COVID-19 Trends Among Persons Aged 0–24 Years — United States, March 1–December 12, 2020

Coronavirus disease 2019 (COVID-19) case and electronic laboratory data reported to CDC were analyzed to describe demographic characteristics, underlying health conditions, and clinical outcomes, as well as trends in laboratory-confirmed COVID-19 incidence and testing volume among U.S. children, adolescents, and young adults (persons aged 0-24 years). This analysis provides a critical update and expansion of previously published data, to include trends after fall school reopenings, and adds preschool-aged children (0-4 years) and college-aged young adults (18-24 years) (1). Among children, adolescents, and young adults, weekly incidence (cases per 100,000 persons) increased with age and was highest during the final week of the review period (the week of December 6) among all age groups. Time trends in weekly reported incidence for children and adolescents aged 0-17 years tracked consistently with trends observed among adults since June, with both incidence and positive test results tending to increase since September after summer declines. Reported incidence and positive test results among children aged 0-10 years were consistently lower than those in older age groups. To reduce community transmission, which will support schools in operating more safely for in-person learning, communities and schools should fully implement and strictly adhere to recommended mitigation strategies, especially universal and proper masking, to reduce COVID-19 incidence.

[1]  David J Weber,et al.  Incidence and Secondary Transmission of SARS-CoV-2 Infections in Schools , 2021, Pediatrics.

[2]  M. Ritchey,et al.  Opening of Large Institutions of Higher Education and County-Level COVID-19 Incidence — United States, July 6–September 17, 2020 , 2021, MMWR. Morbidity and mortality weekly report.

[3]  Manish M Patel,et al.  Factors Associated with Positive SARS-CoV-2 Test Results in Outpatient Health Facilities and Emergency Departments Among Children and Adolescents Aged <18 Years — Mississippi, September–November 2020 , 2020, MMWR. Morbidity and mortality weekly report.

[4]  Greta M. Massetti,et al.  Summary of Guidance for Public Health Strategies to Address High Levels of Community Transmission of SARS-CoV-2 and Related Deaths, December 2020 , 2020, MMWR. Morbidity and mortality weekly report.

[5]  V. Saliba,et al.  SARS-CoV-2 infection and transmission in educational settings: a prospective, cross-sectional analysis of infection clusters and outbreaks in England , 2020, The Lancet Infectious Diseases.

[6]  M. A. Arwady,et al.  Data-Driven Reopening of Urban Public Education Through Chicago's Tracking of COVID-19 School Transmission , 2020, Journal of public health management and practice : JPHMP.

[7]  Sandy F. Price,et al.  COVID-19 Trends Among School-Aged Children — United States, March 1–September 19, 2020 , 2020, MMWR. Morbidity and mortality weekly report.

[8]  C. Dalton,et al.  Transmission of SARS-CoV-2 in Australian educational settings: a prospective cohort study , 2020, The Lancet Child & Adolescent Health.

[9]  R. Basmaci,et al.  Systematic SARS-CoV-2 screening at hospital admission in children:a French prospective multicenter study , 2020, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.