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Year : 1992  |  Volume : 10  |  Issue : 2  |  Page : 81-84

Control Of Rheumatic Fever And Rheumatic Heart Disease In Children Through Primary Health Centres & School Health Surveys



Correspondence Address:
R Gupta


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Source of Support: None, Conflict of Interest: None


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We carried out the control programme of rheumatic fever and rheumatic heart disease (RF/RHD) during May’90 May’91 in villages of Delhi, utilizing the existing health services of Primary health centers and school health services. 749 children studying in schools aged 5-15 years were examined clinically and investigated for evidence of group A streptococcal (GAS) pharyngitis. We observed that although all these children were a symptomatic, 103 were positive for group A streptococci. Out of these 103 children, blood samples of 53 children were screened for anti-streptolysin O and antideoxyribonuclease B titer; 54.7% showed significant titers indicating sub clinical GAS infection. All these children were given primary prophylaxis. Total of 5238 children in the age group of 5-15 years attending primary health centers out patient department were screened for evidence of RHD; of which 3 were established cases of RHD and 41 suspected cases were referred to cardiologist for confirmation. After confirmation of diagnosis all these cases were registered and were put on secondary prophylaxis. This is evident from our study that RF/RHD control programme is essential and can be carried out through primary health centers and school health scheme.






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2004 - Indian Journal of Medical Microbiology
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