Ending rheumatic heart disease in Australia: the evidence for a new approach.
Adolescent
Adult
Australia
/ epidemiology
Case-Control Studies
Child
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Native Hawaiian or Other Pacific Islander
/ statistics & numerical data
Program Development
/ methods
Registries
Rheumatic Fever
/ complications
Rheumatic Heart Disease
/ epidemiology
Secondary Prevention
Streptococcus pyogenes
Young Adult
Indigenous health
Rheumatic heart disease
Streptococcus
Journal
The Medical journal of Australia
ISSN: 1326-5377
Titre abrégé: Med J Aust
Pays: Australia
ID NLM: 0400714
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
entrez:
15
11
2020
pubmed:
16
11
2020
medline:
29
12
2020
Statut:
ppublish
Résumé
■The RHD Endgame Strategy: the blueprint to eliminate rheumatic heart disease in Australia by 2031 (the Endgame Strategy) is the blueprint to eliminate rheumatic heart disease (RHD) in Australia by 2031. Aboriginal and Torres Strait Islander people live with one of the highest per capita burdens of RHD in the world. ■The Endgame Strategy synthesises information compiled across the 5-year lifespan of the End Rheumatic Heart Disease Centre of Research Excellence (END RHD CRE). Data and results from priority research projects across several disciplines of research complemented literature reviews, systematic reviews and narrative reviews. Further, the experiences of those working in acute rheumatic fever (ARF) and RHD control and those living with RHD to provide the technical evidence for eliminating RHD in Australia were included. ■The lived experience of RHD is a critical factor in health outcomes. All future strategies to address ARF and RHD must prioritise Aboriginal and Torres Strait Islander people's knowledge, perspectives and experiences and develop co-designed approaches to RHD elimination. The environmental, economic, social and political context of RHD in Australia is inexorably linked to ending the disease. ■Statistical modelling undertaken in 2019 looked at the economic and health impacts of implementing an indicative strategy to eliminate RHD by 2031. Beginning in 2019, the strategy would include: reducing household crowding, improving hygiene infrastructure, strengthening primary health care and improving secondary prophylaxis. It was estimated that the strategy would prevent 663 deaths and save the health care system $188 million. ■The Endgame Strategy provides the evidence for a new approach to RHD elimination. It proposes an implementation framework of five priority action areas. These focus on strategies to prevent new cases of ARF and RHD early in the causal pathway from Streptococcus pyogenes exposure to ARF, and strategies that address the critical systems and structural changes needed to support a comprehensive RHD elimination strategy.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
S3-S31Informations de copyright
& 2020 AMPCo Pty Ltd.
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