| Integrated community-based screening for cardiovascular diseases of childhood. | |
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MedLine Citation:
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PMID: 9233059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A screening programme in northern India, principally aimed at detecting and controlling rheumatic fever and rheumatic heart disease (RF/RHD) in children, also picks up individuals with congenital heart disease and other cardiovascular conditions, who are then referred for consultation and treatment. This strategy is clearly more ethical and cost-effective than screening programmes concerned exclusively with the control of RF/RHD. Rheumatic fever and rheumatic heart disease (RF/RHD) and congenital heart disease cause considerable disability and mortality among children, especially in developing countries. In the Shimla Hills of northern India, integrated first-level symptom-based screening for cardiovascular diseases has been conducted in 15,080 schoolchildren aged 5-16 years, with good results. Histories of fever, sore throat, swollen or painful joints, breathlessness, fatigue, and involuntary movements were noted. A physician then looked for objective evidence of RF/RHD, congenital heart disease, or functional murmur in all of the children. When any of those conditions was suspected, the cases were referred to a cardiologist at a tertiary care center, where detailed investigations were conducted. There were 45 cases of RF/RHD, 912 of functional murmur, and 34 of congenital heart disease. Traditional secondary prophylaxis programs for RF/RHD usually exclude congenital heart disease cases even though they also need treatment. This strategy used in Shimla Hills is more ethical and cost-effective than screening programs concerned exclusively with the control of RF/RHD. |
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Authors:
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J S Thakur; P C Negi; S K Ahluwalia; R Sharma |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World health forum Volume: 18 ISSN: 0251-2432 ISO Abbreviation: World Health Forum Publication Date: 1997 |
Date Detail:
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Created Date: 1997-09-02 Completed Date: 1997-09-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8010746 Medline TA: World Health Forum Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 24-7 Citation Subset: IM; J |
Affiliation:
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Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cardiovascular Diseases / epidemiology* Child Child, Preschool Heart Defects, Congenital / epidemiology* Humans India / epidemiology Mass Screening / organization & administration* Prevalence Rheumatic Heart Disease / epidemiology, prevention & control* School Health Services / organization & administration* |
| Comments/Corrections | |
Comment In:
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World Health Forum. 1998;19(1):90
[PMID:
9610250
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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