PICS是英格兰NHS下属的儿科ICU协会 The Paediatric Intensive Care Society 周日晚PICS在推特发布紧急警告。周一大量转发，新闻报道。周一下午PICS发表了一个声明表示，NHS的guideline没有变，儿童新冠风险还是risk very low。昨日预警旨在警示医学同僚，以及呼吁家长不要在新冠疫情期间讳疾忌医，如果儿童出现严重肠胃症状需就医。看我下面有层贴了链接。
插播一句 英国现在还说对普通人来说口罩是否有效不清楚～ 而且这个risk low这个词好像前几天也听到过。。。～ 听话听音，PICS可不是没事跑到推特上大惊小怪求转发的组织。 PICS的话是说给医生听的，a small number 说的就是绝对大于十个。低于十个英国人就说a handful of... 这话普通人听上去像是说不一定是新冠，可能没关系。其实仔细想想，伦敦的儿科ICU医生对于是否新冠疑似，风险多大还是有数的。会大声疾呼绝非哗众取宠。------------------------- 大家自己体会哈，今天刚好是首相回来表态继续lockdown的关键时间点，有人会说这是不是一个pro-lockdown的move. 不过伦敦实实在在有12个小孩在ICU还有一个ECMO。我不记得听说武汉有幼儿上ECMO。三周出现12个相同症状的儿童ICU。。。自己体会。。。。
https://www.theguardian.com/world/2020/apr/27/nhs-warns-of-rise-in-children-with-new-illness-that-may-be-linked-to-coronavirus More than a dozen children have fallen ill with a new and potentially fatal combination of symptoms apparently linked to Covid-19, including a sore stomach and heart problems. The children affected appear to have been struck by a form of toxic shock syndrome. All have been left so seriously unwell that they have had to be treated in intensive care. At least one has received extra corporeal membrane oxygenation (ECMO) treatment, which is used when someone’s life is at risk because they can no longer breathe for themselves.
NHS bosses are so concerned that they have written to doctors alerting them to the emergence of these cases and asked them to urgently refer any children with similar symptoms to hospital. Most of the children affected have Kawasakidisease, a rare vascular condition that is the main cause of acquired heart disease in under-18s in the UK. There are estimated to be 4.5 cases for every 100,000 children under the age of 18 in the UK. “These cases happen when someone with Kawasaki disease gets Covid-19 and that produces complications,” said one NHS source. In a letter to GPs in north London, reported by the Health Service Journal, NHS bosses said: “It has been reported that over the last three weeks there has been an apparent rise in the number of children of all ages presenting with a multi-system inflammatory state requiring intensive care across London and also in other regions of the UK. “The cases have in common overlapping feature of toxic shock syndrome and atypical Kawasaki disease with blood parameters consistent with severe Covid-19 in children. “There is a growing concern that a Sars-CoV-2-related inflammatory syndrome is emerging in children in the UK, or that there may be another, as yet unidentified, infectious pathogen associated with these cases.” --- One intensive care doctor said: “There’s been an utterly unexpected uptick in severely sick children with a late inflammatory response that we think is related to Covid-19. It’s most unusual.”
Twitter 英国儿科官方的描述： Rising no of cases presenting to #PedsICU with multi-system hyperinflammatory state, overlapping features of toxic shock syndrome & atypical Kawasaki disease, bloods consistent with severe #COVID19 - seen in both #SARSCoV2 PCR +ve AND -ve 关键词：高炎症状态 中毒性休克综合征 非典型川崎病重叠特征 https://twitter.com/PICSociety/status/1254508725227982848
BBC的报道比较谨慎 Coronavirus alert: Rare syndrome seen in UK children https://www.bbc.co.uk/news/health-52439005 Coronavirus alert: Rare syndrome seen in UK children[size=0.875]By Michelle Roberts[size=0.875]Health editor, BBC News online
NHS issues urgent alert amid spike in the number of children being admitted to intensive care with a new coronavirus-related 'inflammatory syndrome' The illness is similar to COVID-19, doctors say, but some children test negative Children with the condition have been found to have swelling in their hearts
Dr Helen c Brotherton @Drhelbro · 15h Replying to @PICSociety
@NHSEngland and 9 others Word on the street is this is legit. Are any other countries observing the same presentation? Need more info please! Liz Whittaker Wyld @lizWWyld · 7h Helen our Italian and Spanish colleagues also report it. Numbers are small but significant. We want primary care /A&E to be vigilant so those affected are in the right place to get appropriate supportive care if needed. 这个说起来不大讲得通。西班牙lockdown非常严格，前几周小孩不允许踏出家门一步。意大利也早就lockdown...虽然UK没有封国，但是来往的也就是回国的本国公民。怎么传播的？。。。要说是欧洲这边什么食品供应出了问题更make sense.但是症状太像新冠，还有不少测试阳性的小孩。。。可怕。。。。。。。。。。。。。。。。。
