Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communique

被引：96

作者：

Watkins, David ^{[1
,2
,3
]}

Zuhlke, Liesl ^{[1
,2
]}

Engel, Mark ^{[1
,2
]}

Daniels, Rezeen ^{[1
,2
]}

Francis, Veronica ^{[1
,2
]}

Shaboodien, Gasnat ^{[1
,2
]}

Kango, Mabvuto ^{[4
]}

Abul-Fadl, Azza ^{[5
]}

Adeoye, Abiodun ^{[6
]}

Ali, Sulafa ^{[7
,8
]}

Al-Kebsi, Mohammed ^{[9
]}

Bode-Thomas, Fidelia ^{[10
]}

Bukhman, Gene ^{[11
]}

Damasceno, Albertino ^{[12
]}

Goshu, Dejuma Yadeta ^{[13
]}

Elghamrawy, Alaa ^{[14
]}

Gitura, Bernard ^{[15
]}

Haileamlak, Abraham ^{[16
]}

Hailu, Abraha ^{[17
]}

Hugo-Hamman, Christopher ^{[18
]}

Justus, Steve ^{[19
]}

Karthikeyan, Ganesan ^{[20
]}

Kennedy, Neil ^{[21
]}

Lwabi, Peter ^{[22
]}

Mamo, Yoseph ^{[23
]}

Mntla, Pindile ^{[24
]}

Sutton, Chris ^{[24
]}

Mocumbi, Ana Olga ^{[25
]}

Mondo, Charles ^{[26
]}

Mtaja, Agnes ^{[27
]}

Musuku, John ^{[27
]}

Mucumbitsi, Joseph ^{[28
]}

Murango, Louis ^{[29
]}

Nel, George ^{[30
]}

Ogendo, Stephen ^{[31
]}

Ogola, Elijah ^{[31
]}

Ojji, Dike ^{[32
]}

Olunuga, Taiwo Olabisi ^{[33
]}

Redi, Mekia Mohammed ^{[34
]}

Rusingiza, Kamanzi Emmanuel ^{[35
]}

Sani, Mahmoud ^{[36
,37
]}

Sheta, Sahar ^{[38
]}

Shongwe, Steven ^{[39
]}

van Dam, Joris ^{[40
]}

Gamra, Habib ^{[41
]}

Carapetis, Jonathan ^{[42
]}

Lennon, Diana ^{[43
]}

Mayosi, Bongani M. ^{[1
,2
,30
]}

机构：

[1] Groote Schuur Hosp, Dept Med, Cape Town, South Africa

[2] Univ Cape Town, ZA-7700 Rondebosch, South Africa

[3] Univ Washington, Seattle, WA 98195 USA

[4] African Union Commiss, Addis Ababa, Ethiopia

[5] Assoc Friends Children RHD, Cairo, Egypt

[6] Univ Coll Hosp, Ibadan, Nigeria

[7] Univ Khartoum, Khartoum, Sudan

[8] Sudan Heart Ctr, Khartoum, Sudan

[9] Sanaa Univ, Sanaa, Yemen

[10] Univ Jos, Jos, Nigeria

[11] Harvard Med Sch Partners Hlth, Boston, MA 02115 USA

[12] Mozambican Heart Assoc AMOCOR, Maputo, Mozambique

[13] Univ Addis Ababa, Addis Ababa, Ethiopia

[14] Minist Hlth Cairo, Rheumat Heart Dis Programme, NCDs, Cairo, Egypt

[15] Kenyatta Natl Hosp, Nairobi, Kenya

[16] Jimma Univ, Jimma, Ethiopia

[17] Mekelle Univ, Mekele, Ethiopia

[18] Minist Hlth & Social Serv, Windhoek, Namibia

[19] Touch Fdn, Mwanza, Tanzania

[20] All India Inst Med Sci, New Delhi 110029, India

[21] Univ Malawi, Coll Med, Zomba, Malawi

[22] Uganda Heart Inst, Kampala, Uganda

[23] Fed Minist Hlth Ethiopia, Addis Ababa, Ethiopia

[24] Sefako Makgatho Hlth Sci Univ, Pretoria, South Africa

[25] Inst Nacl Saude, Maputo, Mozambique

[26] Mulago Hosp, Kampala, Uganda

[27] Univ Teaching Hosp, Lusaka, Zambia

[28] Rwanda Heart Fdn, Kigali, Rwanda

[29] East African Commun, Rwanda, Burundi

[30] PASCAR Secretariat, Cape Town, South Africa

[31] Univ Nairobi, Nairobi, Kenya

[32] Univ Abuja Teaching Hosp, Gwagwalada, Nigeria

[33] Fed Med Ctr, Abeokuta, Nigeria

[34] Common Market Eastern & Southern Africa, Eritrea, Ethiopia

[35] Univ Rwanda, Butare, Rwanda

[36] Bayero Univ Kano, Kano, Nigeria

[37] Aminu Kano Teaching Hosp, Kano, Nigeria

[38] Cairo Univ, Children Hosp, Fac Med, Cairo, Egypt

[39] WHO Reg Off Africa, Brazzaville, Rep Congo

[40] Novartis, New York, NY USA

[41] African Heart Network, Tunis, Tunisia

[42] Univ Western Australia, Telethon Kids Inst, Princess Margaret Hosp Children, Nedlands, WA 6009, Australia

[43] Univ Auckland, Auckland 1, New Zealand

来源：

CARDIOVASCULAR JOURNAL OF AFRICA | 2016年 / 27卷 / 03期

关键词：

rheumatic heart disease; prevention; GLOBAL BURDEN; SYSTEMATIC ANALYSIS; FEVER; PREVENTION; MORTALITY;

D O I：

10.5830/CVJA-2015-090

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) remain major causes of heart failure, stroke and death among African women and children, despite being preventable and imminently treatable. From 21 to 22 February 2015, the Social Cluster of the Africa Union Commission (AUC) hosted a consultation with RHD experts convened by the Pan-African Society of Cardiology (PASCAR) in Addis Ababa, Ethiopia, to develop a 'roadmap' of key actions that need to be taken by governments to eliminate ARF and eradicate RHD in Africa. Seven priority areas for action were adopted: (1) create prospective disease registers at sentinel sites in affected countries to measure disease burden and track progress towards the reduction of mortality by 25% by the year 2025, (2) ensure an adequate supply of high-quality benzathine penicillin for the primary and secondary prevention of ARF/RHD, (3) improve access to reproductive health services for women with RHD and other non-communicable diseases (NCD), (4) decentralise technical expertise and technology for diagnosing and managing ARF and RHD (including ultrasound of the heart), (5) establish national and regional centres of excellence for essential cardiac surgery for the treatment of affected patients and training of cardiovascular practitioners of the future, (6) initiate national multi-sectoral RHD programmes within NCD control programmes of affected countries, and (7) foster international partnerships with multinational organsations for resource mobilisation, monitoring and evaluation of the programme to end RHD in Africa. This Addis Ababa communique has since been endorsed by African Union heads of state, and plans are underway to implement the roadmap in order to end ARF and RHD in Africa in our lifetime.

引用

页码：184 / 187

页数：4

共 45 条

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