Rate of rheumatic fever requires comprehensive remedy
Shocking rate of rheumatic fever requires
comprehensive remedy
The New Zealand
Medical Journal has just reported on a study carried out in
Northland revealing third-world rates of acute rheumatic
fever amongst children.
This preventable disease is associated with poverty, poor access to health care and household crowding, and is an important cause of disability and premature death.
Acute rheumatic fever is now rare in
most developed countries, but New Zealand it is relatively
common.
CPAG spokesperson Professor Innes Asher
says that “it is shocking that every week new children are
admitted to hospital in New Zealand with this preventable
disease which can permanently damage a child’s heart,
whereas it is virtually unknown in comparable countries like
Canada and the UK.”
There are high levels of
socioeconomic deprivation, unemployment and one-parent
families in Northland. The rates of acute rheumatic fever
there are amongst the highest in New Zealand, and
disproportionately impact on Māori children. Of 114
confirmed cases of acute rheumatic fever, 95% were Maori
children, and 63 of these children resided in the most
deprived decile.
In other parts of NZ, such as
Counties Manukau, Pasifika children suffer even higher rates
of rheumatic fever.
CPAG spokesperson Dr Nikki
Turner said “The children in these families are clearly
disadvantaged through growing up in poverty and this has
lifetime consequences.”
Dr Turner said “The
solution is equally clear. Families must have access to
adequate income, decent housing and primary care services if
they are to protect their children from diseases associated
with poverty.”
Professor Asher insists that
“more is required to address rheumatic fever than the
school sore throats programme already underway and funding
of the development of a future vaccine. The underlying
causes must also be addressed
boldly.”
ENDS