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Retrospective epidemiology of acute rheumatic fever: a 10-year review in the Waikato District Health Board area of New Zealand.
[acute rheumatic fever]
Acute
rheumatic
fever
(
ARF
)
is
a
preventable
disease
which
remains
a
prominent
burden
of
health
in
New
Zealand
,
with
an
annual
incidence
comparable
to
that
of
developing
countries
.
The
aim
of
this
study
was
to
describe
the
epidemiology
of
ARF
and
recurrent
ARF
cases
in
the
Waikato
District
Health
Board
(
DHB
)
area
of
New
Zealand
from
1
January
2002
to
31
December
2011
.
A
total
of
106
cases
of
ARF
and
four
cases
of
recurrent
ARF
were
identified
through
the
Public
Health
Database
-
EpiSurv
and
the
Hospital
coding
system
,
ICD-
10
.
The
overall
Waikato
DHB
annual
incidence
of
ARF
was
3
.
1
per
100
,
000
population
with
Maori
children
aged
5
-
14
years
experiencing
higher
rates
of
46
.
1
per
100
,
000
population
.
Eighty
-
five
percent
of
the
cases
were
of
Maori
ethnicity
,
and
10
%
Pacific
.
Almost
three
-
quarters
of
all
cases
lived
in
areas
of
the
three
most
deprived
deciles
as
described
by
the
New
Zealand
Deprivation
Index
2006
.
The
rates
of
ARF
seen
in
the
Waikato
DHB
are
comparable
to
that
seen
previously
locally
and
nationally
.
High
risk
groups
have
been
identified
as
children
aged
5
-
14
years
,
Maori
and
Pacific
ethnicity
,
and
those
living
in
lower
socioeconomic
areas
which
could
be
targeted
by
the
Rheumatic
Fever
Prevention
Programme
(
RFPP
)
with
the
intention
to
reduce
the
incidence
of
ARF
nationally
to
0
.
4
cases
per
100
,
000
population
by
2017
.
