Coronavirus Updates

Multi-System Inflammatory Syndrome in Children (MIS-C)

The NYC Department of Health is currently investigating cases Multi-System Inflammatory Syndrome in Children, or MIS-C (also known as PMIS), a new health condition appearing in children in New York City and elsewhere.

NYC Health’s Fact Sheet conveys new information about the syndrome, its symptoms, when to seek medical help, treatments, and preventative steps. Because MIS-C is associated with COVID-19, acting to keep your child from being exposed to COVID-19 continues to be essential.

MIS-C is a rare condition that is not contagious. However, because it is life-threatening, it is important to know the signs. Most children have a persistent, high fever lasting several days, along with other symptoms, including:

  • Irritability or sluggishness
  • Abdominal pain without another explanation
  • Diarrhea
  • Vomiting
  • Rash
  • Conjunctivitis, or red or pink eyes
  • Enlarged lymph node (“gland”) on one side of the neck
  • Red, cracked lips or red tongue that looks like a strawberry
  • Swollen hands and feet, which might also be red

You should call your doctor if your child becomes ill and has had continued fever. Your doctor will ask about your child’s symptoms and use that information to recommend next steps. If your child is severely ill, you should go to the nearest emergency room or call 911 immediately.

Although it is not yet known whether it is associated with COVID-19, it is important parents and children take precautions to prevent the spread of COVID-19.

Parents should help their children understand the importance of the following measures and ensure their children follow them:

  • As per NYS Executive Order No. 202.17, all people over the age of two who can medically tolerate a face covering must wear one when they are outside their home if they cannot maintain physical distance from others.
  • Physical distancing and good hygiene remain critical, even while wearing a face covering.
  • When outside the home, adults and children must maintain at least 6 feet of distance between themselves and others whenever possible.
  • Parents should remind children of the importance of good hand hygiene and should help ensure that children frequently wash their hands.

The health and safety of our communities remain our top priority, and we will continue to follow all guidance and take all appropriate measures to help keep our students, families, and staff members safe.

  • See the Messages for Families page for the letters from the Chancellor and Commissioner of Health
  • Contact 311 with any questions.

Our Commitment to Health and Safety

The health and safety of all of our students continues to be our first priority in the wake of the evolving situation around the novel coronavirus (COVID-19) in New York City. We encourage everyone in our school communities to listen to facts and not respond to fear.

It’s important we come together as a city and support one another as neighbors and New Yorkers during this time. COVID-19 is not more likely found in any one race or nationality, and we must each model inclusion and actively work to combat bias in our workplaces and communities.

Important Precautions

It is critical that all New Yorkers continue to practice general viral infection prevention measures including:
  • Wash your hands with soap and water often.
  • Cover your nose and mouth with a tissue or sleeve when sneezing or coughing.
  • Do not touch your face with unwashed hands.
  • Do not shake hands. Instead, wave or elbow bump.
  • Monitor your health more closely than usual for cold or flu symptoms. 
  • Get your flu shot – it’s never too late.
  • Reduce overcrowding by walking or biking to work, if possible.
  • If the train is too packed, wait for the next one. 

If You Feel Sick

  • Stay home and call your doctor if you have symptoms like coughing, shortness of breath, fever, sore throat.
  • If you do not feel better in 24-48 hours, contact your doctor.
  • Do not go to school or to work until you have been fever-free for at least 72 hours without the use of fever reducing drugs like Tylenol or ibuprofen.
  • If you need help getting medical care, call 311.

For More Information

  • Please read the Health Department’s What You Need to Know factsheet for more information.
  • Visit nyc.gov/coronavirus at any time for important updates, including ways to fight stigma and bias around this issue.
  • You can print the information on this page on the one page overview, and print and hang this graphic flyer at your school, office, or building.
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