Agreement: I Agree Body: Dear Editor Ahmed and colleagues describe a worrying slowing in neonatal, child, and adolescent mortality.[1] I think this is not only a problem in global estimates. It is also a clinical problem. In 2024, 4.9 million children still died before the age of five, and the decline has slowed since 2015.[2] Many of these deaths happen even though the needed care is already known. The care is simply not there at the right time. This is one reason why child survival should not