---------------- 英国儿科刚刚又发布了一个正式声明pdf https://picsociety.uk/news/pics-statement-regarding-novel-presentation-of-multi-system-inflammatory-disease/ PICS Statement: Increased number of reported cases of novel presentation of multisystem inflammatory diseasePlease note this is a statement intended for medical professionals who look after criticallyill children.If you are a parent, please be assured that serious illness as a result of COVID-19 stillappears to be a very rare event in children. If your child is unwell or has the symptoms ofsepsis, then please seek medical attention in the usual way as set out in guidance from theRoyal College of Paediatrics and Child Health:https://www.rcpch.ac.uk/sites/default/files/2020-04/covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdfOver the weekend, PICS members received an email alert from NHS England highlightinga small rise in the number of cases of critically ill children presenting with an unusualclinical picture. Many of these children had tested positive for COVID-19, while some hadnot. The alert indicated “the cases have in common overlapping features of toxic shocksyndrome and atypical Kawasaki disease with blood parameters consistent with severeCOVID-19 in children. Abdominal pain and gastrointestinal symptoms have been acommon feature as has cardiac inflammation”.It is important to highlight that, both in the UK and in other countries, there have still beenvery few cases of critically unwell children with COVID-19 admitted to paediatric intensivecare units. However, an early case report relating to COVID-19 presenting as Kawasakisyndrome has been published recently [1], and PICS is aware of a small number ofchildren nationally who appear to fit the clinical picture described in the NHS England alert.What does this mean in practice? If you are a healthcare professional and see childrenpresenting with a picture of toxic shock or atypical Kawasaki Disease then please discussthis case early with paediatric infectious disease or paediatric critical care teams via yourusual pathways (often paediatric retrieval services).What are “blood parameters consistent with severe COVID-19”? Whilst it is too earlyto say with confidence, features appear to include high CRP, high ESR and high ferritin. Inadults with COVID-19 disease, hyperinflammation or cytokine storm syndrome, as well asmacrophage activation syndrome (MAS) and haemophagocytic lymphohistiocytosis (HLH)have been described [2].What is “cardiac inflammation”? Children are presenting with a picture of myocarditiswith raised troponin and proBNP. Some have an appearance of their coronary arteries inkeeping with Kawasaki Disease.PICS will continue to work with PICAnet and other national organisations to collect accurate data relating to critically ill children presenting to hospital with suspected covid-19disease.
BBC： The alert, which was issued to GPs in North London by their clinical commissioning group, said there was "a growing concern" that a coronavirus-related inflammatory syndrome is emerging in children in the UK or that there may be another, as yet unidentified, infection linked to these cases. These young patients of varying ages were extremely ill. They had similar features to toxic shock syndrome, which can include a high temperature, low blood pressure, a rash and difficulty breathing. Some also had gastrointestinal symptoms - tummy pain, vomiting or diarrhoea - and inflammation of the heart, as well as abnormal blood test results. Experts say these are the signs you can see when the body is becomes overwhelmed as it tries to fight off an infection. The alert, which has now been shared more widely, advises these cases need urgent treatment. But experts stress that very few children become severely ill with coronavirus - evidence from around the world suggests they are the population least affected by the disease. 机器翻译：该警报是由北伦敦的临床委托小组向全科医生发放的，它表示“越来越多的关注”是英国儿童中正在出现与冠状病毒相关的炎症综合症，或者可能还有另外一个尚未发现的现象，感染与这些病例有关。
They may also have abdominal pain and symptoms of inflammation around the heart ------- 英国儿科现在是大呼叫大家小心，还在investigation发生了什么。。。但是ICU儿童激增太不对头了 也有可能某种消化道病毒传播？然后因为伦敦已经向群体免疫狂奔所以小孩中不少新冠阳性？ anyway... 我看复课是不能了。。。
ITV的报道和描述 根据与全科医生共享的警报，受影响的儿童表现出类似于中毒性休克综合征（TSS）的症状，这是一种与感染有关的严重疾病，并且其血液标志物与儿童的严重Covid-19一致。 他们也可能有腹痛和心脏周围发炎的症状 https://www.itv.com/news/2020-04-27/coronavirus-related-syndrome-among-children-may-be-emerging-alert-suggests/ According to the alert, which has also been shared with GPs, children affected display signs similar to toxic shock syndrome (TSS), a severe illness associated with infections, and have blood markers in line with severe Covid-19 in children. They may also have abdominal pain and symptoms of inflammation around the heart
评论太经典了：Comment: "it feels like covid19 is an alien in a form of a virus , a virus with a brain, that decides that ,ok the children are not getting corvid19 like the virus thought they would ,so the virus decided to send out another decease that they can't trace back to corvid19 to harm the children ....i watch too many sci-fi .... sorry." Response; that sci-ft has given you those beliefs. Give thought to media and its role in compassing land and sea making its religious converts twice the child of hell. You MIND is filled with ITS teachings.
