Roadmap to 25 percent reduction in premature deaths From RHD in the under 25s by 2025 published

April 8th, 2013 in Cardiology /

The World Heart Federation has published a new position statement outlining the five key strategic targets required to meet its strategic goal for rheumatic heart disease (RHD) – a 25% reduction in premature deaths from rheumatic fever (RF) and RHD among individuals aged <25 years by the year 2025.

RHD remains the most common cardiovascular disease in young people aged <25 years. RF and RHD have been almost eradicated in areas with establish economies. But RF and RHD are endemic in developing countries and are also common in poorer populations in middle-income countries (e.g. Brazil, India), as well as some indigenous populations in wealthy countries (Australia, New Zealand). Moreover, migration from low-income to high-income settings might be responsible for a new burden of RHD in high-income countries where the disease has been largely eliminated.

Conservative estimates indicate that there are between 15.6 and 19.6 million existing cases of RHD and its been estimated that there are around 252,000 new cases each year. Moreover, an estimated 233,000 to 468,164 individuals die from RHD each year, and hundreds of thousands of people are disabled by this disease and its long-term complications.

"RF and RHD are neglected diseases that require immediate attention," Professor Bongani Mayosi, Groote Schuur Hospital and University of Cape Town, South Africa; and Chair of the World Heart Federation Working Group on and . "This position paper will form the platform for a detailed operational plan to address the barriers to RF and RHD control. The operational plan will be founded on science, research and quantifiable progress indicators to impact positively on millions of individuals with RHD."

A number of barriers have been identified that are currently preventing the control of RF and RHD.

The primary aim of this position paper is to serve as a guide on how to achieve the objective of controlling RHD and eliminating RF. Five strategic targets have been identified:
  1. Comprehensive register-based control programmes
  2. Global access to benzathine penicillin G
  3. Identification and development of public figures as 'RHD champions'
  4. Expansion of RHD training hubs
  5. Support for vaccine development
Moreover, this document is intended to provide the foundation for governments, civil society, patient advocates, clinicians, researchers and funding agencies to develop partnerships and unify global efforts to control RF and RHD.

More information: The position paper has been released online and can be found at www.nature.com/nrcardio/journa… rcardio.2013.34.html The paper will be published in the Nature Reviews Cardiology journal in the coming weeks.

Provided by World Heart Federation

"Roadmap to 25 percent reduction in premature deaths From RHD in the under 25s by 2025 published." April 8th, 2013. http://medicalxpress.com/news/2013-04-roadmap-percent-reduction-premature-deaths.html