Under-12s are increasingly catching COVID-19. How sick are they getting and when will we be able to vaccinate them?

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Nicholas Wood, University of SydneyIn July Australia’s Therapeutic Goods Administration (TGA) provisionally approved the Pfizer COVID-19 vaccine for kids aged 12-15.

The Australian Technical Advisory group on Immunisation (ATAGI) subsequently recommended kids in this age group with underlying chronic medical conditions, Aboriginal and Torres Strait Islander children and kids living in remote communities should be prioritised.

We’re expecting advice from ATAGI as to whether the rollout should be extended to all 12 to 15-year-olds, as countries like the United States and Canada have done.

But where does that leave children under 12? We know they’re making up a large proportion of new infections in Australia’s current outbreaks, which was not the case last year.

Do they need to be vaccinated? What are the benefits of vaccinating children, both for the child and the community? And how will we know the vaccines are safe and effective for young children?

COVID in kids

Throughout the pandemic, fortunately, we’ve seen children are very unlikely to get severely unwell or die from COVID-19.

Australian data from January 1 to August 1 this year show 2.5% of children aged up to nine and 2.9% children and teenagers aged 10-19 who contracted COVID were hospitalised. This is compared to 7.7% of young adults aged 20-29, with the rates continuing to increase with age.

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Cases are on the rise among children in New South Wales, but to date this hasn’t been accompanied by a large increase in paediatric hospitalisations.

Recent data show increased rates of hospitalisation among children in the US with COVID-19 compared to last year, alongside rising infections with the Delta variant.

But even though the rate has gone up, it remains low. In children and adolescents aged 17 and under the rate is 0.38 per 100,000 people, well below the rate in adults aged 60 to 69 (5.63 per 100,000) and those over 70 (8.07 per 100,000).

However, some kids who have chronic medical conditions are at a higher risk of getting really sick from COVID, which is why ATAGI has listed them as a priority group.

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Read more:
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One of the complications of COVID-19 is long COVID where a person experiences lasting symptoms such as breathlessness, anxiety and “brain fog” (reductions in attention and concentration).

Reassuringly, a recent study found only a small proportion of children had symptoms beyond four weeks after their initial COVID infection, and almost all children had recovered by eight weeks.

So what are the benefits of vaccinating kids?

While the Delta variant is more infectious than other strains of the coronavirus, and more kids are becoming infected, there’s not a scientific consensus at this stage that it’s causing more severe disease in children.

That said, a small minority will get sicker than others and need hospital care.

If vaccines are found to be safe and effective for younger children there would be benefit in protecting the individual child.

The TGA has approved the Pfizer vaccine for ages 12 and up. But we don’t yet have a COVID vaccine for younger children.
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What about collective benefits? Will vaccinating young children reduce transmission in the community and improve our herd protection?

Recent modelling from the Doherty Institute doesn’t appear to consider whether vaccinating children under 12 would or wouldn’t contribute to reducing community transmission.

Other modelling has suggested vaccinating younger children and adolescents will be important if Australia is to reach the elusive “herd immunity”.

Trials are under way

Clinical trials of the mRNA vaccines from Pfizer and Moderna in children aged 12 and up have shown good results (though at this stage Moderna is only approved in Australia for adults).

Before we move to vaccinating children under 12 we’ll need safety and efficacy data from trials in this age group.

It’s important to conduct clinical trials specifically in children because their immune systems are different. For example, children may experience different side effects following vaccination, and may need a smaller dose.

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Trials of the COVID-19 mRNA vaccines in younger children are under way. The Moderna trial KidCOVE is currently recruiting in the US. So far close to 7,000 kids are enrolled.

Meanwhile, Pfizer is aiming to enrol 4,500 children under 12 across the US and other countries.

The studies are divided into children aged six to 11, aged two to five, and six months to less than two years old. They are aiming to assess safety and immune responses after two vaccinations with three different dose sizes.

For Pfizer, the three doses being trialled are 10 micrograms, 20 micrograms, and 30 micrograms (the latter is the dose given to older teens and adults).

A trial of AstraZeneca’s COVID-19 vaccine in children aged 6-17 commenced in March 2021 in the United Kingdom. However this trial was paused as a precautionary measure following reports of blood clots in adults who received this vaccine.

