Just four months had passed since Ramon Ramirez buried his wife and now, here he was, hospitalized himself with COVID-19. The prognosis was dire, and the fate of his younger children consumed him. Before ending his final video call with his oldest, a 29-year-old single mother of two, he had one final request: “Take care of your brothers.”

Before long, he was added to the rolls of the pandemic’s dead, and his daughter, Marlene Torres, was handed the crushing task of making good on her promise. Overnight, her home ballooned, with her four siblings, ages 11 to 19, joining her own two children, 2 and 8.

The emotional and financial demands are so overwhelming that Torres finds herself pleading to the heavens. “Please help me,” she begs her parents. “Guide me.”

As the U.S. approaches the milestone of 200,000 pandemic deaths, the pain repeats: An Ohio boy, too young for words of his own, who plants a kiss on a photo of his dead mother. A New Jersey toddler, months ago the center of a joyous, balloon-filled birthday, now in therapy over the loss of her father. Three siblings in Michigan who lost both parents, thrusting the oldest child, a 21 year old, into the role of parent to his sisters.

With eight in 10 American virus victims age 65 and older, it’s easy to view the young as having been spared its wrath. But among the dead are an untold number of parents who’ve left behind children that constitute another kind of victim.

Micah Terry, 11, of Clinton Township, Michigan, misses seeing his dad at his karate classes, stopping by his father’s workplace, and sneaking in chicken nuggets with him at the movies. At his saddest points, he talks about him all day. But his brother, 16-year-old Joshua, grows quiet when the grief hits, channeling his feelings through the piano, which he learned to play from his father.

“My dad was my best friend,” Joshua says about Marshall Terry III, who died in April. “My goal is to make him proud while he watches from heaven.”

In Waldwick, New Jersey, Pamela Addison’s 10-month-old son Graeme is bubbly and doesn’t seem to notice his father is missing, but it’s different for her daughter, Elsie. Addison sees the tot’s last truly happy day as her birthday in March, when Papa bought balloons and the virus seemed a distant threat.

Martin Addison was dead a month later at 44; today, Elsie, at the tender age of 2, is in grief counseling to handle it all.

“She’s having a difficult time adjusting to the fact he’s not coming home,” Addison says.

Four-year-old Zavion and 2-year-old Jazzmyn have been taken in by siblings after the death of their mother, 50-year-old Lunisol Guzman of Newark, New Jersey, who had adopted them when she was in her 40s. The oldest of her other three children, Katherine and Jennifer Guzman, swiftly decided to seek guardianship.

“These kids are our family,” Katherine said. “For us, it was a no-brainer.”

She says that Zavion and Jazzmyn are mostly resilient, but occasionally utter the same simple, heartbreaking sentence: “I miss mommy.”

No authoritative count of parents of minors lost to the coronavirus has been tallied, but it appears certain to run into the thousands in the U.S. Some children are now landing in the homes of grandparents like Anadelia Diaz, whose 29-year-old daughter, a single mother of three, died of COVID-19.

“I don’t call it a burden,” says Diaz, of Lake Worth, Florida. “It’s unconditional love.”

Her 15-year-old grandson has long lived with her, but Diaz feels like a new mother again, aching from racing after two little ones