Little is known so far about the issue, nor how widespread it has been, but the absolute number of children affected is thought to be very small, according to paediatrics sources. The syndrome has the characteristics of serious covid-19, but there have otherwise been relatively few cases of serious effects or deaths from coronavirus in children. Some of the children have tested positive for covid-19, and some appear to have had the virus in the past, but some have not.
LZ, 看标题被你吓了一大跳，家里有小孩的伤不起。进去看了看文件，开头就说了： If you are a parent, please be assured that serious illness as a result of COVID-19 stillappears to be a very rare event in children.
LZ, 看标题被你吓了一大跳，家里有小孩的伤不起。进去看了看文件，开头就说了： If you are a parent, please be assured that serious illness as a result of COVID-19 stillappears to be a very rare event in children.
卫生大臣表示非常焦虑 Matt Hancock has admitted he is "very worried" about a new wave of cases putting children in intensive care, as Chris Whitty said it was "certainly plausible" that there was a link with coronavirus.
周日晚PICS在推特发布紧急警告。周一大量转发，新闻报道。周一下午PICS发表了一个声明表示，NHS的guideline没有变，儿童新冠风险还是risk very low。昨日预警旨在警示医学同僚，以及呼吁家长不要在新冠疫情期间讳疾忌医，如果儿童出现严重肠胃症状需就医。看我下面有层贴了链接。
插播一句 英国现在还说对普通人来说口罩是否有效不清楚～ 而且这个risk low这个词好像前几天也听到过。。。～ 听话听音，PICS可不是没事跑到推特上大惊小怪求转发的组织。
PICS的话是说给医生听的，a small number 说的就是绝对大于十个。低于十个英国人就说a handful of... 这话普通人听上去像是说不一定是新冠，可能没关系。其实仔细想想，伦敦的儿科ICU医生对于是否新冠疑似，风险多大还是有数的。会大声疾呼绝非哗众取宠。-------------------------
大家自己体会哈，今天刚好是首相回来表态继续lockdown的关键时间点，有人会说这是不是一个pro-lockdown的move. 不过伦敦实实在在有12个小孩在ICU还有一个ECMO。我不记得听说武汉有幼儿上ECMO。三周出现12个相同症状的儿童ICU。。。自己体会。。。。
伦敦时间周一晚，英国卫报跟进具体数据了并澄清许多细节。
卫报最新消息，数量至少12人，其中含有至少1个儿童上了ECMO。
下面是翻译-
多于十几个儿童生病。他们出现的新型组合的症状，可能致命。这些症状显然与Covid-19有关，包括胃痛和心脏问题。
受影响的儿童似乎被某种形式的中毒性休克综合症袭击。 所有的人都严重不适，不得进入ICU接受治疗。（注意！这里提到的All出现这种症状组合的儿童全部进了ICU，这是最chilling的地方）。
至少一个儿童（在ICU的基础上）上了额外的ECMO。（这里不解释了）
NHS的老板们异常焦虑，发信要求属下医生在得知儿童出现类似症状的时候要紧急将患者转进医院。
这些儿童们大部分有川崎病。（川崎病不解释了）
NHS的一个信息来源表示，“这种恶劣的症状可能是川崎病和新冠合并导致”
据《健康服务杂志》的报道，NHS老板在给伦敦北部全科医生的信中说：“据报道，在过去的三周中，在伦敦以及英国其他地区，各个年龄段的多年龄儿童的数量明显增加了。 患病儿童的炎症需要ICU。
这些病例具有中毒性休克综合征和非典型川崎病的共同重叠特征，其血液化验结果与儿童Covid-19重症表现一致。
“越来越多的人担心，在英国的儿童中会出现与Sars-CoV-2相关的炎症综合症，或者与这些病例相关的另一种尚未确定的传染性病原体。”
https://www.theguardian.com/world/2020/apr/27/nhs-warns-of-rise-in-children-with-new-illness-that-may-be-linked-to-coronavirus
More than a dozen children have fallen ill with a new and potentially fatal combination of symptoms apparently linked to Covid-19, including a sore stomach and heart problems. The children affected appear to have been struck by a form of toxic shock syndrome. All have been left so seriously unwell that they have had to be treated in intensive care. At least one has received extra corporeal membrane oxygenation (ECMO) treatment, which is used when someone’s life is at risk because they can no longer breathe for themselves.
