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New York sends notifications of childhood illnesses to the rest of the country. – Absolutely something that Norway also follows, says the Institute of Public Health.
New York Governor Andrew Cuomo said Saturday that three children in the state died from symptoms of the rare childhood illness of Kawasaki disease. New York health authorities suspect the disease was caused by covid-19.
Covid-19 is the disease caused by the novel coronavirus sars-cov-2.
So far, the children appear to have mild symptoms of the coronavirus, but Governor Cuomo said he is no longer sure if that is the case. The UK and Italy have also identified cases of Kawasaki disease that they suspect may be caused by covid-19.
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The Institute of Public Health (FHI) informs Nettavisen that they are monitoring the situation, but at the same time it emphasizes that young children do not need to worry about the rare disease.
Kawasaki disease is a rare condition that has been known for 50 years. It was named after a Japanese pediatrician named Kawasaki. It showed that there were some children who had fever, a skin rash, and inflammation of the blood vessels as a type of immune reaction after an infection, Margrethe Greve-Isdahl, chief physician and pediatric disease specialist at the Institute of Public Health, tells Nettavisen.
– The hypothesis has been that Kawasaki disease is caused by the immune system that attacks its own tissue after a full infection, as a slightly delayed overreaction in the immune system. But it has never been possible to detect what or what infections are causing this, says Greve-Isdahl.
Few cases in Norway every year
Kawasaki disease mainly affects young children, but cases have also been found in adolescents. The disease also occurs in Norway.
– It is a very rare condition, but we have some cases in Norway every year. They end up in hospitals, receive treatment and follow-up, and recover. There are very good forecasts here in Norway, she says.
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New York Mayor Bill de Blasio says as many as 38 children in the metropolis have been diagnosed with Kawasaki disease, Fox News reports.
Governor Cuomo says they are investigating 85 coronary cases in children, where they are also suspected of having Kwawasaki disease, according to The Guardian. Two more deaths are also being investigated.
– An increase in Kawasaki disease has been observed in the United States and the United Kingdom, and it is unclear whether the many cases of covid-19 are the cause. It is unclear whether there is a link between covid-19 and Kawasaki disease, but at least it has been observed. It is definitely something we are seeing, says Greve-Isdahl.
In New York alone, 350,000 coronary cases have been detected, while in the UK there are 220,000 confirmed cases.
– Children have good access to health services in Norway. Therefore, it is difficult to assess these cases from the United States, which has a very different health system, if children go to the doctor quickly enough, says Greve-Isdahl.
Chief Physician Margrethe Greve-Isdahl at the Institute of Public Health.
Photo: Ntb Scanpix
New York sends a notice
New York is now sending a warning to the other 49 states about a possible link between covid-19 and Kawasaki disease. So far, three children have died from Kawasaki disease in New York: a five-year-old boy, a seven-year-old boy, and a teenager.
– Some of the suspected cases of Kawasakis among children in the UK had a positive test for coronavirus, while others did not. It makes you unsure if there is any connection. This is something that we must also monitor in Norway. Everyone is on the lookout for any connection, says Greve-Isdahl.
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There are no cases in Norway
Greve-Isdahl states that there are currently no suspected cases in Norway where children have had both coronaviruses and symptoms of Kawasaki disease.
– How can you reassure anxious parents?
– This is a rare disease that we know well before and for which we have a good treatment in Norway. If you have a child with a high fever, the child has a general condition and you are concerned about your child, then you should contact a doctor as usual. Parents do not have to worry about Kawasaki disease or that it may be overlooked. We follow the information from other countries, and the health service will take care of children with Kawasaki for whatever reason, she says.
– Is it difficult to diagnose? Kawasaki disease?
– There is no diagnostic test. It is a pure clinical diagnosis where symptoms come together. If you can’t find another cause of the symptoms, you may suspect it’s Kawasaki disease. Symptoms are high fever for more than five days, skin rashes, eye inflammation, changes in the lining of the lips and oral cavity, swollen lymph nodes and altered general condition, says Greve-Isdahl.
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