Children who contract COVID-19 don’t usually need hospital care.
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What now?

You may be wondering when children under 12 will be able to be vaccinated. The short answer is we don’t know for sure.

We need strong safety and efficacy data from the clinical trials before considering vaccinating young children. Currently, it’s anticipated the first data on children younger than 12 may be available for review later this year.

For now though, it’s reassuring to know children still appear less likely to end up in hospital with COVID compared to adults.

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Read more:
Is it more infectious? Is it spreading in schools? This is what we know about the Delta variant and kids

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Further, it seems many of the cases we’re seeing in children are due to transmission in the household, often from an infected adult to the child.

So the best way to protect younger kids for now is to ensure as many adults as possible are fully vaccinated.

High vaccine coverage in the community will also benefit children by reducing the need for lockdowns and school closures, which we know can have negative effects on their education, socialisation and mental health.

Nicholas Wood, Associate Professor, Discipline of Childhood and Adolescent Health, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Christian Family in Bangladesh Attacked, Charged with Crime

Muslim neighbors fabricate attempted murder charge after beating them for their faith.

LOS ANGELES, October 27 (CDN) — Muslim neighbors of a Christian family in Bangladesh scheduled to be baptized last month beat them and filed a false charge of attempted murder against them and other Christians, the head of the family said.

Foyez Uddin, 62, told Compass that his neighbor Nazrul Islam and Islam’s relatives told him, his wife and his two adult children that as Christians they were “polluting” society and beat them on Sept. 17 in Joysen village in Rangpur district, some 300 kilometers (186 miles) north of Dhaka. Islam is a policeman.

Islam’s uncle, Abdul Mannan Miah, then filed false charges against Uddin, his family and three others, accusing them of trying to kill Miah’s niece, Uddin said by telephone after his release on bail on Oct. 8. The village is under Pirgacha police jurisdiction.

Uddin said his family was fishing at his pond on Sept. 17 when eight to 10 Muslim neighbors led by Islam appeared and began speaking abusively about their Christian faith.

“Nazrul told us, ‘You are polluting society by deviating from Islam. Come back to Islam, otherwise we will not allow any Christian to live here in this village,’” Uddin said.

He told them that his family would not return to Islam, Uddin said.

“I replied, ‘Invite Islamic scholars, and if they can satisfy us in light of the Quran, then we will go back to Islam. Otherwise nothing can affect our unshakeable faith in Christ,’” Uddin said. “They beat me, my wife and two sons for objecting to their proposal to come back to Islam.”

The angry neighbors then broke into his home and burned two Bibles, tore two others and ripped four hymnals, he said, and they also damaged some furniture and chairs. Their home serves as a worship venue, and Uddin said the villagers also hacked with a machete the sign board of their house church, Faith Bible Church of God.

The pastor of the church, Lavlu Sadik Lebio, told Compass that he went to a nearby police station to complain about the attack, but officers did not respond to him. He said he only went to inform police, not file a case, but even so officers were unresponsive.

“Intentionally burning Bibles was the most sacrilegious attack on our faith – how can a member of the police department do that?” Pastor Lebio said. “Those people should have kept in mind how an announcement of burning a copy of the Quran in the U.S. stirred up the anger, discontent and hatred of Muslims all over the world.”

Taken into police custody on Sept. 18, Uddin said he and his family were unable to be baptized as planned.

“We were planning to be baptized in the last week of September,” he said. “Somehow our neighbors came to know about the baptismal ceremony, and they became very rude to us. We have been living in faith in Christ, the mainspring of our life, but we were not baptized.”

 

Murder Charge

As part of the attack on Sept. 17, Miah, the uncle of police officer Islam, filed the charge of attempted murder against Uddin, his family and three others that day, the Christian said.

When handing Uddin over to court, police filed a report stating that he had collaborated with people within the Christian community and that he had made defamatory remarks about Islam, Uddin said.

“In the police report while handing me over to court, I was mentioned as a troublesome Christian, but in the case copy filed by my neighbor, nothing was mentioned about me as a Christian,” Uddin said. “I was hurt by the police role.”

The police report to the court said that area residents did not approve of his Christian activities, and that there was the possibility of a communal clash. On this basis police requested he remain in custody while the investigation was underway.

