PO649 Tools For Implementing Rheumatic Heart Disease Control Programmes 2nd Edition Update

Wyber, Rosemary; Johnson, Traci; Perkins, Susan; Watkins, David; Vincente, Sophie La; Mwangi, Jeremiah; Carapetis, Jonathan R.; Zühlke, Liesl

doi:10.1016/j.gheart.2018.09.504

Cited by 10 publications

(22 citation statements)

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“…Register-based RHD control programs are recognised as an effective approach to disease control. 62,255 However, maintenance of a register and recall system for secondary prophylaxis is just one element of what should be a comprehensive strategy. The disease trajectory and opportunities for prevention of Streptococcus pyogenes infection, ARF and RHD necessitate a policy response, and practice changes, across a range of sectors.…”

Section: S24mentioning

confidence: 99%

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Ending rheumatic heart disease in Australia: the evidence for a new approach

Wyber¹,

Noonan²,

Halkon³

et al. 2020

Medical Journal of Australia

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on behalf of the END RHD CRE Investigators Collaborators Acknowledgements: • Children, families and communities living with RHD-We thank the Aboriginal and Torres Strait Islander people for sharing their stories in the Endgame Strategy, and acknowledge that the research and data in this publication reflect the experiences of Aboriginal and Torres Strait Islander people and communities affected by the ongoing trauma of ARF and RHD. • END RHD Review Working Group-We thank the following members of the END RHD Alliance, who formed an expert working group to review content of the Endgame Strategy for feasibility and acceptability, including review from a cultural perspective:

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Section: S24mentioning

confidence: 99%

“…Register‐based RHD control programs are recognised as an effective approach to disease control 62,255. However, maintenance of a register and recall system for secondary prophylaxis is just one element of what should be a comprehensive strategy.…”

Section: Chapter 6 Getting It Done: a New Approach Will End Rhdmentioning

confidence: 99%

Ending rheumatic heart disease in Australia: the evidence for a new approach

Wyber¹,

Noonan²,

Halkon³

et al. 2020

Medical Journal of Australia

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“…The prevention and management of ARF and RHD in endemic areas has been well outlined in the Tools for Implementing Rheumatic Heart Disease Control Programmes (TIPs) Handbook [ 25 ]. The handbook broadly focused on comprehensive programmes, drawing from evidence from the historical studies of comprehensive programmes implemented mostly in the 1950s–1980s.…”

Section: Discussionmentioning

confidence: 99%

Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review protocol

et al. 2021

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Background Rheumatic heart disease is preventable, yet associated with significant health burden, mostly in low-resourced settings. It is prevalent among children and young adults living in impoverished areas. Primordial, primary, and secondary preventive measures have been recommended through health interventions and comprehensive programmes, although most implemented interventions are the high-resourced settings. The proposed review aims to synthesise the evidence of prevention effectiveness of implemented health interventions for the prevention of rheumatic heart disease. Methods and design This article describes a protocol for a systematic review. A predefined search strategy will be used to search for relevant literature published from the year 2000 to present. Electronic databases Medline, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials will be searched for the studies, as well as reference lists of relevant studies included. Risk of bias and quality appraisal will be done for the included studies using ROBINS-I tool and Cochrane tool for assessing risk of bias in randomised control trials. Findings will be analysed in subgroups based on the level of intervention and prevention strategy implemented. We will present the findings in descriptive formats with tables and flow diagrams. Discussion This review will provide evidence on the prevention effectiveness of interventions or strategies implemented for the prevention of RHD. The findings of this will be significant for policy, practice, and research in countries planning to implement interventions. Registration PROSPERO ID: CRD42020170503.

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“…The early 2000s saw a shift in policy and political will related to RHD, no doubt galvanised by increasing advocacy and locally-driven initiatives, and supported by increasing evidence of the global burden of RHD [ 1 50 51 52 53 54 55 56 57 58 ]. Several LMICs have formed national programs dedicated to RHD prevention and control [ 59 60 61 62 ], with a 2013 World Heart Federation (WHF) goal of a 25% reduction in premature deaths from RF/RHD among individuals aged <25 years by the year 2025 [ 63 ]. An important development has been the increased focus on (and working with) people living with RHD and frontline health workers delivering essential RHD services [ 64 65 66 67 68 69 70 ].…”

Section: The Shifting Global Burden Of Rhdmentioning

confidence: 99%

Rheumatic Heart Disease in Pregnancy: New Strategies for an Old Disease?

et al. 2021

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RHD in pregnancy (RHD-P) is associated with an increased burden of maternal and perinatal morbidity and mortality. A sequellae of rheumatic fever resulting in heart valve damage if untreated, RHD is twice as common in women. In providing an historical overview, this commentary provides context for prevention and treatment in the 21 st century.Four underlying themes inform much of the literature on RHD-P: its association with inequities; often-complex care requirements; demands for integrated care models, and a life-course approach. While there have been some gains particularly in awareness, strengthened policies and funding strategies are required to sustain improvements in the RHD landscape and consequently improve outcomes.As the principal heart disease seen in pregnant women in endemic regions, it is unlikely that the Sustainable Development Goal 3 target of reduced global maternal mortality ratio can be met by 2030 if RHD is not better addressed for women and girls.

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PO649 Tools For Implementing Rheumatic Heart Disease Control Programmes 2nd Edition Update

Cited by 10 publications

References 0 publications

Ending rheumatic heart disease in Australia: the evidence for a new approach

Ending rheumatic heart disease in Australia: the evidence for a new approach

Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review protocol

Rheumatic Heart Disease in Pregnancy: New Strategies for an Old Disease?

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