Zühlke Liesl J, Engel Mark E, Remenyi Bo, Wyber Rosemary, Carapetis Jonathan
Department of Paediatrics, Red Cross War Memorial Children's Hospital and University of Cape Town, Cape Town, South Africa; Department of Medicine, Groote Schuur Hospital, Cape Town, South Africa.
Department of Medicine, Groote Schuur Hospital, Cape Town, South Africa.
Glob Heart. 2013 Sep;8(3):253-61. doi: 10.1016/j.gheart.2013.08.006. Epub 2013 Sep 26.
The second rheumatic heart disease (RHD) forum was held on February 18, 2013, at the Sixth World Congress of Pediatric Cardiology and Cardiac Surgery in Cape Town, South Africa, to focus attention on key areas in global RHD control, management, and prevention. Building on the foundation of the first RHD forum, over 150 interested participants met to discuss critical issues on the RHD landscape. Unique to this meeting was a mixture of diverse backgrounds and disciplines, all crucially important to the conversation around RHD control and prevention. Some clear priorities have emerged for RHD activities in the next era: the necessity for political intervention and policy change; increasing the health workforce by incorporating teaching, training, and task-shifting; revitalizing the research agenda by merging basic, clinical, and translational research; and obtaining universal access to high-quality penicillin. There was also an urgent request for new resources; for existing resources to be further developed, improved, and shared across platforms; and for resources to be supported in the nonmedical arena. Finally, the necessity of involving the patient community in the ongoing discussion was highlighted. The participants of both the first and second RHD forum represent a new, thriving, and growing community of RHD activists who should usher in a new era of significant improvements in RHD control and prevention.
第二届风湿性心脏病（RHD）论坛于2013年2月18日在南非开普敦举行的第六届世界儿科心脏病学和心脏外科学大会期间召开，旨在聚焦全球风湿性心脏病控制、管理及预防的关键领域。在第一届RHD论坛的基础上，150多名感兴趣的参会者齐聚一堂，讨论风湿性心脏病领域的关键问题。此次会议的独特之处在于参会人员背景和学科多样，这对围绕风湿性心脏病控制与预防的讨论至关重要。下一阶段风湿性心脏病防治工作的一些明确重点已经显现：政治干预和政策变革的必要性；通过纳入教学、培训及任务转移来增加卫生人力；通过整合基础研究、临床研究及转化研究来重振研究议程；以及实现青霉素的普遍优质可及。会议还迫切呼吁提供新资源；进一步开发、改进现有资源并在各平台间共享；在非医疗领域为资源提供支持。最后，强调了让患者群体参与持续讨论的必要性。第一届和第二届RHD论坛参与人员代表了一个新的、蓬勃发展且不断壮大的风湿性心脏病防治行动者群体，他们应引领风湿性心脏病控制与预防取得重大进展的新时代。
