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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
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated