<prompt> Chandu, a one year old child should be admitted in hospital for following complains exceptRefusal of feedRespiratory rate of 50 per minute with chest retractionFever 39CDifficulty in waking  <response>: A sick child is classified as having Very severe Respiratory Disease U. he shows any of the following signs : 2 months to 5 years :Not able to drinkConvulsionAbnormally sleepy or difficult to wakeStridor in a calm child.Severe malnutrition Also, the most important signs to consider if a child has pneumonia are :Childs Respiratory Rate : - Fast breathing is present when the R.R. is -60 breathsmin or more in a child less than 2 months of age50 breaths min or more in a child aged 2 months to 12 months40 breaths min or more in a child aged 12 months to 15 years2. Chest In-drawing :A child with very severe disease or with severe pneumonia needs to be referred urgently to the hospital. In the question above, child is 1 year of age, and hence, fever is not used as a criteria for classifying the disease as severe which is used as a criteria in infants 2 months of ageAlso, respiratory rate of 50 here is significant in accordance with the age for a child 12 months old, it would have been normal. 