According to the case file obtained by Compass, Uddin and his companions allegedly attempted to kill Islam’s sister (Miah’s niece), Jahanara Begum, sexually harassed her, severely beat her and stole her gold jewelry worth 41,000 taka (US$570).

Uddin said that Begum – sister of police officer Islam and niece of Miah – had a boil on her head that her father lanced the day of the attack. When blood continued rushing out from the procedure, her father, Azizul Muhury, took her to a nearby clinic called Pirgacha Medical and admitted her there. Later her brother Islam filed the false case, saying one of the eight accused had hit her on the head in an attempt to kill her, Uddin said.

According to the case file, Uddin was fishing on Begum’s inundated land, though he says he was at his own pond. Furthermore, the case file states Uddin was on Begum’s land at 9:30 a.m. on Sept. 17, when according to Uddin he was worshipping at his house church. The service did not end until 10 a.m.

According to the police file, Begum objected to him catching fish on her flooded land, and after paying no attention to her he eventually became furious and allegedly beat her “in a pre-planned manner.”

Uddin’s companions were said to be hiding nearby with bamboo, knives and machetes to attack her, and at some point in a quarrel, they supposedly emerged and surrounded Begum. Nural Islam, 52 – known in the area as a recent convert to Christianity – allegedly struck her in the head with a machete on Foyez’s order, according to the case file. Uddin said Islam is a rickshaw driver who was working all day and was not present.

Uddin was then alleged to have hit her on the hand with bamboo, and when she supposedly fell down, according to the case file, his brother Iman Ali, 45, hit her with an iron rod on her back. Uddin said Ali could not have been present either, as he was suffering from tuberculosis and could not walk properly due to the debilitating illness.

Uddin’s son, Shahjahan Miah, 25, then allegedly snatched the 27,000-taka (US$375) gold chain from her neck, according to the case file, and 25-year-old Mohammad Sirajul Islam took her 14,000-taka (US$195) gold earring. Uddin said Mohammad Sirajul Islam – also known in the area as a recent convert to Christianity – had lost work due to his new faith and had been forced to relocate to Chittagong district, some 500 kilometers (310 miles) away from Rangpur district, and he was in Chittagong on that day.

His father, Mohammad Farid, 42, had also converted to Christianity, and the case file accuses him of trying to strangle Begum. Uddin said Farid also lives in Chittagong district and was there at the time. In the case file, Uddin’s wife, 47-year-old Mosammat Shahar Banu, is then accused of removing Begum’s clothes. Uddin’s other son, 28-year-old Shahdul Islam, then allegedly seriously wounded her by striking her with bamboo, according to the case file.

Thus the case file charges all members of Uddin’s family, as well as three people who were not present – two other recent converts to Christianity and Uddin’s brother, he said. Uddin said he has sent letters stating the falseness of the charges to the Rangpur district administrative chief, district police chief, sub-district administrative chief, home minister of Bangladesh, home secretary of Bangladesh, inspector general of police (Bangladesh police chief), president of the Rangpur district press club, member of parliament of that area, Rangpur divisional commissioner and commander of Bangladesh’s elite force (RAB-5), as well as to the Faith Bible Church of God chairman.

The case file mistakenly identifies Uddin as Foyez Ali, and also errs in listing his age as 50 rather than 62.

Since Uddin became a Christian in 2007, some of his neighbors have threatened to kill him or expel him from the village, he said.

“In threatening us, they have also said that the government will reward them if we Christians are beaten,” Uddin said.

The main weapon of Muslim villagers opposed to Christians is to withhold work from them, he said.

“Once I used to cultivate other people’s land for my livelihood,” he said. “When the local people came to know that we lead our life in Christ, then they stopped giving us their land for cultivation. Nobody talks with us, and we are outcasts here.”

Last Christmas, around 100 to 150 people went to Uddin’s house to protest their celebration of the birth of Christ.

“Police are deployed in all churches at Christmas,” he said. “Two police were deployed at our house to avoid any kind of unwanted situation. Those two police stopped the angry villagers.”

Report from Compass Direct News

PAKISTAN: CHRISTIANS BURNED TO DEATH IN ISLAMIST ATTACKS

14 believers reportedly killed; more than 100 homes burned in Gojra town, Korian village.

