{"id":60058,"date":"2021-10-29T04:57:32","date_gmt":"2021-10-29T08:57:32","guid":{"rendered":"https:\/\/world.edu\/?p=60058"},"modified":"2021-10-29T04:57:32","modified_gmt":"2021-10-29T08:57:32","slug":"40-of-australias-unvaccinated-population-will-soon-be-kids-under-5-childcare-will-be-the-next-covid-frontline","status":"publish","type":"post","link":"https:\/\/world.edu\/40-of-australias-unvaccinated-population-will-soon-be-kids-under-5-childcare-will-be-the-next-covid-frontline\/","title":{"rendered":"40% of Australia\u2019s unvaccinated population will soon be kids under 5. Childcare will be the next COVID frontline"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/Preschoolpaiting.jpeg\" alt=\"\" width=\"680\" height=\"510\" class=\"aligncenter size-full wp-image-60059\" srcset=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/Preschoolpaiting.jpeg 680w, https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/Preschoolpaiting-250x188.jpeg 250w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><br \/>\nOnce five to 11 year olds have access to COVID vaccines, children up to four years old will make up about 40% of Australia\u2019s unvaccinated population. This will make Australia\u2019s early learning sector the next frontline of the pandemic.<\/p>\n<p>A new\u00a0<a href=\"https:\/\/www.vu.edu.au\/mitchell-institute\/early-learning\/covid-19-early-childhood-education-care\">report from the Mitchell Institute<\/a>\u00a0shows childcare centres are at risk of becoming major transmission locations without a comprehensive strategy to reduce the risk.<\/p>\n<p>While high vaccinations rates across the population will slow the spread of COVID, outbreaks are still likely to occur with the virus predominantly finding the unvaccinated. As younger children are not yet protected by vaccines, it is important to implement measures that reduce possible transmission in educational settings.<\/p>\n<p>Many of the approaches used to mitigate the spread of COVID in schools \u2013 such as masks and social distancing \u2013 will be more difficult to implement in childcare. The childcare funding model also means measures that result in a reduction in physical attendance threaten the viability of providers.<\/p>\n<p>Our report calls for a federal strategy and package of support for the sector to reduce the risk of transmission among the one million unvaccinated children attending childcare and pre-school.<\/p>\n<h4><strong>Children and COVID<\/strong><\/h4>\n<p>Rates of sickness, hospitalisation and death due to COVID are much lower in children compared to adults.<\/p>\n<p>Evidence from the most recent outbreak in New South Wales suggests\u00a0<a href=\"https:\/\/ncirs.org.au\/sites\/default\/files\/2021-09\/NCIRS%20NSW%20Schools%20COVID_Summary_8%20September%2021_Final_0.pdf\">about 2% of children<\/a>\u00a0and young people under 18 years old who catch COVID end up in hospital. The most common symptoms among children who showed\u00a0<a href=\"https:\/\/www.mja.com.au\/journal\/2021\/215\/5\/characteristics-sars-cov-2-positive-children-who-presented-australian-hospitals\">symptoms of COVID<\/a>\u00a0include fever, stuffy or runny nose, cough and fatigue.<\/p>\n<p>But children can still be\u00a0<a href=\"https:\/\/www.thieme-connect.com\/products\/ejournals\/html\/10.1055\/s-0040-1710512#N68655\">effective carriers of COVID<\/a>.<\/p>\n<p>As vaccination rates rise among adults, so does the proportion of COVID cases involving children.<\/p>\n<p>This has been the experience in Europe. The figure below shows the proportion of weekly reported COVID cases involving children under 15 years old in Germany, Sweden and the Netherlands, along with the rates of vaccination.<br \/>\n<img decoding=\"async\" src=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/vacinatedin-europe.jpg\" alt=\"\" width=\"680\" height=\"542\" class=\"aligncenter size-full wp-image-60060\" srcset=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/vacinatedin-europe.jpg 680w, https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/vacinatedin-europe-250x199.jpg 250w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/p>\n<p>Before any vaccinations were available in these countries, children under 15 made up about 15-25% of reported COVID cases. They now make up about 35-40% of all reported cases.<\/p>\n<p>As the figure below shows, children 0-4 years old make up about 6% of Australia\u2019s total population. Once 5-11 year olds have access to vaccines, and vaccination rates are above 90%, children aged 0-4 make about 40% of the unvaccinated population.<br \/>\n<img decoding=\"async\" src=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/unvacinatedbyage.jpg\" alt=\"\" width=\"680\" height=\"245\" class=\"aligncenter size-full wp-image-60061\" srcset=\"https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/unvacinatedbyage.jpg 680w, https:\/\/world.edu\/wp-content\/uploads\/2021\/10\/unvacinatedbyage-250x90.jpg 250w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/p>\n<p>Many of these children will interact on a daily basis at childcare centres.<\/p>\n<p>There is\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jamapediatrics\/fullarticle\/2783022\">also recent evidence<\/a>\u00a0that shows children under five are 40% more likely to transmit COVID than older children.