We used to see cases of common cold, CSOM, pneumonia and tonsillitis in 1990s in our pediatric OPD experience.1 The most important cases that we came across in the community were ARI/pneumonia2 and the topmost inpatient case out of top ten inpatients in a pediatric ward of a medical college hospital was pneumonia.3 Pneumonia was the most important cause of high mortality in pediatric inpatients as well followed by PEM, ‘encephalitis like disease’ diarrhea and meningitis.WHO and UNICEF have emphasized on the case detection and management of pneumonia through Integrated Management of Childhood Illness (IMCI) training.4