Objective To study the prevalence of rheumatic heart disease (RHD) in schools (locally referred to as 'daaras') located in the city of Dakar and its suburbs using both clinical examination and echocardiography. Methods This is a cross-sectional study conducted from 9 August to 24 December 2011 involving 2019 pupils, aged between 5 and 18 years selected from the 16 'daaras' of the Academic Inspectorate (Inspection d'Academie) of the city of Dakar and its suburbs. Anamnestic, clinical and echocardiographic data were collected and entered into a questionnaire designed for the study. The World Heart Federation criteria for echocardiographic diagnosis were used to diagnose RHD. p< 0.05 was considered statistically significant in bivariate analysis. Results About 60.1% of the pupils were men and the mean age was 9.7 +/- 3.3 years. 10 cases of definite RHD were detected, prevalence being 4.96 per 1000 (95% CI 2.4 to 9.1). This prevalence was five times higher with echocardiographic screening compared with clinical screening. 23 cases (11.4 per 1000) of borderline forms were detected. The populations at risk of definite RHD identified in our study were children over 14 years (p< 0.001), those with recurrent sore throat (p= 0.003) and those residing in the suburbs of the city of Dakar (p< 0.001). Conclusion Our study shows a relatively high prevalence of RHD. Reducing its prevalence should focus on the implementation of appropriate policies, targeting at-risk populations and focusing on raising awareness and early detection.
机构:
Menzies Sch Hlth Res, Darwin, NT, Australia
Univ Melbourne, Ctr Int Child Hlth, Melbourne, Vic, Australia
Murdoch Childrens Res Inst, Grp A Streptococcal Res Grp, Melbourne, Vic, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
机构:
Menzies Sch Hlth Res, Darwin, NT, Australia
Starship Childrens Hosp, Auckland, New ZealandMenzies Sch Hlth Res, Darwin, NT, Australia
Remenyi, B.
Wilson, N. J.
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Auckland Dist Hlth Board, Auckland, New ZealandMenzies Sch Hlth Res, Darwin, NT, Australia
Wilson, N. J.
Carapetis, J. R.
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Univ Western Australia, Ctr Child Hlth Res, Telethon Inst Child Hlth Res, Perth, WA 6009, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
Carapetis, J. R.
Steer, A. C.
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h-index: 0
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Univ Melbourne, Ctr Int Child Hlth, Melbourne, Vic, Australia
Murdoch Childrens Res Inst, Grp A Streptococcal Res Grp, Melbourne, Vic, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
机构:
Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Kane, Abdoul
Mirabel, Mariana
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
UCL, London, EnglandHop Gen Grand Yoff, Dakar, Senegal
Mirabel, Mariana
Toure, Kamadore
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Toure, Kamadore
Perier, Marie-Cecile
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Perier, Marie-Cecile
Fazaa, Samia
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Ctr Hosp Univ Mongi Slim, La Marsa, TunisiaHop Gen Grand Yoff, Dakar, Senegal
Fazaa, Samia
Tafflet, Muriel
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Tafflet, Muriel
Karam, Nicole
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Karam, Nicole
Zourak, Ibrahim
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Zourak, Ibrahim
Diagne, Dior
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Diagne, Dior
Mbaye, Alassane
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Mbaye, Alassane
Kane, Moussa
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Kane, Moussa
Diack, Bouna
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Diack, Bouna
Jouven, Xavier
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Jouven, Xavier
Marijon, Eloi
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Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
机构:
Menzies Sch Hlth Res, Darwin, NT, Australia
Univ Melbourne, Ctr Int Child Hlth, Melbourne, Vic, Australia
Murdoch Childrens Res Inst, Grp A Streptococcal Res Grp, Melbourne, Vic, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
机构:
Menzies Sch Hlth Res, Darwin, NT, Australia
Starship Childrens Hosp, Auckland, New ZealandMenzies Sch Hlth Res, Darwin, NT, Australia
Remenyi, B.
Wilson, N. J.
论文数: 0引用数: 0
h-index: 0
机构:
Auckland Dist Hlth Board, Auckland, New ZealandMenzies Sch Hlth Res, Darwin, NT, Australia
Wilson, N. J.
Carapetis, J. R.
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h-index: 0
机构:
Univ Western Australia, Ctr Child Hlth Res, Telethon Inst Child Hlth Res, Perth, WA 6009, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
Carapetis, J. R.
Steer, A. C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Melbourne, Ctr Int Child Hlth, Melbourne, Vic, Australia
Murdoch Childrens Res Inst, Grp A Streptococcal Res Grp, Melbourne, Vic, AustraliaMenzies Sch Hlth Res, Darwin, NT, Australia
机构:
Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Kane, Abdoul
Mirabel, Mariana
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h-index: 0
机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
UCL, London, EnglandHop Gen Grand Yoff, Dakar, Senegal
Mirabel, Mariana
Toure, Kamadore
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h-index: 0
机构:
Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Toure, Kamadore
Perier, Marie-Cecile
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机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Perier, Marie-Cecile
Fazaa, Samia
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Ctr Hosp Univ Mongi Slim, La Marsa, TunisiaHop Gen Grand Yoff, Dakar, Senegal
Fazaa, Samia
Tafflet, Muriel
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h-index: 0
机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Tafflet, Muriel
Karam, Nicole
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h-index: 0
机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Karam, Nicole
Zourak, Ibrahim
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h-index: 0
机构:
Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Zourak, Ibrahim
Diagne, Dior
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Diagne, Dior
Mbaye, Alassane
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Mbaye, Alassane
Kane, Moussa
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Kane, Moussa
Diack, Bouna
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Hop Gen Grand Yoff, Dakar, SenegalHop Gen Grand Yoff, Dakar, Senegal
Diack, Bouna
Jouven, Xavier
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h-index: 0
机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal
Jouven, Xavier
Marijon, Eloi
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h-index: 0
机构:
Hop Europeen Georges Pompidou, Paris Cardiovasc Res Ctr, Inserm U970, F-75737 Paris 15, France
Paris Descartes Univ, Paris, France
Hop Europeen Georges Pompidou, Dept Cardiol, Paris, FranceHop Gen Grand Yoff, Dakar, Senegal