TABLE 1

Rationale for Eventual Mandatory Pediatric SARS-Cov-2 Immunization

1. Although uncommon, severe COVID does occur in children in the form of MIS-C and pulmonary disease.
2. Children do become infected and excrete virus that could infect parents, teachers, and other children.
3. Because childhood infection is often asymptomatic, other precautions will not suffice.
4. If strain change decreases long-lasting immunity, children will at least be primed for an accelerated response to infection or revaccination.
5. Vaccination of children will be needed to reach high coverage and, potentially, herd immunity.
6. Viral mutations are generating variants, such as the one from the United Kingdom, that are spreading more readily to children.
7. Pediatric vaccination programs have a highly successful international track record in making major advances in reducing infectious diseases.
8. There is a well-developed international infrastructure for pediatric immunization that will be a practical path to ensure global immunization against SARS-CoV-2.
9. After immunizing teachers, pediatric vaccination will further accelerate opening of schools and normalizing children’s activities key to their well-being and parental work productivity.
10. As is the case for other vaccines, mandatory vaccination of children guarantees high coverage, as opposed to strictly voluntary vaccination.