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.
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.
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.
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.
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.
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.
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.
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