A saving grace of the COVID-19 pandemic in high-income and upper middle-incomecountries has been the relative sparing of children. As the disease spreads across low-income and middle-income countries(LMICs), long-standing system vulnerabil-ities may tragically manifest, and we worry that children will be increasingly impacted, both directly and indirectly. Drawing on our shared child pneumonia experience glob-ally, we highlight these potential impacts on children in LMICs and propose actions for a collective response.
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