<\/p>\n<p>About\u00a0<a href=\"https:\/\/www.dese.gov.au\/child-care-australia-report-march-quarter-2021\">750,000 children aged 0 to 4 years<\/a>\u00a0attend a childcare services. About\u00a0<a href=\"https:\/\/www.abs.gov.au\/statistics\/people\/education\/preschool-education-australia\/latest-release\">330,000 children<\/a>\u00a0are enrolled in pre-school.<\/p>\n<h4><strong>Mitigation measures harder in childcare<\/strong><\/h4>\n<p>The\u00a0<a href=\"https:\/\/www.mcri.edu.au\/news\/data-informing-return-students-classrooms-and-measures-keep-schools-covid-safe\">consensus among health experts<\/a>\u00a0is that mitigation measures will help manage the spread of COVID in early childhood education and care, and school settings.<\/p>\n<p>But our report highlights these measures can be more difficult to implement in childcare and preschools compared to schools.<\/p>\n<p>For instance, \u201ccohorting\u201d reduces contact between groups of children. In schools, this means keeping class groups together and separate from other classes as much as possible.<\/p>\n<p>However, in childcare, there is not always a consistent or regular group of children attending and the mix of children can change every day. This makes such a measure difficult.<\/p>\n<p>Improving ventilation\u00a0<a href=\"https:\/\/www.nsw.gov.au\/covid-19\/business\/covid-safe-business\/ventilation\">has also been proposed<\/a>\u00a0to reduce spread in childcare, preshools and schools. Open or well-ventilated spaces reduce the risk of COVID transmission because infectious particles are more quickly diffused in the open air than in spaces with less ventilation.<\/p>\n<p>Some states have offered\u00a0<a href=\"https:\/\/www.abc.net.au\/news\/2021-09-23\/victoria-melbourne-schools-plan-covers-ventilation-vaccination\/100483622\">funds to schools<\/a>\u00a0and preschools to introduce better ventilation. But childcare centres don\u2019t yet have the same level of support.<\/p>\n<p>Childcare operators are largely run by not-for-profit or private organisations and may not have the means to invest in costly measures such as improved ventilation.<\/p>\n<p>The funding model of early childhood education and care providers is also very different from schools. While schools can still receive funds if students are learning remotely, childcare funding is closely tied to physical attendance.<\/p>\n<p>Any COVID mitigation measures that reduce the number of children at a centre can quickly threaten the financial viability of providers.<\/p>\n<p>The Australian government has had to\u00a0<a href=\"https:\/\/www.aph.gov.au\/About_Parliament\/Parliamentary_Departments\/Parliamentary_Library\/FlagPost\/2020\/April\/Coronavirus_response-Free_child_care\">rescue the sector from collapse<\/a>\u00a0\u2014\u00a0<a href=\"https:\/\/www.vu.edu.au\/mitchell-institute\/early-learning\/governments-short-term-fixes-still-leave-childcare-sector-at-risk\">twice<\/a>\u00a0\u2014 during the pandemic when many children stopped attending.<\/p>\n<h4><strong>Australia needs a plan<\/strong><\/h4>\n<p>Some states and territories are providing schools with strategic direction and funding. But the childcare sector is largely the responsibility of the federal government, which does not have an urgently needed strategy or support package.<\/p>\n<p>In the short term, Australia needs a plan specific to the operating reality of the early childhood education and care sector. The sector requires buttressing to not only prevent its collapse, but so it can play a significant part in minimising the potential harm COVID causes children and the wider population.<\/p>\n<p>And in the medium to long term, the pandemic highlights Australia may need to rethink how it funds and delivers early childhood education and care services.<\/p>\n<p>There is\u00a0<a href=\"https:\/\/developingchild.harvard.edu\/resources\/inbrief-science-of-ecd\/\">an enormous body of literature<\/a>\u00a0describing the benefits of high-quality childcare. Australia needs a system that ensures children and families can continue to benefit from a more resilient early childhood education and care service, even in times of crisis.<\/p>\n<p><em><strong>Author Bios:<\/strong> Peter Hurley is a Policy Fellow, Mitchell Institute, Jora Broerse is a Research Fellow in Health Policy, Mitchell Institute for Education and Health Policy and Maximilian de Courten is Professor in Global Public Health and Director of the Mitchell Institute all at Victoria University<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Once five to 11 year olds have access to COVID vaccines, children up to four years old will make up about 40% of Australia\u2019s unvaccinated population. This will make Australia\u2019s early learning sector the next frontline of the pandemic. A new\u00a0report from the Mitchell Institute\u00a0shows childcare centres are at risk of becoming major transmission locations [&hellip;]\n&hellip; <a href=\"https:\/\/world.edu\/40-of-australias-unvaccinated-population-will-soon-be-kids-under-5-childcare-will-be-the-next-covid-frontline\/\" class=\"more\">learn more&rarr;<\/a><\/p>","protected":false},"author":33,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[109017],"tags":[422054],"coauthors":[11733],"class_list":["post-60058","post","type-post","status-publish","format-standard","hentry","category-health-care","tag-unvaccinated"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>40% of Australia\u2019s unvaccinated population will soon be kids under 5. 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