NHS bosses are so concerned that they have written to doctors alerting them to the emergence of these cases and asked them to urgently refer any children with similar symptoms to hospital. Most of the children affected have Kawasakidisease, a rare vascular condition that is the main cause of acquired heart disease in under-18s in the UK. There are estimated to be 4.5 cases for every 100,000 children under the age of 18 in the UK. “These cases happen when someone with Kawasaki disease gets Covid-19 and that produces complications,” said one NHS source. In a letter to GPs in north London, reported by the Health Service Journal, NHS bosses said: “It has been reported that over the last three weeks there has been an apparent rise in the number of children of all ages presenting with a multi-system inflammatory state requiring intensive care across London and also in other regions of the UK. “The cases have in common overlapping feature of toxic shock syndrome and atypical Kawasaki disease with blood parameters consistent with severe Covid-19 in children. “There is a growing concern that a Sars-CoV-2-related inflammatory syndrome is emerging in children in the UK, or that there may be another, as yet unidentified, infectious pathogen associated with these cases.”
--- One intensive care doctor said: “There’s been an utterly unexpected uptick in severely sick children with a late inflammatory response that we think is related to Covid-19. It’s most unusual.”
--------------------------Twitter上面有医生和其他人说西班牙和意大利也有相同现象。莫非变异了？？
英国天天吵着小孩要play的家长现在吓尿了。。。难怪今天一个小孩都没看到在外面玩。。。
Twitter 英国儿科官方的描述：
Rising no of cases presenting to #PedsICU with multi-system hyperinflammatory state, overlapping features of toxic shock syndrome & atypical Kawasaki disease, bloods consistent with severe #COVID19 - seen in both #SARSCoV2 PCR +ve AND -ve
关键词：高炎症状态 中毒性休克综合征 非典型川崎病重叠特征
https://twitter.com/PICSociety/status/1254508725227982848
BBC的报道比较谨慎
Coronavirus alert: Rare syndrome seen in UK children
https://www.bbc.co.uk/news/health-52439005
Coronavirus alert: Rare syndrome seen in UK children[size=0.875]By Michelle Roberts[size=0.875]Health editor, BBC News online
DailyMail的报道更绘声绘色
NHS issues urgent alert amid spike in the number of children being admitted to intensive care with a new coronavirus-related 'inflammatory syndrome'
https://www.dailymail.co.uk/news/article-8260399/NHS-issues-doctors-urgent-alert-coronavirus-related-condition-children.html#comments
NHS issues urgent alert amid spike in the number of children being admitted to intensive care with a new coronavirus-related 'inflammatory syndrome'
The illness is similar to COVID-19, doctors say, but some children test negative
Children with the condition have been found to have swelling in their hearts
@Drhelbro
·
15h
Replying to
@PICSociety
@NHSEngland
and 9 others
Word on the street is this is legit. Are any other countries observing the same presentation? Need more info please!
Liz Whittaker Wyld
@lizWWyld
·
7h
Helen our Italian and Spanish colleagues also report it. Numbers are small but significant. We want primary care /A&E to be vigilant so those affected are in the right place to get appropriate supportive care if needed.
