Global research priorities in rheumatic fever and rheumatic heart disease

We now stand at a critical juncture for rheumatic fever (RF) and rheumatic heart disease (RHD) control. In recent years, we have seen a surge of interest in these diseases in regions of the world where RF/RHD mostly occur. This brings real opportunities to make dramatic progress in the next few year...

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Main Authors: Carapetis Jonathan, Zühlke Liesl
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2011;volume=4;issue=1;spage=4;epage=12;aulast=Carapetis
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author Carapetis Jonathan
Zühlke Liesl
author_facet Carapetis Jonathan
Zühlke Liesl
author_sort Carapetis Jonathan
collection DOAJ
description We now stand at a critical juncture for rheumatic fever (RF) and rheumatic heart disease (RHD) control. In recent years, we have seen a surge of interest in these diseases in regions of the world where RF/RHD mostly occur. This brings real opportunities to make dramatic progress in the next few years, but also real risks if we miss these opportunities. Most public health and clinical approaches in RF/RHD arose directly from programmes of research. Many unanswered questions remain, including those around how to implement what we know will work, so research will continue to be essential in our efforts to bring a global solution to this disease. Here we outline our proposed research priorities in RF/RHD for the coming decade, grouped under the following four challenges: Translating what we know already into practical RHD control; How to identify people with RHD earlier, so that preventive measures have a higher chance of success; Better understanding of disease pathogenesis, with a view to improved diagnosis and treatment of ARF and RHD; and Finding an effective approach to primary prevention. We propose a mixture of basic, applied, and implementation science. With concerted efforts, strong links to clinical and public health infrastructure, and advocacy and funding support from the international community, there are good prospects for controlling these RF and RHD over the next decade.
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spelling doaj.art-d57b367ee37e4269b29398e09352d2812022-12-21T23:35:14ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20690974-51492011-01-0141412Global research priorities in rheumatic fever and rheumatic heart diseaseCarapetis JonathanZühlke LieslWe now stand at a critical juncture for rheumatic fever (RF) and rheumatic heart disease (RHD) control. In recent years, we have seen a surge of interest in these diseases in regions of the world where RF/RHD mostly occur. This brings real opportunities to make dramatic progress in the next few years, but also real risks if we miss these opportunities. Most public health and clinical approaches in RF/RHD arose directly from programmes of research. Many unanswered questions remain, including those around how to implement what we know will work, so research will continue to be essential in our efforts to bring a global solution to this disease. Here we outline our proposed research priorities in RF/RHD for the coming decade, grouped under the following four challenges: Translating what we know already into practical RHD control; How to identify people with RHD earlier, so that preventive measures have a higher chance of success; Better understanding of disease pathogenesis, with a view to improved diagnosis and treatment of ARF and RHD; and Finding an effective approach to primary prevention. We propose a mixture of basic, applied, and implementation science. With concerted efforts, strong links to clinical and public health infrastructure, and advocacy and funding support from the international community, there are good prospects for controlling these RF and RHD over the next decade.http://www.annalspc.com/article.asp?issn=0974-2069;year=2011;volume=4;issue=1;spage=4;epage=12;aulast=CarapetisRheumatic feverrheumatic heart diseaseprevention
spellingShingle Carapetis Jonathan
Zühlke Liesl
Global research priorities in rheumatic fever and rheumatic heart disease
Annals of Pediatric Cardiology
Rheumatic fever
rheumatic heart disease
prevention
title Global research priorities in rheumatic fever and rheumatic heart disease
title_full Global research priorities in rheumatic fever and rheumatic heart disease
title_fullStr Global research priorities in rheumatic fever and rheumatic heart disease
title_full_unstemmed Global research priorities in rheumatic fever and rheumatic heart disease
title_short Global research priorities in rheumatic fever and rheumatic heart disease
title_sort global research priorities in rheumatic fever and rheumatic heart disease
topic Rheumatic fever
rheumatic heart disease
prevention
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2011;volume=4;issue=1;spage=4;epage=12;aulast=Carapetis
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