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May 1984, Vol 138, No. 5 >
Article | May 1984

Occurrence and Prevention of Rheumatic Fever Among Ethnic Groups of Hawaii FREE

Lin T. Chun, MD; Venu Reddy, MD, MPH; George G. Rhoads, MD, MPH
[+] Author Affiliations

Reprint requests to 30 Aulike St, Suite 201, Kailua, HI 96734 (Dr Chun).


Am J Dis Child. 1984;138(5):476-478. doi:10.1001/archpedi.1984.02140430052013.
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References
Comments

• To assess the occurrence of acute rheumatic fever (RF) among the ethnic groups of Hawaii, the case records of hospitalized children with RF in Oahu were reviewed for the period from October 1976 to September 1980. One hundred four of the records met the modified Jones criteria. Incidence rates per 100,000 children were as follows: Japanese, 0; white, 9; Filipino, 9.1; Hawaiian and part-Hawaiian, 27.2; and Samoan, 96.5. Carditis was most common among Samoan children; it occurred in nine of 18 children. A streptococcal, throat culture program for children with respiratory Infections was in progress in 60% of Oahu's public schools during this period of time. Children with positive cultures were excluded from school until the start of treatment. However, RF occurred with equal frequency in participating and nonparticipating schools. Rheumatic fever continues to be a substantial problem among Polynesian children in Hawaii, and it is apparent that the school-based primary prevention program used In Hawaii to control streptococcal disease has not altered the frequency of RF among them.

(AJDC 1984;138:476-478)

REFERENCES

1 +
Doolittle SE, Tilden L:  Rheumatic heart disease in Hawaii . Hawaii Med J 1941;;1:7-11.
2 +
Berk ME, Hartwell AS:  Five years of heart disease in Hawaii . Hawaii Med J 1949;;8:177-180.
3 +
Connor A, Yoshina T:  Rheumatic fever in Hawaii . Hawaii Med J 1951;;10:181-182.
4 +
Yim H:  Rheumatic fever in Hawaii . AJDC 1962;;103:715-717.
5 +
Chun LT, Lam J, Stachowiak P, et al:  Throat streptococcal survey in school children, Hawaii, 1976-1980 . Hawaii Med J 1982;;41:256-258.
6 +
American Heart Association Ad Hoc Committee to Revise the Jones Criteria (Modified) of the Council on Rheumatic Fever and Congenital Heart Disease:  Jones criteria (revised) for guidance in the diagnosis of rheumatic fever . Circulation 1965;;32:664.
7 +
Stollerman GH:  The relative rheumatogenicity of strains of group A streptococci . Mod Concepts Cardiovasc Dis 1975;;44:35-40.
8 +
Land MA, Bisno AL:  Acute rheumatic fever: A vanishing disease in suburbia . JAMA 1983;;249:895-898.
9 +
Quinn RW, Federspiel CF:  Incidence of rheumatic fever in metropolitan Nashville, 1963-1969 . Am J Epidemiol 1974;;99:273-280.
10 +
Coulehan J, Grant S, Reisinger K, et al:  Acute rheumatic fever and rheumatic heart disease on the Navajo reservation, 1962-77 . Public Health Rep 1980;;95:62-68.
11 +
Brownell KD, Bailen-Rose F:  Acute rheumatic fever in children: Incidence in a borough of New York City . JAMA 1973;;224:1593-1597.
12 +
Okoroma EO, Ihenacho HNC, Anyanwu CH:  Rheumatic fever in Nigerian children . AJDC 1981;;135:236-238.
13 +
D'Arbela PG, Patel AK, Somers K:  Juvenile rheumatic fever and rheumatic heart disease in Mulago Hospital, Kampala, Uganda . East Afr J Med Res 1974;;51:710-714.
14 +
McLaren MJ, Hawkins DM, Koornhof HJ, et al:  Epidemiology of rheumatic heart disease in black school children of Soweto, Johannesburg . Br Med J 1975;;3:474-478.
15 +
Strasser T:  Rheumatic fever and rheumatic heart disease in the 1970s . WHO Chron 1978;;32:18-25.
16 +
Cook JM:  Samoan patterns in seeking health services—Hawaii, 1979-1981 . Hawaii Med J 1983;;42:138-142.
17 +
Chobin N, Kangos J, Miller J:  Strep screening to prevent rheumatic fever: From project to ongoing program . Am J Nurs 1975;;75: 1489-1491.
18 +
Phibbs B, Becker D, Lowe CR, et al:  The Casper project: An enforced mass-culture streptococcic control program: I. Clinical aspects . JAMA 1958;;166:1113-1119.
19 +
Becker D, Phibbs B, Lowe C:  The Casper project: An enforced mass-culture streptococcic control program: II. Technical aspects . JAMA 1958;;166:1119-1123.
20 +
Zimmerman RA, Biggs BA, Bolin RA, et al:  An effective program for reducing group A strep prevalence . Pediatrics 1971;;48:566-572.
21 +
Zimmerman RA, Horn KA, Meyer WT, et al:  Applying an old concept to a new method of streptococcal surveillance . Pediatrics 1974;;53: 275-279.
22 +
Phibbs B, Taylor J, Zimmerman RA:  A community-wide streptococcal control project: The Natrona County primary prevention program, Casper, Wyo . JAMA 1970;;214:2018-2024.
23 +
Rudoy R: Epidemiology of Rheumatic Fever in Hawaii, thesis. University of Hawaii School of Public Health, Honolulu, 1979.
24 +
Gordis L:  Effectiveness of comprehensivecare programs in preventing rheumatic fever . N Engl J Med 1973;;289:331-335.

