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Abstract : Pneumonia is a prominent cause of illness and death in children under the age of five years. Zinc supplement may have a critical protective function in pediatric pneumonia. To evaluate the role of zinc supplement in children suffering severe pneumonia in relation with their sociodemographic and clinical findings. A total of 250 patients with acute pneumonia were selected aged 2-59 months. Patient were randomly divided into two groups; each received the standard treatments with or without zinc supplement. Patients were assessed for general condition, fever respiratory rate, respiratory indrawing, stridor and wheezes every 6 hours for 3 days. The primary outcome was the rate of recovery, which was defined as proportion of patients who showed absence of lower chest indrawing and other danger signs within up to 48 h after starting treatment. The rate of recovery from severe pneumonia in children who received zinc supplementation in addition to their routine medical therapy was 66.4%, while the rate among those who didn’t receive zinc was 24.0%. Majority of children in both groups were males. Supplemental zinc supplementation has been shown to accelerate the healing process and improve clinical symptoms in children with severe pneumonia. Zinc supplementation is advised in conjunction with standard antibiotic therapy.