MIS-C linked to Covid-19, now within the Caribbean

Published on March 23, 2021

Multisystem Inflammatory Syndrome (MIS-C) has affected over 23 children in Trinidad and Tobago (T&T) and appears to be an excessive immune response related to COVID-19.

Multisystem Inflammatory Syndrome in Children (MIS-C), a serious condition that appears to be related to COVID-19, raised its head in the Caribbean and resulted in the death of at least one child in Barbados.

MIS-C, which has affected more than 23 children in Trinidad and Tobago (T&T), appears to be an excessive immune response related to COVID-19 / coronavirus disease. COVID-19 is caused by the severe coronavirus 2 (SARS-CoV-2) with acute respiratory syndrome.

Mayoclinic notes that the exact cause of MIS-C is unknown, but many children with MIS-C have a positive antibody test result. This means that they recently had a COVID-19 infection. Some may have a current infection with the virus.

Dr. Simone Keizer-Beache, Chief Medical Officer (CMO), commented on the issue in an interview on Thursday March 18. With MIS-C affecting children in the area, it is now even more important that people get vaccinated against COVID-19.

“MIS-C is associated with COVID-19 and a child died of it a few weeks ago in Barbados.

“It is believed that the children will become infected with COVID-19, mostly with an asymptomatic infection and some time after they developed this MIS-C,” said Keizer-Beache.

According to Healthline, an online publication, a new model from researchers in Israel found that children are half as susceptible to COVID-19 as adults. The report, published in PLOS Computational Biology on Thursday, February 11, also found that those under the age of 20 were less likely to spread the virus to others.

Keizer-Beache found, however, that while children are half as susceptible to COVID-19 as adults, children can be seriously affected by MIS-C. Hence, it is important to take steps to protect them.

“We usually vaccinate our children to protect them from measles, mumps, rubella and all these preventable vaccine diseases. By vaccinating children, you are protecting adults too.

“In this situation with COVID-19, the children cannot get the vaccine yet. To protect them we have to take the vaccines. The adults have to take the vaccine to protect the children and everyone else, ”stressed the GMO.

It’s not certain how many children have trapped COVID-19 in SVG since it was first discovered here in March 2020, but Keizer-Beache said we saw cases in children under one year of age but have not yet registered any cases of MIS. C.

According to the Center for Disease Control (CDC) in the United States, the number of cases that met the case definition for MIS-C in the United States exceeded 1,000 as of October 1, 2020.

As of February 1, 2021, that number was over 2,000. The CDC notes that there are still many open questions as to why some children and adolescents develop MIS-C while others do not after contracting COVID-19 illness or contact with someone with COVID-19.

The CDC adds that most children who become infected with the COVID-19 virus will only have mild illness, but in children who develop MIS-C some organs and tissues such as the heart, lungs, blood vessels, kidneys, The digestive system, brain, skin, or eyes become severely inflamed. Signs and symptoms depend on which areas of the body are affected.

“MIS-C is rare, and most children who have it get better with medical care at some point. However, some children get worse quickly to the point where their lives are in jeopardy, “notes the CDC, adding that some adults rarely develop signs and symptoms similar to MIS-C, which is considered to be multisystem inflammatory syndrome in adults ( MIS-A).

Signs and symptoms of MIS-C include (although not all children have the same symptoms), fever that lasts for 24 hours or more, vomiting, diarrhea, stomach pain, rash, unusually tired, fast heartbeat, fast breathing, red eyes, or redness Swelling of the lips and tongue, redness or swelling of the hands or feet, headache, dizziness or lightheadedness, and enlarged lymph nodes.

“Much remains to be learned about this emerging inflammatory syndrome. If your child shows signs or symptoms, get help quickly, ”the CDC emphasizes.

It is also noted that emergency warning signs of MIS-C include severe stomach pain, difficulty breathing, bluish lips or face, new confusion, and inability to wake or stay awake.

“When your child has an emergency alert … or is seriously ill with other signs and symptoms. Maintain immediately.

Take your child to the nearest emergency room.

“If your child is not seriously ill but has other signs or symptoms of MIS-C, contact your child’s doctor right away for advice,” advises the CDC, noting that most children with MIS-C C between three and twelve years old are years old, with an average age of eight years and some cases have also occurred in older children and babies.

Many specialists view MIS-C as a complication of COVID-19. Without early diagnosis and adequate treatment and treatment, MIS-C can lead to serious problems with vital organs such as the heart, lungs, or kidneys. In rare cases, MIS-C can cause permanent damage or even death.

According to the CDC, the best way to prevent your child from developing MIS-C is to take steps to avoid exposure to COVID-19. With schools expected to open here on April 12th, CMO Keizer-Beache urges people not to get complacent and get vaccinated.

“You could say we shouldn’t open schools until everyone is vaccinated. That’s what you might want, but by the time we get there, we should really focus as much as possible on getting as many people vaccinated.

“We have to recognize that there is a risk of COVID-19 and that this risk also exists without opening a school,” said the GMO, noting that MIS-C is difficult for children.

“It is not an easy thing for a child, and there is a child who died of it in Barbados.

“Vincentians are too comfortable believing COVID is a mild thing, a flu, and it won’t affect anyone, but we need to be aware that a child can get COVID the same way from a teacher or in a van that goes to school. Parents out there can also bring COVID to this child’s home, ”said the GMO.