The World Health Organization (WHO) is currently investigating an unusual rise in severe myocarditis cases among newborns and infants in the United Kingdom.
“Although enterovirus infections are common in neonates and young infants, the reported increase in myocarditis with severe outcomes in neonates and infants associated with enterovirus infection is unusual,” the WHO reported.
Myocarditis is a heart inflammation commonly caused by viral infections, including those caused by enteroviruses. According to Dr. Shamez Ladhani, a consultant pediatrician at the U.K. Health Security Agency (UKHSA), enteroviruses, which are frequently seen as childhood infections, frequently cause viral meningitis or hand, foot, and mouth disease.
The report states that between June 2022 and March 2023, there were 15 newborns and infants who displayed symptoms that were consistent with neonatal sepsis in South Wales (10 cases) and Southwest England (5 cases).Eight of these cases required intensive care treatment, and one patient passed away before receiving tertiary care.
Myocarditis was a presenting feature in every case that was still alive at presentation. Five cases were reported at the highest incidence during November 2022. It’s interesting that over the previous six years, only one comparable case has been found in the South Wales area.
Healthcare professionals have been cautioned by the WHO about the potential asymptomatic nature of enterovirus infections. For the purpose of facilitating early detection and suitable management, it advises testing for enteroviruses in suspected cases.
Health agencies still refuse to link COVID-19 vaccines to myocarditis
In response to the surge of myocarditis cases, the UKHSA addressed the issue and its possible relation to the COVID-19 vaccine. The agency categorically rejected any association between the two, claiming that there was no proof of a higher risk of myocarditis in children born to mothers who had received the COVID-19 vaccine during pregnancy, according to international studies.
Instead, health authorities in the U.K. and the Centers for Disease Control and Prevention (CDC) continue to push COVID-19 vaccination for pregnant women.
The pediatric team at Noah’s Ark Children’s Hospital for Wales is actively working with health authorities in Wales to look into the recent rise in myocarditis cases among newborns.In order to comprehend the situation, including changes in infection circulation and population immunity following the COVID-19 pandemic, Wales has also started a clinical study.
Welsh Health Minister Eluned Morgan stated that despite an increase in patients, the situation is still very uncommon.
Pathologist and consultant Dr. Clare Craig emphasized the need to find out if the mothers of the affected infants had received vaccinations. In 2020, when SARS-CoV-2 appeared, the diagnosis of Coxsackievirus, a type of enterovirus, which is a frequent cause of viral myocarditis, significantly decreased.
According to Craig, myocarditis rates remained steady until the COVID-19 vaccine was introduced in 2021, at which point they rapidly increased. She emphasized the significance of looking into these worries in order to address issues with public trust. “The public health authorities claim that they want to maintain trust, and yet they won’t explore these avenues to rule out concerns,” she said.
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