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It is increasingly accepted that the incidence of epilepsy in childhood is in slow decline. However, there are recent population-based studies that show wide variation within and between countries. For example, investigators from Italy reported a rate of 31 per 100,000 children in 2014 [21] and 79 per 100,000 ([2] in 2019 while in Finland the rate varied from 38 [51] to 87 per 100,000 ([41]). Few studies have reported changes in the incidence of childhood epilepsy in the same population. A Danish study [10] and a Finnish study ([41]) found an increase in incidence until the 1990s, but also suggested a deceasing incidence since the 1990s.