The Delta variant, leading to COVID hospitalization surges in states with low vaccination rates, is forcing changes in pandemic management.

Delta has lead to an increase in the proportion of younger people, including children, to develop severe disease. It is unclear if this is an artifact of the higher level of vaccination in the older age group or if Delta is able to act in a more virulent fashion in the young. There is some indication that severe illness occurs more rapidly in young people and children infected with Delta than with original COVID.

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