Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease

Children with heart disease in Africa have little or no access to treatment of any kind, and cardiac surgical services are virtually absent outside a handful of centres in a few of the wealthier nations. There is little reliable data concerning the prevalence of congenital or acquired heart disease...

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Autores principales:	John Hewitson, Peter P.T. Zilla
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	children’s heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/50565c0b64384f41a661635e7977577b
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spelling	oai:doaj.org-article:50565c0b64384f41a661635e7977577b2021-11-22T10:00:24ZChildren’s heart disease in sub-Saharan Africa: Challenging the burden of disease10.24170/7-1-19641996-67412071-4602https://doaj.org/article/50565c0b64384f41a661635e7977577b2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1964https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Children with heart disease in Africa have little or no access to treatment of any kind, and cardiac surgical services are virtually absent outside a handful of centres in a few of the wealthier nations. There is little reliable data concerning the prevalence of congenital or acquired heart disease in African children, but there is sufficient information to indicate that the burden of cardiac disease is vast. This major non-communicable disease is largely hidden, overshadowed by the incidence of communicable diseases. There is as yet little evidence of the hoped-for epidemiological transition toward non-communicable diseases amongst children in Africa. The burden of congenital heart disease is only part of the problem, with rheumatic heart disease (RHD) remaining the commonest cardiac problem, related to poor socioeconomic conditions. RHD is the most preventable form of cardiac disease, yet there is little preventive work being done. The many obstacles to developing paediatric cardiac care are discussed, and some possible ways forward are proposed.John HewitsonPeter P.T. ZillaSouth African Heart Associationarticlechildren’s heart diseasesub-saharan africaDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 7, Iss 1, Pp 18-29 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	children’s heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	children’s heart disease sub-saharan africa Diseases of the circulatory (Cardiovascular) system RC666-701 John Hewitson Peter P.T. Zilla Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
description	Children with heart disease in Africa have little or no access to treatment of any kind, and cardiac surgical services are virtually absent outside a handful of centres in a few of the wealthier nations. There is little reliable data concerning the prevalence of congenital or acquired heart disease in African children, but there is sufficient information to indicate that the burden of cardiac disease is vast. This major non-communicable disease is largely hidden, overshadowed by the incidence of communicable diseases. There is as yet little evidence of the hoped-for epidemiological transition toward non-communicable diseases amongst children in Africa. The burden of congenital heart disease is only part of the problem, with rheumatic heart disease (RHD) remaining the commonest cardiac problem, related to poor socioeconomic conditions. RHD is the most preventable form of cardiac disease, yet there is little preventive work being done. The many obstacles to developing paediatric cardiac care are discussed, and some possible ways forward are proposed.
format	article
author	John Hewitson Peter P.T. Zilla
author_facet	John Hewitson Peter P.T. Zilla
author_sort	John Hewitson
title	Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
title_short	Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
title_full	Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
title_fullStr	Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
title_full_unstemmed	Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease
title_sort	children’s heart disease in sub-saharan africa: challenging the burden of disease
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/50565c0b64384f41a661635e7977577b
work_keys_str_mv	AT johnhewitson childrensheartdiseaseinsubsaharanafricachallengingtheburdenofdisease AT peterptzilla childrensheartdiseaseinsubsaharanafricachallengingtheburdenofdisease
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Children’s heart disease in sub-Saharan Africa: Challenging the burden of disease

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