 

GOJRA, Pakistan, August 1 (Compass Direct News) – Islamic extremists today set ablaze more than 50 houses and a church in this town in northeastern Pakistan following an accusation of “blasphemy” of the Quran, leaving at least 14 Christians dead, sources said.

The dead include women and children, with several other burn victims unable to reach hospitals for medical care, according to the Centre for Legal Aid Assistance and Settlement (CLAAS). The attack came amid a protest by thousands of Muslim Islamists – including members of banned militant groups – that resulted in another six people dying when participants shot at police and officers responded with tear gas and gunfire.

The same rumor of desecration of the Quran that led to today’s massive protest and attack in Gojra, 50 kilometers (31 miles) from Faisalabad, also prompted an arson assault on Thursday (July 30) by Islamic extremists on the village of Korian, seven miles from Gojra, that gutted 60 houses.

Punjab Minister for Law Rana Sanaullah reportedly said an initial investigation of allegations of the Quran being blasphemed indicated “there has not been any incident of desecration.”

Because of the earlier assault in Korian, Pakistani officials were already in the area and had sought reinforcements to help control the 11 a.m. demonstration today in Gojra, but security forces were slow to respond, according to CLAAS.

“There were unaccountable people in the mob and they were out of control because only four police constables were trying to stop the mob of thousands of people,” a CLAAS report said.

Crowd size and attacks grew, and Islamists managed to block main roads and railways to keep fire brigades from fighting the house fires, according to CLAAS.

With authorities also blocking roads to keep more Muslim extremists from entering from neighboring villages, clerics at local mosques broadcast messages that those “who love Muhammad and Islam should gather with them to defend the Islam because it is in danger,” according to CLAAS.

Asam Masih, a Christian in Gojra, said that that women and children were severely burned and had no way to get to a hospital, according to CLAAS, which was helping to transport victims for medical care.

Islamists set on fire a Catholic church on Sumandri road and destroyed it using firearms and explosives, according to CLAAS.

“50 houses are burned and totally destroyed,” the CLAAS statement read. “14 people including children, women and men are expired.”

Wedding and Funeral

As Christians have begun defending themselves against the onslaughts, mainstream media have already begun referring to the overwhelmingly Islamist aggression as “Christian and Muslim rioting.”

Compass investigated the facts of the trigger incident in the village of Korian, where more than 500 Muslims, responding to calls from a mosque, attacked Christians in Toba Tek Singh district. Local sources said nearly all village Christian families fled. The fires destroyed their homes – collapsing their wooden roofs or melting T-iron roofs – and all belongings within that the attacking Muslims had not first looted.

“Our house is burnt and everything is gone, but Muslim neighbors around are not willing to give us a loaf of bread or a sip of water to us,” 80-year-old Baba Sharif Masih told Compass.

He and his wife Hanifa Bibi, 73, were the only Christians left in the village in the northeastern province of Punjab. Masih, who is paralyzed, said the attackers let them live when they pleaded that they were unable to run away.

Two church buildings were ransacked but not burned, Compass sources said.

One Christian resident of Korian identified only as Shabir said the blasphemy accusation grew out of an incident at a wedding on Sunday (July 25). During the ceremony, Christian wedding guests tossed currency notes and coins into the air according to custom, with children catching most of them as they fall. Shabir told Compass a Muslim funeral was taking place at the same time, however, and that mourners told wedding celebrants to stop their music; they apparently declined.

The next day, Muslims met with the parents of the bride, Talib and Mukhtar Masih, and told them that their sons had cut pages of the Quran the size of currency notes and had been throwing them in the air the previous night, Shabir said.

“Talib said that nothing like this has happened, but that if there was anything, ‘I’ll call my son and he will definitely apologize for it,’” Shabir said. “But then they immediately began beating them and left Talib when he fell unconscious.”

Shabir said that afterward when Christian women went to the Muslims and told them that they were wrong to beat Talib Masih, the assailants yelled at them and tried to attack them, but they were able to flee to their homes.

On Thursday (July 30), Shabir said, Muslim clerics announced from the village mosque that “if any infidel Christian wanted to save his or her life, then get out of here or they would be killed.”

As the Muslim mobs gathered, he said, Christians immediately fled – leaving their meals prepared and fires burning in stoves.

“These assailants first looted these houses and then set them on fire and closed the door,” he said. “Since then, not a single Christian is left there except a very old couple.”

