. The country faces epidemics of HIV and tuberculosis ; non-communicable diseases such as hypertension and diabetes; suboptimal maternal and child health; as well as violence and injuries.
To deal with Covid-19 the government re-organised the health system. Medical and laboratory capacity was increased and field hospitals were built – all in anticipation of a rapid rise in adult Covid-19 patients. Children have made many sacrifices because of the country’s Covid-19 response. These include social isolation, and lack of education opportunities and access to nutrition intervention programmes.
The impact of Covid-19 itself on children has been comparatively small. The burden of paediatric Covid-19 disease has been low, in line with reports from countries ahead of South Africa in the epidemic wave. Hospitalisations and death ratesFor South African children other risks are much greater. The potential for severe collateral damage caused by Covid-19 on the usual causes of childhood death and illness is huge.
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