available, we will continue to provide information for parents and caregivers as well as healthcare and public health professionals. MIS-C has been described as inflammation (swelling) across multiple body systems, potentially including the heart, lungs, kidneys, brain, skin, eyes, and gastrointestinal organs. Signs and symptoms of MIS-C include fever and various symptoms such as abdominal pain, vomiting, diarrhea, neck pain, rash, and feeling tired.

If your child has any of these symptoms, other symptoms of COVID-19, or other concerning signs, contact your pediatrician. If your child is showing any emergency warning signs including trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, bluish lips or face, severe abdominal pain, or other concerning signs, seek emergency care right away.

Last updated May 26, 2020 | Source: CDClinks to external site