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. 2020 May 14;87(7):537–546. doi: 10.1007/s12098-020-03322-y

Table 2.

Potential factors protecting children against severe SARS-CoV-2 infection

Potential protective factor Mechanisms
Prevention of virus exposure

Early isolation and movement restriction

   -Closing schools and day-care centers in epidemics

Appropriate infection handling

Trained immunity (strong innate response) due to

   -Live vaccines (BCG, live virus vaccines)

   -Frequent virus infections

High ACE-2 expression metabolizing angiotensin-2

Lack of immune-senescence

Good lung regeneration capacity

Absence of high-risk factors

Absence of ageing related co-morbidities.

Less degree of obesity, smoking

High-risk group

   1. Infants (< 1 y)

   2. Children with pre-existing illnesses (neurological disorders, chronic lung diseases including asthma, uncorrected heart diseases, and genetic disorders)

ACE-2 Angiotensin converting enzyme -2; BCG Bacille Calmette-Guerin