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Letters |1 July 1994

Preventing Rheumatic Heart Disease in Developing Countries

Richard H. Marcus, MD

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  • University of Chicago; Chicago, IL 60637
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We thank Dr. Schwankhaus for his interesting and provocative correspondence. His description of the overcrowded conditions and disproportionately high relative prevalence of rheumatic heart disease in the cardiology ward of the Bach Mai Hospital in Hanoi, Vietnam, are unfortunately all too familiar and appear to parallel our experience among blacks in South Africa [1]. Indeed, the extremely high prevalence of rheumatic heart disease among the Vietnamese is similar to that reported 21 years ago among school children in Soweto near Johannesburg, South Africa [2]. One wonders what proportion of the patients observed by Dr. Schwankhaus was...
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Marcus RH. Preventing Rheumatic Heart Disease in Developing Countries. Ann Intern Med. 1994;121:77. doi: https://doi.org/10.7326/0003-4819-121-1-199407010-00031

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Published: Ann Intern Med. 1994;121(1):77.

DOI: 10.7326/0003-4819-121-1-199407010-00031

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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