这个说起来不大讲得通。西班牙lockdown非常严格，前几周小孩不允许踏出家门一步。意大利也早就lockdown...虽然UK没有封国，但是来往的也就是回国的本国公民。怎么传播的？。。。要说是欧洲这边什么食品供应出了问题更make sense.但是症状太像新冠，还有不少测试阳性的小孩。。。可怕。。。。。。。。。。。。。。。。。
----------------
英国儿科刚刚又发布了一个正式声明pdf
https://picsociety.uk/news/pics-statement-regarding-novel-presentation-of-multi-system-inflammatory-disease/
PICS Statement: Increased number of reported cases of novel presentation of multisystem inflammatory diseasePlease note this is a statement intended for medical professionals who look after criticallyill children.If you are a parent, please be assured that serious illness as a result of COVID-19 stillappears to be a very rare event in children. If your child is unwell or has the symptoms ofsepsis, then please seek medical attention in the usual way as set out in guidance from theRoyal College of Paediatrics and Child Health:https://www.rcpch.ac.uk/sites/default/files/2020-04/covid19_advice_for_parents_when_child_unwell_or_injured_poster.pdfOver the weekend, PICS members received an email alert from NHS England highlightinga small rise in the number of cases of critically ill children presenting with an unusualclinical picture. Many of these children had tested positive for COVID-19, while some hadnot. The alert indicated “the cases have in common overlapping features of toxic shocksyndrome and atypical Kawasaki disease with blood parameters consistent with severeCOVID-19 in children. Abdominal pain and gastrointestinal symptoms have been acommon feature as has cardiac inflammation”.It is important to highlight that, both in the UK and in other countries, there have still beenvery few cases of critically unwell children with COVID-19 admitted to paediatric intensivecare units. However, an early case report relating to COVID-19 presenting as Kawasakisyndrome has been published recently [1], and PICS is aware of a small number ofchildren nationally who appear to fit the clinical picture described in the NHS England alert.What does this mean in practice? If you are a healthcare professional and see childrenpresenting with a picture of toxic shock or atypical Kawasaki Disease then please discussthis case early with paediatric infectious disease or paediatric critical care teams via yourusual pathways (often paediatric retrieval services).What are “blood parameters consistent with severe COVID-19”? Whilst it is too earlyto say with confidence, features appear to include high CRP, high ESR and high ferritin. Inadults with COVID-19 disease, hyperinflammation or cytokine storm syndrome, as well asmacrophage activation syndrome (MAS) and haemophagocytic lymphohistiocytosis (HLH)have been described [2].What is “cardiac inflammation”? Children are presenting with a picture of myocarditiswith raised troponin and proBNP. Some have an appearance of their coronary arteries inkeeping with Kawasaki Disease.PICS will continue to work with PICAnet and other national organisations to collect accurate data relating to critically ill children presenting to hospital with suspected covid-19disease.
BBC：
The alert, which was issued to GPs in North London by their clinical commissioning group, said there was "a growing concern" that a coronavirus-related inflammatory syndrome is emerging in children in the UK or that there may be another, as yet unidentified, infection linked to these cases. These young patients of varying ages were extremely ill. They had similar features to toxic shock syndrome, which can include a high temperature, low blood pressure, a rash and difficulty breathing. Some also had gastrointestinal symptoms - tummy pain, vomiting or diarrhoea - and inflammation of the heart, as well as abnormal blood test results. Experts say these are the signs you can see when the body is becomes overwhelmed as it tries to fight off an infection. The alert, which has now been shared more widely, advises these cases need urgent treatment. But experts stress that very few children become severely ill with coronavirus - evidence from around the world suggests they are the population least affected by the disease.
机器翻译：该警报是由北伦敦的临床委托小组向全科医生发放的，它表示“越来越多的关注”是英国儿童中正在出现与冠状病毒相关的炎症综合症，或者可能还有另外一个尚未发现的现象，感染与这些病例有关。
这些年龄不同的年轻患者病情很重。它们具有与中毒性休克综合症相似的特征，其中包括高温，低血压，皮疹和呼吸困难。
一些人也有胃肠道症状-肚子痛，呕吐或腹泻-心脏发炎，以及血液检查结果异常。
0-----00
ITV的报道和描述
根据与全科医生共享的警报，受影响的儿童表现出类似于中毒性休克综合征（TSS）的症状，这是一种与感染有关的严重疾病，并且其血液标志物与儿童的严重Covid-19一致。
他们也可能有腹痛和心脏周围发炎的症状
https://www.itv.com/news/2020-04-27/coronavirus-related-syndrome-among-children-may-be-emerging-alert-suggests/
According to the alert, which has also been shared with GPs, children affected display signs similar to toxic shock syndrome (TSS), a severe illness associated with infections, and have blood markers in line with severe Covid-19 in children.
