State-level reports are the best publicly available and timely data on child COVID-19 cases in the United States. The American Academy of Pediatrics and the Children’s Hospital Association are collaborating to collect and share all publicly available data from states on child COVID-19 cases. The definition of “child” case is based on varying age ranges reported across states (see report Appendix for details and links to all data sources).
For the week ending August 4th, almost 97,000 child COVID-19 cases were reported, the fourth consecutive weekly increase of reported cases, with around 68,000 cases reported the week ending July 7th. Reported COVID-19 cases among children spiked dramatically in 2022 during the Omicron variant winter surge, peaking at 1,150,000 cases reported in one week. Cases have decreased substantially since the Omicron peak and are similar to what they were one year ago, August 5, 2021, when 94,000 child cases were reported.
Nearly 14.2 million children are reported to have tested positive for COVID-19 since the onset of the pandemic according to available state reports; over 359,000 of these cases have been added in the past 4 weeks. Approximately 6.3 million reported cases have been added in 2022.
The age distribution of reported COVID-19 cases was provided on the health department websites of reporting states, New York City, the District of Columbia, Puerto Rico, and Guam.
Since the pandemic began, children represented 18.5% of total cumulated cases.
Since early June, there has been a notable decline in the portion of reported weekly COVID-19 cases that are children. For the week ending August 4th, this portion was 13.4% (children, under age 18, make up 22.2% of the US population). While COVID-19 cases are likely increasingly under-reported for all age groups, this decline indicates that children are disproportionately undercounted in reported COVID-19 cases.
There is an urgent need to collect more age-specific data to assess the severity of illness related to new variants as well as potential longer-term effects. It is important to recognize there are immediate effects of the pandemic on children’s health, but importantly we need to identify and address the long-lasting impacts on the physical, mental, and social well-being of this generation of children and youth.
Summary of Findings (data available as of 8/04/22) :
Cumulative Number of Child COVID-19 Cases*
- 14,195,580 total child COVID-19 cases reported, and children represented 18.5% (14,195,580/76,885,307) of all cases
- Overall rate: 18,860 cases per 100,000 children in the population
Change in Child COVID-19 Cases*
- 96,599 child COVID-19 cases were reported the past week from 7/28/22-8/4/22 (14,098,981 to 14,195,580) and children represented 13.4% (96,599/722,085) of the weekly reported cases
- Over two weeks, 7/21/22-8/4/22, there was a 1% increase in the cumulated number of child COVID-19 cases since the beginning of the pandemic (192,083 cases added (14,003,497 to 14,195,580))
* Note: Data Limitations. The numbers in this report represent cumulative counts since states began reporting. The data are based on how public agencies collect, categorize and post information. All data reported by state/local health departments are preliminary and subject to change and reporting may change over time. Notably, in the summer of 2021 and winter of 2022, some states have revised cases counts previously reported, begun reporting less frequently, or dropped metrics previously reported. For example, due to several changes on their dashboards and the data currently available, AL, TX, HI, DC, MS, SC, NE, and MN data in this report are not current (cumulative data through 7/29/21, 8/26/21, 1/13/22, 3/3/22, 3/10/22, 4/28/22, 5/12/22, and 6/30/22 respectively). Additionally, as of 3/17/22, FL published case and death data available every other week. Readers should consider these factors. States may have additional information on their web sites.
Changes in testing and how states report might affect week to week comparisons. The extremely high volume of cases during the Omicron surge followed by the sharp decline in cases may have created discontinuities in state reports week to week. Shortages of COVID-19 tests during surges and the increasing use of COVID-19 home tests likely affect the undercounting of COVID-19 cases. During holiday weeks states may change their reporting schedules which may cause irregularities in trends. At times when COVID-19 transmission is low, states might reduce the frequency information is updated. Beginning in March 2022, several states shifted to updating data one to two times a week. For children, the periods when school is not in session might reduce the volume of testing and reporting.
On 7/15/22, TX released new data that is NOT included in cumulative case counts or figures but located here and in Appendix 3B of this report (1,250,637 cumulative child cases as of 7/15/22); TX previously reported age for only a small proportion of total cases each week (eg, 2-20%); these cumulative cases through 8/26/21 are included (7,754).
As of 6/16/22, due to only a portion of states reporting hospitalizations and deaths, we are no longer providing updates on cumulative hospitalizations and mortality data. The CDC now provides information that includes all of the US: For information regarding US child hospitalizations from the CDC, visit https://covid.cdc.gov/covid-data-tracker/#new-hospital-admissions. For information pertaining to US child morality from the CDC, visit https://covid.cdc.gov/covid-data-tracker/#demographics.
American Academy of Pediatrics