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Fig 1.

PRISMA flowchart.

a Included two manually extracted article. b No national data from North Korea and Turkmenistan was identified. c Aggregated data from more than one eligible reports identified, screened, and included for data analysis/synthesis for 6 countries (Estonia, Namibia, Romania, Rwanda, United Kingdom, and the United States of America). d National reports from 8 countries (Burkina Faso, Cyprus, Guinea, Kazakhstan, Kenya, Oman, Pakistan, and Trinidad Tobago) were not included into primary analysis because they were reported more than 2 months before the date of final search (Dec 7, 2020), but they are included into the sensitivity analysis. MIS-C: Multisystem inflammatory syndrome in children.

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Fig 2.

World map of national pediatric COVID-19 deaths (/1,000,000 children).

The map was built with the geographic information system QGIS (v3.10, https://qgis.org) and the World Bank Official Boundaries Data Set (https://datacatalog.worldbank.org/dataset/world-bank-official-boundaries). Deaths are presented per million children. Countries of no pediatric case reported includes the country clearly report that there was no confirmed case in children in the national report as of December 7, 2020. National reports published more than 2 months before December 7 were included, if the countries were CDC COVID-19 Level 1 (low transmission) since the date of report.

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Fig 3.

Pediatric COVID-19 deaths (/1,000,000 children) by country income.

The ranges are presented by 95% confidence intervals of each proportion. Global includes all countries defined by World income. Abbreviations: HICs, high-income countries; LMICs, low- and middle-income countries; MICs, middle-income countries; LICs, low-income countries.

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Fig 4.

Age-specific deaths and ICU admissions (/1,000,000 children).

A. Age-specific deaths (/1,000,000 children). B. Age-specific ICU admissions (1,000,000 children). Age-specific national data with up to one year difference of age buckets were included. For example, age-specific national data reporting outcomes of 1–5 years and 10–15 years were included in our calculation of 1–4 years and 10–14 years. Abbreviations: y, years.

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