They may also have abdominal pain and symptoms of inflammation around the heart
-------
英国儿科现在是大呼叫大家小心，还在investigation发生了什么。。。但是ICU儿童激增太不对头了
也有可能某种消化道病毒传播？然后因为伦敦已经向群体免疫狂奔所以小孩中不少新冠阳性？ anyway... 我看复课是不能了。。。
看报道啊 这些ICU儿童里面一部分阳性 一部分目前测试还是阴性
两种可能：
1. 新冠变异
2. 新的传染病 英国“群体免疫” 所以小孩中不少阳性的
。。。你不信dailymail总要信BBC ITV。。。还有人家NHS英国儿科自己的话吧。。。。。。。。
另外我觉得dailymail只要不和明星相关的 可信度非常高。。。
首相说了他经历了那48小时，’For 48 hours things could have gone either way for me' 应该是很严重的
in general it is a tabloid
这哪里只是严重 这是英国人说自己差点死了。。。。。。。。。
either way = dying...
说自己差点死了就严重吧？（我的意思是很严重啊，差点死了）我记得他当时脸色很差，然后很幸运进去了木有上呼吸机，很多人说上了就会很麻烦了这个木吉岛真假。
伦敦过去三周绝对是夏天 而且是夏天中的夏天。。。
有可能
HSJ报道里面说的是
Little is known so far about the issue, nor how widespread it has been, but the absolute number of children affected is thought to be very small, according to paediatrics sources. The syndrome has the characteristics of serious covid-19, but there have otherwise been relatively few cases of serious effects or deaths from coronavirus in children. Some of the children have tested positive for covid-19, and some appear to have had the virus in the past, but some have not.
我到英国刚好满一年，感觉过去一个月的天气比去年夏天还要好，但是都是在屋里度过了。。。
LZ, 看标题被你吓了一大跳，家里有小孩的伤不起。进去看了看文件，开头就说了：
If you are a parent, please be assured that serious illness as a result of COVID-19 stillappears to be a very rare event in children.
还是极小概率事件，但是我同意不能因为是小概率事件就掉以轻心。但是英国人心都好大呀。。。偶尔出门走走，河边的人一堆堆的。。。
我们这儿疫情刚开始的时候Low risk喊了一个多月。。。结果。。。
他们的原话是in the past 3 weeks 而且症状和新冠非常类似 还有测试阳性的 所以应该还在继续测试吧 我的理解是他们儿医ICU协会call this out 的目的是警示其他儿医
新冠的症状本来就不典型，flu-like symptom，而且测试一半阳性一半阴性如果症状类似真应该测测序，这样才能解释是病原体（病毒是否变异）问题，还是个体反应差异。
当然这种call out是很必要的，这次见识了太多“噢，low risk”的故事/教训了
英国首相有没有公布他的治疗方案给其他患者参考呢？
都在ICU呢。。。
我理解的是川崎病是一种免疫系统过激反应的疾病，病因至今未明。新冠或不知名的病毒可能也引发了免疫系统过激反应，出现了类似川崎病的症状。治疗川崎病的丙球蛋白好像也在中国被用于治疗新冠，不知道英国的医生采取的是什么治疗方案
too early to know 新闻的说法是这十几个孩子都还在ICU抢救
不过我看网上说川崎病病死率1%-2%？按照英格兰ICU治愈率。。。这些孩子凶多吉少。。。
不知道啊 英国好像对于治疗方案的内容本身就报道很少。。。
唯一目前明确的是一个上了ECMO
新冠病毒感染是因，川崎病症状是果
侥幸心理+给不想在家带娃找借口
也可能变异出现在英国，所以英国先发。
卫报最新报道认为很可能是新冠病毒诱发的川崎病
川崎病似乎在东亚人口中高发 日本》韩国》中国 然后在英国也有 貌似现在4月正是英国川崎病高发期
似乎科学家对川崎病了解也不高 这个是免疫疾病 不是传染病。。。但是不知道为什么地区高发 每个地方发病高峰期还不一样。。。。
BUT推特上有儿医说西班牙和意大利儿科医生也notice到了不正常现象 但是这个可靠性存疑发病人数倒是不是大到可怕 伦敦三周 >12个儿童 但是出现类似症状百分百ICU。。。。= = 这就很可怕了
重点是： 川崎病重症心脏受损会有后遗症
现在英国家长都吓尿了 = =
意大利有的小地方给所有人都测试 小孩子很多根本新冠测不出来阳性的 虽然家里人都阳性 很肯定得过了
很有可能小孩感染新冠 病毒很快就在体内清空 但是仍然trigger其他免疫问题。。。 所以测一测家长是不是阳性 有没有抗体可能有意义
也有可能其他重灾区
西班牙-禁止儿童出门
意大利-老龄化严重 小孩吓尿不敢出门
NYC-小孩密度少
只有伦敦现在不停工 全家想怎么溜达就怎么溜达。。。