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The edition · Paediatrics

Maternal RSV vaccination cut infant hospital admissions by 61%

The UK's national programme, now in steady state, prevented three quarters of RSV admissions in the first three months of life. Plus an 81% reduction in influenza hospitalisation from antivirals started within 48 hours, and one in five schoolchildren turning to AI for emotional support.

The edition in brief

The clearest finding today is a real-world one. A national test-negative case-control study at 37 UK hospitals enrolled 694 infants under 6 months admitted with acute lower respiratory infection between September 2025 and January 2026. Adjusted effectiveness of maternal bivalent RSVpreF vaccination against RSV hospital admission was 61% (95% CI 38 to 75) up to 6 months, and 76% (54 to 87) up to 3 months. The overall programme effectiveness, including infant monoclonal antibody, was 61% (39 to 75). The American Academy of Pediatrics has published its 2026-27 RSV policy statement alongside this, recommending immunisation for all infants under 8 months entering their first season unless the pregnant parent was vaccinated, and expanding the high-risk criteria for children aged 8 to 19 months entering a second season. A matched case-control study of 1,492 Taiwanese children with laboratory-confirmed influenza found antiviral therapy started within 48 hours of symptom onset was associated with an 81% lower risk of hospitalisation (adjusted odds ratio 0.19, 95% CI 0.14 to 0.27), consistent in children under and over 5 years. A cross-sectional survey of 39,761 Ontario students in grades 4 to 12 found 21.1% used generative AI for emotional support. Those students had clinical-threshold emotional problems at 57.7% versus 29.2% (prevalence ratio 1.98), an association that persisted after adjustment for loneliness and mattering. A pooled ECHO cohort analysis of 3,339 mother-child pairs found no association between prenatal organophosphate exposure and autism-related traits after full adjustment.

In this edition
01Clinical update

Maternal RSV vaccination works in the real world, and works best in the youngest infants

Maternal RSVpreF vaccination prevented 76% of RSV hospital admissions in the first three months of life and 61% through six months in routine national use.

2 min · The Lancet. Child & adolescent healthRead →
02Practice changer

Influenza antivirals within 48 hours cut paediatric hospitalisation by 81%

In a child with influenza and any risk factor, start an antiviral within 48 hours of symptom onset rather than waiting for confirmation — early treatment was associated with an 81% lower hospitalisation risk.

2 min · PediatricsRead →
03Regulatory

AAP widens RSV immunisation for the 2026-27 season

For the 2026-27 season the AAP recommends RSV immunisation for all infants under 8 months entering their first season unless the pregnant parent was vaccinated, and has widened the high-risk criteria for the 8 to 19 month second-season group.

2 min · PediatricsRead →
04Research

One in five schoolchildren use AI for emotional support, and they are the distressed ones

Ask adolescents whether they turn to AI for emotional support — one in five do, and those who do have roughly twice the rate of clinical emotional problems.

2 min · JAMA pediatricsRead →
05Research

Prenatal organophosphate exposure was not linked to autism traits

Prenatal organophosphate exposure at typical dietary levels showed no association with autism-related traits in 3,339 children — but this says nothing about occupational or agricultural exposure.

2 min · JAMA pediatricsRead →
06Pearl

The bronchiolitis discharge conversation that prevents the second visit

Tell every bronchiolitis family that day three to five is the peak and give specific return criteria — the predictable deterioration is what brings them back, not a missed diagnosis.

2 minRead →

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