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Rheumatic Fever: Definitions

Rheumatic Fever: Definitions. An infectious disease due to Group A streptococcus affecting the heart, joints, skin and brain – a notifiable disease A “third world disease” related to poverty and overcrowded housing An indicator of child health and how we value our children

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Rheumatic Fever: Definitions

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  1. Rheumatic Fever: Definitions • An infectious disease due to Group A streptococcus affecting the heart, joints, skin and brain – a notifiable disease • A “third world disease” related to poverty and overcrowded housing • An indicator of child health and how we value our children • “Rheumatic fever casts a long shadow”

  2. Causal Pathway“Te Awa Pohewa” • Preventive measures “Primordial” prevention Housing quality Respiratory hygiene Cigarette smoke Crowding Nutrition Group A streptococcal infection Primary preventionAwareness “sore throats matter” Access to primary care Sore throat management Acute rheumatic fever Secondary prevention Early identification of ARF RF register, penicillin injections Rheumatic heart disease Tertiary prevention Detection RHD Medications Surgery Heartfailure StrokeEndocarditis Early death

  3. Effective long-run advocacy & the journey to rheumatic fever eradication • RF Guidelines 2006, RF Summit Meeting 2009, RF Steering Group 2010, engagement with Minister & Ministry • National Prevention Programme $24M 2012 • RF a health target as part of Child Health Action Plan • Better Public Services Plan – whole of government • Budget allocation $21M 2013 • Research fund $3.2M HRC Partnership Programme • RF Guidelines revision 2013

  4. RFPP Programme approaches Raising awareness of the disease, its consequences and how to prevent it Access to free, rapid, effective sore throat management in high risk communities Reduced structural and functional household crowding

  5. Current programme initiatives • Pacific engagement strategy • Wider Auckland and Wellington regions • Communications campaign in high risk areas • School-based programme • More than 230 schools (50,000 children) • Less than half of at risk children and young people • Rapid response services • 55 free, drop in sore throat management clinics in Auckland and Porirua • Auckland-wide healthy homes initiative • SAS Fast track scheme • RFP plans in all North Island DHBs

  6. Health equity What prospects? Norman Sharpe

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