Community-acquired pneumonia is a common and potentially seriousinfection that afflicts children throughout the world; it isfundamentally different in children and in adults. The annualincidence of pneumonia in children younger than 5 years of ageis 34 to 40 cases per 1000 in Europe and North America, higherthan at any other time of life, except perhaps in adults olderthan 75 or 80 years of age.1,2,3,4 In the developing world,pneumonia is not only more common than it is in Europe and NorthAmerica5,6,7; it is also more severe and is the largest killerof children.8,9
From the Division of Infectious Diseases, Children's Hospital, Boston.
Address reprint requests to Dr. McIntosh at Enders 609, Children's Hospital, 300 Longwood Ave., Boston, MA 02115, or at kenneth.mcintosh@tch.harvard.edu.
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