Land M A, Bisno A L
JAMA. 1983 Feb 18;249(7):895-8.
We undertook a retrospective analysis of the incidence of acute rheumatic fever (ARF) in Memphis-Shelby County during the five-year period from 1977 through 1981. Cases were identified by review of local hospital records and by mail and telephone communication with 327 primary care physicians and neurologists. Forty-one patients met the modified Jones criteria, of whom 16 had conditions that were diagnosed in Memphis but who resided elsewhere. The overall ARF incidence among Memphis-Shelby County residents was 0.64 cases per 100,000 population each year. The highest rate, 3.74, was found among blacks aged 5 to 17 years residing in the inner city, while white children in the suburban and rural areas had a rate of only 0.49. Current strategies for prevention and diagnosis of ARF must take into account the extraordinarily low level to which the incidence of the disease has fallen in certain suburban US populations.
我们对1977年至1981年这五年间孟菲斯-谢尔比县急性风湿热（ARF）的发病率进行了回顾性分析。通过查阅当地医院记录以及与327名初级保健医生和神经科医生进行邮件及电话沟通来确定病例。41名患者符合改良琼斯标准，其中16人在孟菲斯被诊断出患有相关疾病，但居住在其他地方。孟菲斯-谢尔比县居民中ARF的总体发病率为每年每10万人0.64例。最高发病率为3.74，出现在居住在市中心的5至17岁黑人中，而郊区和农村地区的白人儿童发病率仅为0.49。目前ARF的预防和诊断策略必须考虑到美国某些郊区人群中该疾病发病率已降至极低水平这一情况。
