{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T22:28:44Z","timestamp":1787783324882,"version":"build-2784847793"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T00:00:00Z","timestamp":1621296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009647","name":"Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009647","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Describe paediatricians' experience of adverse health outcomes for children during the New Zealand\u2010wide level 4 lockdown in response to the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Weekly national survey of paediatricians with an open\u2010ended questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the 6\u2010week study survey period, the New Zealand Paediatric Surveillance Unit received 33 reports about 55 instances where paediatricians believed care may have been compromised, about half (56%) relating to infants aged from birth to 6\u2009weeks. Compromised care was for acute presentations in 75%, acute complications of a chronic illness in 14%, with 11% for chronic conditions. Paediatricians reported the outcome as moderately severe (short\u2010term morbidity, increased length of stay, higher level of care) in 38 cases (69%) and in a further 4 (7%) as severe (potential to be life\u2010threatening or result in permanent disability).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite clear messaging, hospital avoidance and reduced access to primary and secondary care were associated with significant potential harm for children in New Zealand during a strict lockdown, with newborn infants disproportionately affected. During the implementation of interventions to eliminate community transmission of COVID\u201019, New Zealand paediatricians note the importance of face\u2010to\u2010face post\u2010natal visits for newborns and primary care services for children with acute illness, to avoid preventable harm.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15551","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T15:30:31Z","timestamp":1621351831000},"page":"1600-1604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Delayed access to care and late presentations in children during the <scp>COVID<\/scp>\u201019 pandemic New Zealand\u2010wide lockdown: A New Zealand Paediatric Surveillance Unit study"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3845-2961","authenticated-orcid":false,"given":"Mavis","family":"Duncanson","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5238","authenticated-orcid":false,"given":"Benjamin J","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6009-8263","authenticated-orcid":false,"given":"Timothy","family":"Jelleyman","sequence":"additional","affiliation":[{"name":"Child and Youth Team, Population Health and Prevention Directorate New Zealand Ministry of Health  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart R","family":"Dalziel","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Auckland  Auckland New Zealand"},{"name":"Department of Paediatrics: Child and Youth Health The University of Auckland  Auckland New Zealand"},{"name":"Children's Emergency Department Starship Children's Health  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5808-7450","authenticated-orcid":false,"given":"Peter","family":"McIntyre","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,18]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"The Impact of COVID\u201019 on Children","author":"United Nations Sustainable Development Group","year":"2020"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30108-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319848"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15376"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319385"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319397"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02469-z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186719"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319654"},{"key":"e_1_2_9_11_1","unstructured":"New Zealand Government.New Zealand COVID\u201019 Alert Levels Summary. 2020. 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