“…benefits [of lockdown], however, are overshadowed by the negative consequences of the lockdown. First and foremost is the direct impact on their health. Emergency departments in the UK experienced unprecedented reductions of >50% in attendances during lockdown.  In Scotland, children’s emergency department attendances fell proportionally more than any other age-group. This raises concerns that children with critical illnesses were not accessing health services on time and, therefore, suffering potentially avoidable harm.
60% of paediatricians responded within 7 days and, and 241 (32%) of 752 emergency department paediatricians had witnessed delayed presentations. Free text responses revealed diabetes mellitus (new diagnosis/diabetic ketoacidosis) as by far the most common delayed presentation, followed by delayed presentations of sepsis and new cancer diagnoses.
There were also nine deaths, resulting mainly from sepsis and malignancy, where delayed presentation was considered by the reporting paediatrician to be a significant contributing factor – higher than the total number of childhood covid-19 deaths reported over the same period in England.