We are living through the greatest disruption of the post-war era; what is likely to be the defining historical period of our lives. This may be the end of the ‘good times’ for the world, but it has been a long time coming, and Covid-19 is simply an accelerant. Therefore, it is important now to focus on what has to be done, for all that stands between us and disaster is good government.
COVID-19 has resulted in a flurry of high-stakes decision-making, at a public health level and an individual patient level, with significant impacts on how children are cared for, and how staff work. Many of these decisions have ethical dimensions.
Blood-clotting complications are rapidly emerging as a significant part of the pathogenesis of COVID-19. There are reports of otherwise well people with COVID-10 having strokes, pulmonary emboli and heart attacks, and children with inflammation of their blood vessels. In recent weeks series of cases of a multi-system inflammatory condition, some resembling Kawasaki disease, have been reported in children in Europe, UK and USA.
