Conceptual Paper Volume 14 Issue 9 - 2025

Where Child and Neonatal Care is Headed in 2025: Lessons from a Year of Respiratory and Vector-Borne Surges

Akshay Jadhav1*, Pandurang Tukaram Jadhav2and Prajakta Balasaheb Deshmukh3

1Medical Council Number: KMC95007, Karnataka Medical Council and Consultant Pediatrician and Pediatric Intensivist, Cloudnine Hospital, Electronic City, Bengaluru and Clinical Director, RTWO Healthcare Solutions LLP, Bengaluru, India

2Medical Council Number: KMC20640, Karnataka Medical College and Professor and Head of the Department, Obstetrics and Gynecology, Al-Ameen Medical College and Hospital, Vijayapura, Karnataka, India

3Lecturer, D Y Patil Institute of Medical Sciences, Navi Mumbai, Maharashtra, India

*Corresponding Author: Akshay P Jadhav, Medical Council Number: KMC95007, Karnataka Medical Council and Consultant Pediatrician and Pediatric Intensivist, Cloudnine Hospital, Electronic City, Bengaluru and Clinical Director, RTWO Healthcare Solutions LLP, Bengaluru, India.
Received: August 14, 2025; Published: August 25, 2025



The past 12-18 months have been a stress test for child health systems worldwide. Influenza and RSV resurged in waves, measles and dengue re-emerged at scale, and climate-sensitive infections continued to push pediatric services to the brink. For India-mid-monsoon as this June issue goes to press-the headlines translate into very practical bedside decisions: when to immunize, how to triage, and where to invest in neonatal quality of care. This editorial distills what’s new, what’s surging this season, and what to prioritize now.

  1. Influenza Update No. 535 (July 2025): global/Asian activity and dominant subtypes (2025).
  2. CDC FluView (Week 29, 2025). 266 pediatric influenza deaths in the 2024-25 season (record high) (2025).
  3. ICMR-NIV (National Influenza Centre). Vaccination timing guidance for India’s monsoon vs. winter peaks.
  4. WHO Position Paper (WER, 2025). Recommendations for maternal RSV vaccine and nirsevimab for infants (2025).
  5. Effectiveness & duration of nirsevimab in first RSV season (summaries and FAQs).
  6. Immediate KMC evidence. NEJM iKMC Trial; WHO KMC guidance and job-aids.
  7. LaQshya/QoC for MNCH. BMC Pregnancy & Childbirth review (2024); WHO QoC resources (2024).
  8. Measles resurgence warnings. WHO/UNICEF communications on global outbreaks and immunity gaps.
  9. Dengue situation. PAHO 2024 record epidemic; CDC 2024-25 outbreak summary; India 2024 totals (NCVBDC-cited) (2024).

Akshay Jadhav., et al. “Where Child and Neonatal Care is Headed in 2025: Lessons from a Year of Respiratory and Vector-Borne Surges”. EC Paediatrics  14.9 (2025): 01-03.