Letter from the editor, October 2025

Greetings!

This is our vaccine issue, which provides some very practical and useful information, given the chaos surrounding vaccine recommendations over the past 6 months. I hope you find the information useful for vaccinating your patients.

• The Pediatric Pharmacology section includes a very practical, excellent article that discusses the role and advantages of using combination vaccines in pediatric care. It also presents combination vaccines that are available and those in development.
• The Infectious Diseases section article importantly highlights the trending topics in pediatric vaccines, including new developments, updated vaccine recommendations, and timely and practical clinical considerations.
• The Respiratory Disorders section reviews an important article that provides information on the high effectiveness of nirsevimab in protecting healthy term infants against respiratory syncytial virus, with implications for continued broad seasonal prevention. This article is excellent in showing the outstanding protection of this monoclonal antibody.
• The Mental Health section continues with part 2 of the HEADS FIRST series, which offers guidance and deeper insights into the importance of assessing adolescent psychosocial health.
• The Nutrition section reviews research that links a proinflammatory diet during pregnancy to an increased diabetes risk in offspring, highlighting the extreme importance of maternal nutrition.
• The Dermatology section presents a case of a male child with a torn frenulum that provides a great review of the clinical scenario and helps to sharpen your diagnostic thinking. Put your thinking caps on!

As always, thank you for providing outstanding patient care, especially during this challenging time. As the old adage goes, “There is no vaccine against stupidity.” Please make time to take care of yourselves and enjoy the cooler, sunny weather.

Please stay safe and well. And, as always, I welcome your suggestions, comments, and questions.

With warm regards,

Tina Q. Tan, MD, FAAP, FIDSA, FPIDS, editor in chief