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The article comments on the paper "Respiratory Syncytial Virus Infection and Disease in Infants and Young Children Studied From Birth in Kilifi District, Kenya," by J. D. Nokes and colleagues, published within this issue. Findings of this paper suggest that respiratory viral infections is a significant cause of severe respiratory infections among children in a developing country like Kenya. The authors discuss the need to conduct active community surveillance to determine this disease's burden.