Reply to There is so much we don't know about the virus - and here's another reason to be cautious

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]PS: In general, it's a good idea to look at how a study was done before making claims about what it shows.[/quote]

I did.

My point was that I want to know if I misread something when reading about the study.[/quote]

I am so sorry -- that was a really snippy comment I made. No excuse, but the explanation is coming off long hours working with very sick people and then trying to sort out the Kawasaki info coming in through emails and working groups. I was frustrated, but should not have been unkind or bitchy.

From what I can see of that study, it was a random selection from NYC supermarkets, not a representative sample stratified by age. I think we have even less of a clue about who widespread this virus is in kids, in part because they are (understandably) deprioritized for testing: it looked like there was not much risk of significant sequelae, and they are not essential workers, and they are generally not the ones shopping in the stores or otherwise interacting with other people (with the exception of play dates, I suppose).

I really hope this concern peters out. That would be great! I have never seen "outbreaks" of Kawasaki -- it does not come in significant waves in kids. There was a Yale report back in 2005 that they had isolated a novel coronavirus (HCoV-NH) from eight of eleven children with Kawasaki disease. However, this finding was not replicated at other sites. It looks like it is being replicated this time, in multiple cities and multiple countries.

Part of my concern is that I know it is not an easy diagnosis to catch, and there are often delays. If treatment is delayed, that's a big problem. And we neither are seeing many kids in clinics and EDs right now, nor do we want to, unless it is necessary. Nobody wants to increase anybody's exposure at medical settings.

I don't know. It might not pan out. If it does, this is very likely the tip of an iceberg, and I'm not saying we shouldn't start phasing a reopening, but -- this is really unsettling.[/quote]

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