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The epidemiology of acute rheumatic fever in Northland, 2002-2011.
[acute rheumatic fever]
An
audit
of
rheumatic
fever
surveillance
in
Northland
was
carried
out
for
the
period
2002
-
2011
.
The
aim
of
the
audit
was
to
establish
the
accuracy
and
completeness
of
surveillance
of
Acute
Rheumatic
Fever
in
Northland
,
and
to
provide
a
robust
baseline
for
future
comparison
given
current
rheumatic
fever
prevention
efforts
.
Cases
of
acute
rheumatic
fever
(
2002
-
2011
)
were
identified
and
evaluated
through
auditing
Northland
hospital
discharges
,
the
Northland
Rheumatic
Fever
secondary
penicillin
prophylaxis
register
and
the
national
EpiSurv
database
.
Cases
were
included
in
the
audit
if
they
met
diagnostic
criteria
according
to
the
2008
Heart
Foundation
guidelines
.
A
total
of
114
acute
rheumatic
fever
cases
met
the
audit
criteria
,
an
annualised
incidence
of
7
.
7
/
100
,
000
in
Northland
.
95
%
of
all
cases
were
Maori
with
a
large
disparity
between
Maori
(
24
.
8
/
100
,
000
)
and
non-
Maori
(
0
.
6
/
100
,
000
)
.
Acute
rheumatic
fever
cases
were
strongly
associated
with
living
in
high
deprivation
areas
.
This
audit
noted
both
under-
and
over-notification
of
acute
rheumatic
fever
.
Acute
rheumatic
fever
rates
in
Northland
Maori
children
aged
5
-
14
(
78
/
100000
)
are
similar
to
those
seen
in
developing
countries
and
nearly
double
the
rates
seen
other
New
Zealand
audits
.
The
findings
highlight
the
urgent
need
to
address
crowding
,
poverty
and
inequitable
primary
care
access
if
rheumatic
fever
is
to
be
eliminated
.
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