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Reducing rheumatic heart disease in Africa — time for action

Rheumatic heart disease (RHD) key opinion leaders, health ministers, clinicians, and industry representatives gathered in Ethiopia in February 2015. The question: how to eradicate RHD in Africa. The response: the Addis Ababa communiqué, a practical document outlining seven major barriers to RHD control in Africa and seven strategies to address them.

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References

  1. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 386, 743–800 (2015).

  2. Zuhlke, L. et al. Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the Global Rheumatic Heart Disease Registry (the REMEDY study). Eur. Heart J. 36, 1115a–1122a (2015).

    Article  Google Scholar 

  3. Watkins, D. et al. Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communiqué. Cardiovasc. J. Afr. http://dx.doi.org/10.5830/CVJA-2015-090 (2016).

  4. Wyber, R., Taubert, K., Marko, S. & Kaplan, E. L. Benzathine penicillin G for the management of RHD: concerns about quality and access, and opportunities for intervention and improvement. Global Heart. 8, 227–234 (2013).

    Article  Google Scholar 

  5. Diao, M. et al. Pregnancy in women with heart disease in Sub-Saharan Africa. Arch. Cardiovasc. Dis. 104, 370–374 (2011).

    Article  Google Scholar 

  6. Kwan, G. F. et al. A simplified echocardiographic strategy for heart failure diagnosis and management within an integrated noncommunicable disease clinic at district hospital level for Sub-Saharan Africa. JACC Heart Fail. 1, 230–236 (2013).

    Article  Google Scholar 

  7. Jenkins, K. J. et al. Reducing mortality and infections after congenital heart surgery in the developing world. Pediatrics 134, e1422–e1430 (2014).

    Article  Google Scholar 

  8. Watkins, D. A., Mvundura, M., Nordet, P. & Mayosi, B. M. A cost-effectiveness analysis of a program to control rheumatic fever and rheumatic heart disease in Pinar del Rio, Cuba. PLoS ONE 10, e0121363 (2015).

    Article  Google Scholar 

  9. Arguedas, A. & Mohs, E. Prevention of rheumatic fever in Costa Rica. J. Pediatr. 121, 569–572 (1992).

    Article  CAS  Google Scholar 

  10. Longenecker, C. T. et al. Management of rheumatic heart disease in uganda: the emerging epidemic of non-AIDS comorbidity in resource-limited settings. J. Acquir. Immune Def. Syndr. 65, e79–e80 (2014).

    Article  Google Scholar 

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Correspondence to Craig Sable.

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RhEACH

WiRED International

RHD Action Alliance

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Beaton, A., Sable, C. Reducing rheumatic heart disease in Africa — time for action. Nat Rev Cardiol 13, 190–191 (2016). https://doi.org/10.1038/nrcardio.2016.28

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