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To explore household transmissibility of SARS-CoV-2 in children in new-variants dominating periods. Through retrieval in PubMed and Embase, studies were included in two parts meta-analysis of the household secondary attack rate (SAR) and case analysis of household pediatric infections. A total of 95 articles were included 48 for meta-analysis and 47 for case analysis. Pediatric COVID-19 only comprised a minority of the household transmission. The total pooled household SAR of child index cases and contacts were 0.20 (95% confidence inte
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