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COUNT the breaths in one minute. Normal breathing rates are higher in children age 2 months up to 12 months than in children age 12 months up to 5 years. For this reason, the cutoff for identifying fast breathing is higher in children 2 months up to 12 months than in children age 12 months up to 5 years.
If the child is The child has fast breathing if you count 2 months up to 12 months
12 months up to 5 years
50 breaths per minute or more 40 breaths per minute or more
Note: The child who is exactly 12 months old has fast breathing if you count 40 breaths per minute or more.
LOOK for chest indrawing. For
chest indrawing to be present, it must be clearly visible and present all the time. If you only see chest indrawing when the child is crying or feeding, the child does not have chest indrawing.
Any chest indrawing, even if it is not severe, is an indicator of severe pneumonia in a child age 2 months up to 5 years.
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