# ISPPD vs ECFS 2026

The clearest difference is iOS requirement: ECFS 2026 at 13.0 against ISPPD's 15.4. On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

## The numbers

| Metric | ISPPD | ECFS 2026 |
| --- | --- | --- |
| Price | Free | Free |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | — | Every 2 weeks |
| Size | 21 MB | 75 MB |
| Requires iOS | 15.4 | **13.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 17+ | 17+ |
| Developer | [International Symposium on Pneumococci and Pneumococcal Diseases Association](https://appshunter.io/developer/1622856380) | [European Cystic Fibrosis Society -Ecfs](https://appshunter.io/developer/1462889610) |

## What reviewers say

### ISPPD

[App page](https://appshunter.io/ios/app/isppd-14/id6761549747)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### ECFS 2026

[App page](https://appshunter.io/ios/app/ecfs-2026/id6762371166)

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is ISPPD free?

ISPPD is free to download, with no in-app purchases.

### Is ECFS 2026 free?

ECFS 2026 is free to download, with no in-app purchases.

### Do ISPPD or ECFS 2026 have ads?

Neither ISPPD nor ECFS 2026 shows ads.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*