0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Rheumatic Heart Disease in Developing Countries: The Consequence of Inadequate Prevention

Margaret J. McLaren, MB, BCH; Milton Markowitz, MD; and Michael A. Gerber, MD
[+] Article and Author Information

University of Connecticut School of Medicine, Farmington, CT 06030-1515. Requests for Reprints: Reprints will not be available.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1994;120(3):243-245. doi:10.7326/0003-4819-120-3-199402010-00012
Text Size: A A A

In economically developed countries, rheumatic fever and rheumatic heart disease have become uncommon health problems. In contrast, in Third World areas such as India, the Middle East, sub-Saharan Africa, and Latin America, rheumatic fever remains the leading cause of heart disease in children and young adults [13]. The epidemiology of rheumatic fever and rheumatic heart disease in South Africa is particularly interesting because both of these disparate trends exist simultaneously in the same country. Among the white minority, who have experienced a more privileged socioeconomic and health care status under the apartheid system, rheumatic fever has decreased, as it has in economically developed countries [4]. Among the sociopolitically deprived black majority, the trends are comparable with those of Third World communities. Twenty-one years ago, a screening study [5] for rheumatic heart disease among 12 050 school children in Soweto (the large black ghetto area near Johannesburg) showed the highest reported prevalence of this disease at the time: 6.9 per 1000 children overall, with a maximum of 20 per 1000 among 7th and 8th grade children. The investigators [5] concluded that “a comprehensive prevention campaign is urgently needed, directed at both primary and secondary prevention of rheumatic heart disease”.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)