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The "Cairo Accord"- Towards the Eradication of RHD: An Update
Susy Kotit1, David I W Phillips2, Ahmed Afifi1
1Aswan Heart Centre, Aswan, Egypt.
Insights
Rheumatic heart disease (RHD) remains a major global health issue, particularly in low-income nations. This update reviews the Cairo Accord
Area of Science:
- Cardiology and Global Public Health
- Pediatric and Young Adult Acquired Heart Disease
Background:
- Rheumatic heart disease (RHD) is a significant cause of acquired heart disease globally, especially in children and young adults.
- RHD disproportionately affects low- and middle-income countries, leading to substantial morbidity and mortality.
- The 2017 Cairo conference spurred the development of
- The Cairo Accord on Rheumatic Heart Disease
- to address RHD eradication.
Purpose of the Study:
- To provide an update on the recommendations outlined in the Cairo Accord on Rheumatic Heart Disease.
- To discuss recent advancements and progress in the global effort to eradicate acute rheumatic fever (ARF) and RHD.
- To highlight contributions from initiatives like the Aswan Rheumatic Heart Disease Registry (ARGI).
Main Methods:
- Review and synthesis of the Cairo Accord recommendations.
- Analysis of recent policy initiatives and calls to action for RHD eradication.
- Inclusion of data and insights from the Aswan Rheumatic Heart Disease Registry (ARGI).
Main Results:
- The Cairo Accord provides a policy framework for RHD eradication.
- Progress is being made in RHD control efforts globally.
- The ARGI contributes valuable data to understanding and combating RHD.
Conclusions:
- Continued international collaboration and policy implementation are crucial for RHD eradication.
- Sustained efforts are needed to reduce the burden of RHD in vulnerable populations.
- The Cairo Accord serves as a vital roadmap for global RHD control strategies.
Abstract:
Rheumatic heart disease (RHD) is the most common cause of acquired heart disease in children and young adults. It continues to be prevalent in many low- and middle-income countries where it causes significant morbidity and mortality. Following the 2017 Cairo conference "Rheumatic Heart Disease: from Molecules to the Global Community," experts from 21 countries formulated an approach for addressing the problem of RHD: "The Cairo Accord on Rheumatic Heart Disease." The Accord attempts to set policy priorities for the eradication of acute rheumatic fever (ARF) and RHD and builds on a recent series of policy initiatives and calls to action. We present an update on the recommendations of the Cairo Accord and discuss recent progress toward the eradication of RHD, including contributions from our own Aswan Rheumatic Heart Disease Registry (ARGI).
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