Lo Vecchio A, Smarrazzo A, Amato C, et al. - Via this prospective cohort study (January 1, 2009–December 31, 2018) performed including children < 18 years who received diagnosis of TB at the Campania Region Pediatric Reference Centre (CRRC), researchers sought to determine trends in TB notification rates, correlation with migration, and changes in clinical outcomes of children living in Campania. They identified a total of 146 children (52.1% male; median age, 50 months; interquartile range, 96.33) receiving a diagnosis of TB. Observations suggest that in the last 10 years, there has been an increase in pediatric TB rate in Campania in association with the increase in migration. Important disparities in local infection trends may be disregarded and there may be limited medical awareness about TB when emphasizing national TB rates. Tailored management programs may be required for foreign children.