In their study published in the October issue of Archives, Coleman-Phox et al1 conclude that fan use may be an effective intervention for further decreasing sudden infant death syndrome (SIDS) incidence. They claim that fan use during sleep was associated with a 72% reduction in SIDS risk. Although their results are thought provoking and have drawn major media attention, there are a number of methodological flaws in the article that raise questions about its conclusions.