Islamist’s Version

Village Muslims declined to open their doors when Compass reporters called on them.

But one of three Muslim leaders standing with a crowd of turban-clad Islamists at the entrance to the village, Qari Noor Ahmed, told Compass the story of the alleged cut pages of the Quran at the marriage ceremony.

“Because it was night, no one noticed, but in the morning we saw that the pages of the Quran had been cut to currency note size, and they were trampled under people’s feet,” he said.

Ahmed said that village authorities later met and called in Talib and Mukhtar Masih. He said that council authorities decided that their son should apologize.

“But when his son came in the meeting, he by no means seemed apologetic, rather he was aggressive,” Ahmed said. “This was the root cause, and we told Talib and Mukhtar to tell their children to apologize.”

Ahmed said that afterwards they searched for Talib and Mukhtar Masih and their sons but could not find them.

“Then Muslims became furious that first they had profaned the Quran, and now they had fled and were not apologizing,” Ahmed said. “Then the villagers attacked their houses. All the Christians who are visiting here are armed, and we are sitting here to avoid any untoward incident. It is better for you to leave now or you may be attacked.”

Munawar Masih, a 20-year-old Christian in Korian, said that he was preparing supper around 7 p.m. when he heard the announcement from the mosque that “infidel Christians had profaned the Holy Quran, and let’s teach them exemplary lesson.”

He looked outside as his family was about to sit down to dinner and saw a large mob approaching.

“We just fled from there to save our lives, and since then we are hiding in Gojra,” he said.

Private TV channel reporter Ghulam Muhauddin told Compass that after the Korian houses were set on fire, the Islamic extremists blocked the Faisalabad-Gojra Highway to keep firefighters from arriving.

“When the attack was unleashed, several people were injured and even some domestic animals were killed,” he said.

Muhauddin said that after negotiations between the District Police Officer and the protestors, Station House Officer (SHO) Jamshed Iqbal Nasir was suspended for not properly handling the incident.

Christians Accused

Officials at the Sadar Police Station, in whose precincts the attack took place, were not available for comment, but a deputy called Imam Din said that a First Information Report (FIR) had been filed under Section 295-B, or blasphemy of the Quran, against Talib and Mukhtar Masih.

He said that the complainant in the case was Muhammad Ashraf, and that police had possession of the alleged burnt or cut papers of the Quran. Din said that after SHO Nasir was suspended and Ashiq Hussein replaced him, Hussein was willing to file an FIR against those who had ransacked and burned houses of Christians. He said the accused were still at large and that police would arrest them after Christians returned to their homes.

Asked if police were under pressure from Islamists or the government, Din declined to comment.

Advocacy group Community Development Initiative (CDI) field officer Napoleon Qayyum said that the group had informed high officials about the Korian attack, including the presidency, and that soon afterward the president issued a notice. Qayyum noted that the Korian and Gojra attacks follow a July 1 attack in Kasur, where swarms of Islamists ransacked and damaged 110 homes.

“It is a clear sign that violent attacks against Christians have dramatically increased in recent days,” he said, adding that CDI would provide legal help to victims. CDI works with assistance from the American Centre of Law and Justice.

Muhauddin of the private TV channel added that Punjab Chief Minister Shahbaz Sharif had taken the notice of the attacks and was forming an investigative team comprising the Faisalabad Regional Police Officer and Faisalabad Commissioner, which will send a report to him.

A spokesman from the Pakistani president’s office, former Sen. Farhatullah Babar, told Compass that President Asif Ali Zardari had taken a notice of the attack and had asked the provincial government to investigate. He said the president has condemned the attack and that there was no justification for anyone taking the law into their own hands.

Asked why the committee constituted by the provincial government did not have any Christians on it, he responded that it was the discretion of the provincial government to determine the make-up of the panel and that the federal government was concerned only about the report. Asked why an FIR had been filed against Christians and not Muslims for ransacking and vandalizing, he said only that appropriate action would be taken after the inquiry.

Member of National Assembly Farahnaz Ispahani, wife of Pakistani Ambassador to the United States Husain Haqqani, told Compass that President Zardari had directed Federal Minorities Affairs Minister Shahbaz Bhatti to visit the area and “express sympathy with the victims.”

Report from Compass Direct News