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References

1 +
Doolittle SE, Tilden L:  Rheumatic heart disease in Hawaii . Hawaii Med J 1941;;1:7-11.
2 +
Berk ME, Hartwell AS:  Five years of heart disease in Hawaii . Hawaii Med J 1949;;8:177-180.
3 +
Connor A, Yoshina T:  Rheumatic fever in Hawaii . Hawaii Med J 1951;;10:181-182.
4 +
Yim H:  Rheumatic fever in Hawaii . AJDC 1962;;103:715-717.
5 +
Chun LT, Lam J, Stachowiak P, et al:  Throat streptococcal survey in school children, Hawaii, 1976-1980 . Hawaii Med J 1982;;41:256-258.
6 +
American Heart Association Ad Hoc Committee to Revise the Jones Criteria (Modified) of the Council on Rheumatic Fever and Congenital Heart Disease:  Jones criteria (revised) for guidance in the diagnosis of rheumatic fever . Circulation 1965;;32:664.
7 +
Stollerman GH:  The relative rheumatogenicity of strains of group A streptococci . Mod Concepts Cardiovasc Dis 1975;;44:35-40.
8 +
Land MA, Bisno AL:  Acute rheumatic fever: A vanishing disease in suburbia . JAMA 1983;;249:895-898.
9 +
Quinn RW, Federspiel CF:  Incidence of rheumatic fever in metropolitan Nashville, 1963-1969 . Am J Epidemiol 1974;;99:273-280.
10 +
Coulehan J, Grant S, Reisinger K, et al:  Acute rheumatic fever and rheumatic heart disease on the Navajo reservation, 1962-77 . Public Health Rep 1980;;95:62-68.
11 +
Brownell KD, Bailen-Rose F:  Acute rheumatic fever in children: Incidence in a borough of New York City . JAMA 1973;;224:1593-1597.
12 +
Okoroma EO, Ihenacho HNC, Anyanwu CH:  Rheumatic fever in Nigerian children . AJDC 1981;;135:236-238.
13 +
D'Arbela PG, Patel AK, Somers K:  Juvenile rheumatic fever and rheumatic heart disease in Mulago Hospital, Kampala, Uganda . East Afr J Med Res 1974;;51:710-714.
14 +
McLaren MJ, Hawkins DM, Koornhof HJ, et al:  Epidemiology of rheumatic heart disease in black school children of Soweto, Johannesburg . Br Med J 1975;;3:474-478.
15 +
Strasser T:  Rheumatic fever and rheumatic heart disease in the 1970s . WHO Chron 1978;;32:18-25.
16 +
Cook JM:  Samoan patterns in seeking health services—Hawaii, 1979-1981 . Hawaii Med J 1983;;42:138-142.
17 +
Chobin N, Kangos J, Miller J:  Strep screening to prevent rheumatic fever: From project to ongoing program . Am J Nurs 1975;;75: 1489-1491.
18 +
Phibbs B, Becker D, Lowe CR, et al:  The Casper project: An enforced mass-culture streptococcic control program: I. Clinical aspects . JAMA 1958;;166:1113-1119.
19 +
Becker D, Phibbs B, Lowe C:  The Casper project: An enforced mass-culture streptococcic control program: II. Technical aspects . JAMA 1958;;166:1119-1123.
20 +
Zimmerman RA, Biggs BA, Bolin RA, et al:  An effective program for reducing group A strep prevalence . Pediatrics 1971;;48:566-572.
21 +
Zimmerman RA, Horn KA, Meyer WT, et al:  Applying an old concept to a new method of streptococcal surveillance . Pediatrics 1974;;53: 275-279.
22 +
Phibbs B, Taylor J, Zimmerman RA:  A community-wide streptococcal control project: The Natrona County primary prevention program, Casper, Wyo . JAMA 1970;;214:2018-2024.
23 +
Rudoy R: Epidemiology of Rheumatic Fever in Hawaii, thesis. University of Hawaii School of Public Health, Honolulu, 1979.
24 +
Gordis L:  Effectiveness of comprehensivecare programs in preventing rheumatic fever . N Engl J Med 1973;;289:331-335.

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