Rheumatic heart disease is a neglected post-infectious chronic disease of children and young adults that continues to maim and kill millions of people needlessly. Sub-Saharan Africa is the hotspot of the world, with a prevalence of 5·7 per 1000 in children aged 5–14 years in 2005.1 This information galvanised the Pan African Society of Cardiology (PASCAR), together with the WHO Regional Office for Africa (WHO-AFRO), the World Heart Federation, and the South African National Department of Health to convene the first All-Africa Workshop on rheumatic fever and rheumatic heart disease on Oct 15–16, 2005, near Drakensberg in South Africa.
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Mayosi et al. (2014) studied this question.
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