Background In less developed countries, rheumatic fever still occurs.
We started a long-term educational programme in two French Caribbean islands that was directed at the public and at health-care workers to see whether we could reduce the incidence of rheumatic fever.
Methods Our 10-year programme started in 1981 in Martinique and Guadeloupe, and was based in the community and in clinics and hospitals.
The programme established a registry of all cases of primary and secondary rheumatic fever (diagnosed by Jones'modified criteria), with systematic hospital admission of children.
We graded carditis as severe, mild, or subclinical, and acute glomerulonephritis was defined by oedema, proteinuria, and haematuria for less than 3 months.
The educational part of the programme targeted the public and health-care workers, including doctors, with written information distributed in schools or via radio and television broadcasts or videotapes.
For the public, the benign clinical presentation of the initial streptococcal infection was contrasted with the severity of later heart disease.
Findings The first months of the programme led to a 10-20% increase in the number of rheumatic fever cases admitted to hospital, because of the renewed attention paid to the disease.
Therefore we took 1982 as the baseline year.
In 1982-83 the incidence of rheumatic fever was 19.6 per 100 000 inhabitants aged under 20 in Martinique, and 17.4 per 100 000 in Guadeloupe.
In 100 Martinique ...
Mots-clés Pascal : Rhumatisme articulaire aigu, Streptococcie, Bactériose, Infection, Streptococcus, Streptococcaceae, Micrococcales, Bactérie, Complication, Endocardite, Néphropathie glomérulaire, Education sanitaire, Dépistage, Résultat, Homme, Martinique, Antilles, Amérique Centrale, Amérique, Système ostéoarticulaire pathologie, Appareil circulatoire pathologie, Cardiopathie, Endocarde pathologie, Appareil urinaire pathologie, Rein pathologie, Santé publique
Mots-clés Pascal anglais : Rheumatic fever, Streptococcal infection, Bacteriosis, Infection, Streptococcus, Streptococcaceae, Micrococcales, Bacteria, Complication, Endocarditis, Glomerulonephritis, Health education, Medical screening, Result, Human, Martinique, West Indies, Central America, America, Diseases of the osteoarticular system, Cardiovascular disease, Heart disease, Endocardial disease, Urinary system disease, Renal disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0178144
Code Inist : 002B05B02N. Création : 199608.