The reports on mortality and morbidity from diarrhoea and pneumonia in severely malnourished children in association with vitamin A supplementation are conflicting. In the 21st IVACG meeting three papers were reviewed. They observed no significant difference in mortality (8% vs. 8.4% and 8.8%) in high and low dose of vitamin A and placebo group [15]. Yet another study also failed to show any significant reduction (16.8 vs. 12.4%) in the mortality in patients receiving high or low dose of vitamin A [43]. However, in sub-group analysis deaths were significantly lower among oedematous children who received low dose vitamin A on admission [44]. A meta-analysis observed substantial reduction in mortality in association with vitamin A supplementation in population where at least low-level deficiency state was prevalent, and the effect was independent of dose, sex and age, and the effect was more pronounced for incidence of diarrhoea than for respiratory diseases [45]. However, no difference in morbidity (frequency, duration, or prevalence) from diarrhoeal or respiratory diseases was noted (Ghana VAST Study Team) [46] among stunted children in Ghana.