Another is normally that it creates life less complicated for editors: finding appropriate peer reviewers who are prepared to review in a timely manner can be both tough and time consuming. A third reason may be that journals and publishers are multinational increasingly. During the past, the editor and editorial panel of a journal understood both the scientific field it covered and the people working in it, but it’s extremely difficult to become sufficiently well connected when both editors and submissions result from all over the world. Having authors suggest the very best reviewers may therefore seem like a good idea. In the aftermath of the recent scandals involving fake peer reviewers, many journals are determined to carefully turn off the reviewer-suggestion option on their manuscript-submission systems.Messonnier, M.D., Elizabeth R. Zell, M.Stat., Ruth Lynfield, M.D., James L. Hadler, M.D., M.P.H., Lee H. Harrison, M.D., Monica M. Farley, M.D., Arthur Reingold, M.D., Nancy M. Bennett, M.D., Allen S. Craig, M.D., William Schaffner, M.D., Ann Thomas, M.D., Melissa M. Lewis, M.P.H., Elaine Scallan, Ph.D., and Anne Schuchat, M.D.1-4 Between 1986 and 1995, the incidence of bacterial meningitis from these five pathogens declined by 55 percent, largely due to the usage of the H. Influenzae type b conjugate vaccine for infants, that was introduced in the usa in 1990.5 Since then, additional interventions to prevent invasive disease from these pathogens have already been introduced6-8 . With the launch of the heptavalent protein-polysaccharide pneumococcal conjugate vaccine in 2000, invasive pneumococcal disease declined by 75 percent among kids under 5 years and by 31 percent among adults 65 years or older.9,10 Because the age of the individual manuals empirical antimicrobial therapy for purulent meningitis,11 the effect of prevention strategies on the current epidemiology of bacterial meningitis continues to be important to define.