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Marciel Da Costa
Junior Tutor
Prevalence
• India is home to 40% of all people living with RHD. Of the
estimated 33 million people with RHD, 13.2 million live
in India. Likewise, in the year 2015, of the 347 000 deaths
due to RHD worldwide, nearly 120 000 (over a third)
are estimated to have occurred in India.
Definition
Rheumatic heart disease is a
condition in which
the heart valves have been
permanently damaged
by rheumatic fever.
Rheumatic fever is an
inflammatory disease that can
affect many connective tissues,
especially in the heart.
Causes of RHD
1. Bacteria called group A Streptococcus or group A
strep cause strep throat and scarlet fever. It
usually takes about 1 to 5 weeks after strep
throat or scarlet fever for rheumatic fever to
develop.
2. Rheumatic fever is thought to be caused by a
response of the body's defense system — the
immune system.
Epidemiological triad
Agent Factors: Group A Beta hemolytic streptococci.
Host factors: Disease of Childhood and Adolescents .
(15 to 30 ) Risk groups are slum dwellers
Environmental factors: Low socio economic status,
Poor housing conditions.
Inadequate health care experts
Clinical Manifestations
Diagnosis
Diagnosis is made on the basis of
clinical manifestations.
• History collection
• Physical examination
• ECG
• Echocardiograms
• Laboratory Investigation
Prevention and control
Primary Prevention
Prevent the first attack of RF, by identifying all
the patients with streptococcal infections.
Viable approach : To concentrate on high risk
groups (School-age children).
Under surveillance.
Secondary Prevention
• Practical approach in Developing countries
• Identifying and giving them 1 intramuscular
injection of Benzathine benzyl penicillin at
intervals of 3 weeks.
• Continued for 5 years until child
reaches the age of 18
• Pts with carditis – continue injection for
10years after last attack – until 25 years
• More severe – Valvular surgery is required.
Tertiary prevention
Non- Medical Approaches
• Breaking the poverty- disease- poverty cycle.
• Improvements in socioeconomic status.
Particularly better housing.
Role of a Community health nurse
Nurses can assist in school
health surveys to detect
cases of RF and
administering treatment as
prescribed by the physician.
Rheumatic heart disease

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Rheumatic heart disease

  • 2. Prevalence • India is home to 40% of all people living with RHD. Of the estimated 33 million people with RHD, 13.2 million live in India. Likewise, in the year 2015, of the 347 000 deaths due to RHD worldwide, nearly 120 000 (over a third) are estimated to have occurred in India.
  • 3. Definition Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever. Rheumatic fever is an inflammatory disease that can affect many connective tissues, especially in the heart.
  • 4.
  • 5. Causes of RHD 1. Bacteria called group A Streptococcus or group A strep cause strep throat and scarlet fever. It usually takes about 1 to 5 weeks after strep throat or scarlet fever for rheumatic fever to develop. 2. Rheumatic fever is thought to be caused by a response of the body's defense system — the immune system.
  • 7.
  • 8. Agent Factors: Group A Beta hemolytic streptococci. Host factors: Disease of Childhood and Adolescents . (15 to 30 ) Risk groups are slum dwellers Environmental factors: Low socio economic status, Poor housing conditions. Inadequate health care experts
  • 10.
  • 11.
  • 12. Diagnosis Diagnosis is made on the basis of clinical manifestations. • History collection • Physical examination • ECG • Echocardiograms • Laboratory Investigation
  • 13.
  • 14. Prevention and control Primary Prevention Prevent the first attack of RF, by identifying all the patients with streptococcal infections. Viable approach : To concentrate on high risk groups (School-age children). Under surveillance.
  • 15. Secondary Prevention • Practical approach in Developing countries • Identifying and giving them 1 intramuscular injection of Benzathine benzyl penicillin at intervals of 3 weeks. • Continued for 5 years until child reaches the age of 18 • Pts with carditis – continue injection for 10years after last attack – until 25 years • More severe – Valvular surgery is required.
  • 17.
  • 18. Non- Medical Approaches • Breaking the poverty- disease- poverty cycle. • Improvements in socioeconomic status. Particularly better housing.
  • 19. Role of a Community health nurse Nurses can assist in school health surveys to detect cases of RF and administering treatment as prescribed by the physician.