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Rheumatic heart disease across the Western Pacific: Not just a Pacific Island problem

Abouzeid, Marian, Katzenellenbogen, J, Wyber, R, Watkins, D, Johnson, TD and Carapetis, J 2017, Rheumatic heart disease across the Western Pacific: Not just a Pacific Island problem, Heart Asia, vol. 9, no. 2, doi: 10.1136/heartasia-2017-010948.

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Title Rheumatic heart disease across the Western Pacific: Not just a Pacific Island problem
Author(s) Abouzeid, MarianORCID iD for Abouzeid, Marian orcid.org/0000-0001-9673-5252
Katzenellenbogen, J
Wyber, R
Watkins, D
Johnson, TD
Carapetis, J
Journal name Heart Asia
Volume number 9
Issue number 2
Publisher p
Publication date 2017-10-01
ISSN 1759-1104
Summary Some of the highest recorded rheumatic heart disease (RHD) prevalence and mortality rates are from the World Health Organization's Western Pacific Region (WPR). RHD burden has been well documented in much of the WPR subregion of Oceania, but less is known about RHD outside the Pacific Islands and Australasia. We aimed to review RHD burden in WPR outside Oceania to identify countries with high RHD burden and those with contemporary data gaps. We searched the peer-reviewed literature for English-language primary studies published between 1980 and April 2017 that reported RHD prevalence or mortality in the 13 WPR countries/areas outside Oceania, and Taiwan. We also searched for official government reports and health indicator documents. Results were synthesised narratively and reported stratified by 2015 Human Development Index (HDI) level. 30 peer-reviewed publications fulfilling inclusion criteria were identified, representing nine countries/areas. RHD prevalence and mortality have fallen in association with economic development, particularly in very high HDI countries. In several countries that have undergone recent economic development, RHD persists particularly among older populations. In poorer WPR countries there is a persistent RHD burden, including in young populations. Some countries had no available data. Although RHD burden has declined in many high-resource settings across the WPR, in several poorer countries, the impact of RHD appears to continue. Elsewhere, insufficient contemporary data make it difficult to gauge the current status of RHD burden and control. Concerted efforts are needed to fill information gaps and implement action to address this avoidable disease.
DOI 10.1136/heartasia-2017-010948
Indigenous content off
Field of Research 1102 Cardiorespiratory Medicine and Haematology
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30157697

Document type: Journal Article
Collections: Faculty of Arts and Education
Alfred Deakin Institute for Citizenship and Globalisation
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.