If someone takes a new picture of a child being abused, that won't be on the database so won't get flagged.
Are they expecting child-abusers to take photos of existing photos of children being abused?
Or are they hoping to catch abusers sending each other known photos of child abuse unencrypted? Because that's:
a: stupid (the even-remotely-smart abusers will encrypt their abuse) and
b: rife for mis-use (I, using a non-Apple device, send your Apple device a photo of abuse. You're now flagged as an abuser and your life shuts down)
As others have said, I don't think this has anything to do with child abuse, because it plain doesn't work as a method of preventing child abuse. It totally works for flagging "politically unacceptable" images, though. Maybe the CCP got fed up of all those memes?