The Child Neurology Society International Affairs Committee is actively involved, in partnership with the International Child Neurology Association in ongoing educational programming and infrastructure development throughout the world. Long term programs launched in Pakistan, Ecuador, Ghana and Tanzania variously involving educational programs and training provided by child neurologists, nurses and nutritionists, donation of EEG machine and training of EEG techs, surgeries and donation of VNS have been impactful. Virtual meetings in 2020 in Pakistan, China, Mexico, Colombia, Chile, El Salvador and Ecuador maintained progress in increasing engagement and support for the international child neurology community despite the restrictions of COVID-19. Planning for new or ongoing programming in Mexico, Colombia, Chile, Bangaledesh, Ethiopia, Cuba, Argentina, El Salvador, Ecuador and Pakistan continues. CNS members willing to contribute time and talent are urged to contact, and perhaps join the International Affairs Committee, CNS members and friends willing to contribute funds are always needed and welcome.