Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, US.
Vanderbilt Institute for Global Health (VIGH), Nashville, TN, US.
Ann Glob Health. 2021 Nov 17;87(1):110. doi: 10.5334/aogh.3426. eCollection 2021.
Rheumatic heart disease (RHD) is a complication of untreated throat infection by Group A beta-hemolytic streptococcus with a high prevalence among socioeconomically disadvantaged populations. Despite its high incidence and prevalence, RHD prevention is not a priority in major global health discussions. The reasons for the apparent neglect are multifactorial, including underestimated morbidity and mortality burden, underappreciated economic burden, lack of public awareness, and lack of sustainable investment. In this review, we recommend multisectoral collaboration to tackle the burden of RHD by engaging the public, health experts, and policymakers; augmenting funding for clinical care; improving distribution channels for prophylaxis, and increasing research and innovation as critical interventions to save millions of people from preventable morbidity and mortality.
风湿性心脏病（RHD）是 A 组β溶血性链球菌未经治疗的咽喉感染的并发症，在社会经济处于不利地位的人群中发病率较高。尽管风湿性心脏病的发病率和患病率都很高，但它在主要的全球卫生讨论中并不是优先事项。造成这种明显忽视的原因是多方面的，包括发病率和死亡率负担被低估、经济负担被低估、公众意识不足以及缺乏可持续投资。在这篇综述中，我们建议通过让公众、卫生专家和政策制定者参与、增加临床护理资金、改善预防措施的分配渠道以及增加研究和创新，来开展多部门合作，以应对风湿性心脏病的负担，这些都是挽救数百万人免受可预防的发病率和死亡率的关键干预措施。
