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---
title: Study: Most Kids Do Not Get Severe COVID-19
description: A large European study confirms that children tend to have less severe cases of COVID-19 than adults and die from it less often.
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author: Jamie Ducharme
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article:published_time: 2020-06-25T22:30:55.000Z
article:modified_time: 2026-02-24T08:56:06.521Z
article:section: Health
og:title: Most Kids Do Not Get Severe COVID-19, Large Study Confirms
og:description: They also die from it less often than adults
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og:image:alt: A summer camp in Madrid reopens
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twitter:title: Most Kids Do Not Get Severe COVID-19, Large Study Confirms
twitter:description: They also die from it less often than adults
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![](https://static.time.com/v3/assets/bltea6093859af6183b/bltb4d2046378325759/698a0fb9011682546c97f8e2/kids-covid-19.jpg?branch=production&width=1024&quality=75&auto=webp&crop=16:9)


# Most Kids Do Not Get Severe COVID-19, Large Study Confirms

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![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=96&quality=75&auto=webp)

## Jamie Ducharme


Ducharme is a contributor to TIME.

Jun 25, 2020 10:30 PM UTC

![A summer camp in Madrid reopens](https://static.time.com/v3/assets/bltea6093859af6183b/bltb4d2046378325759/698a0fb9011682546c97f8e2/kids-covid-19.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

A child has their temperature checked by a member of staff before entering English For Fun school in Madrid on June 24, 2020.

A child has their temperature checked by a member of staff before entering English For Fun school in Madrid on June 24, 2020.Getty Images—2020 Pablo Cuadra

![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Jamie Ducharme](https://time.com/author/jamie-ducharme/)


![Jamie Ducharme](https://static.time.com/v3/assets/bltea6093859af6183b/bltee90d03f171c21c6/698a0b45db2987baea2650e7/200115_Time_Headshots_Day451258.jpg?branch=production&width=96&quality=75&auto=webp)

## Jamie Ducharme


Ducharme is a contributor to TIME.

Jun 25, 2020 10:30 PM UTC

A [large European study](https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642%2820%2930177-2/fulltext) confirms a rare bit of good news about COVID-19: children [seem to be mostly spared](https://time.com/5816239/children-coronavirus/) from the worst of its effects.

The paper, published June 25 in _the Lancet Child & Adolescent Health,_ suggests well fewer than 1% of children who develop COVID-19 will go on to die from it, and the vast majority will not need intensive care. By contrast, in some of the world’s hardest-hit countries, case fatality ratios that include adults are [estimated (albeit using preliminary data) to be](https://coronavirus.jhu.edu/data/mortality) higher than 10%.

The new study analyzed case data from almost 600 pediatric COVID-19 patients from 21 different European countries. The kids ranged in age from three days to 18 years old, and boys made up just over half of the group. Three-quarters of the children had no preexisting medical conditions.

More than half of the children were admitted to a hospital, but only 8% required intensive care, the researchers found. Only four patients died from their disease. That works out to a case fatality rate of 0.69%.

Across entire populations, the actual rate is probably much lower, the researchers write, since many children infected with COVID-19 have such mild cases they never require medical care in the first place, let alone need to be admitted to a hospital. For example, 16% of kids in the study never showed COVID-19 symptoms; many of them were only tested because they’d had close contact with another infected person.


The researchers found that infants younger than one month of age were more likely than older children to need intensive care—but, interestingly, all four of the patients who died were older than 10\. Two of the children who died had pre-existing medical conditions, [a known risk](https://time.com/5825485/coronavirus-risk-factors/) factor for more severe disease.

[As with adults](https://time.com/5829202/covid-19-gender-differences/), boys were more likely to be require intensive care than girls, according to the study.

“Co-infection” with another virus—like influenza or another strain of coronavirus—also seemed to increase the severity of a child’s disease, which the researchers write “might have implications for the winter period 2020–21, when the incidence of other viral respiratory tract infections…is bound to increase.”

The study’s data were gathered from April 1 to April 24, before a string of reports suggested a possible connection between COVID-19 and a [pediatric inflammatory condition](https://time.com/5842902/covid-19-kawasaki-disease/) similar to Kawasaki disease. That condition, which can lead to shock and fatal heart damage, remains very rare, and researchers are still determining exactly how, if at all, it relates to coronavirus.


The new paper comes as the median age of COVID-19 patients [is trending downward](https://time.com/5858593/younger-people-covid-19/) in the U.S. The shift in demographics seems to be driven mostly by younger adults—not children—getting infected in larger numbers, as well as better testing protocols. Research in the U.S. and abroad still suggests kids are far less likely than adults to develop a serious case of coronavirus.

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