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[Rheumatic fever in Cuba].

P Nordet

    Revmatologiia (Moscow, Russia)
    |January 1, 1989
    PubMed
    Summary

    Rheumatic fever, a social disease linked to group A streptococcus infection, saw decreased mortality in Cuba. Public health improvements and socioeconomic factors influenced its incidence in children.

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    Area of Science:

    • Epidemiology
    • Public Health
    • Infectious Diseases

    Context:

    • Rheumatic fever is influenced by patient sensitivity and group A streptococcus infection.
    • Socioeconomic conditions, public health access, and environment impact streptococcus spread.
    • Cuba experienced significant changes in rheumatic fever indicators over a decade.

    Purpose:

    • To analyze the incidence and mortality trends of rheumatic fever in Cuba.
    • To explore the relationship between rheumatic fever, streptococcal infection, and social factors.

    Summary:

    • Mortality from rheumatic cardiac failure in Cuba decreased from 4.2 x 10(5) in 1968 to 2.1 in 1985.
    • Rheumatic fever incidence ranged from 2.1 to 6.0 per 1,000 children aged 5-14 years.
    • The study highlights the role of social determinants in rheumatic fever prevalence.

    Impact:

    • Demonstrates the effectiveness of public health interventions in reducing rheumatic fever mortality.
    • Provides insights into the complex interplay of social, economic, and environmental factors on infectious disease outcomes.
    • Offers valuable data for targeted prevention strategies in pediatric populations.

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