Rheumatic heart disease in Indigenous young peoples

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dc.contributor.authorWyber, R.
dc.contributor.authorWade, V.
dc.contributor.authorAnderson, A.
dc.contributor.authorSchreiber, Y.
dc.contributor.authorSaginur, R.
dc.contributor.authorBrown, A.
dc.contributor.authorCarapetis, J.
dc.date.issued2021
dc.description.abstractIndigenous children and young peoples live with an inequitable burden of acute rheumatic fever and rheumatic heart disease. In this Review, we focus on the epidemiological burden and lived experience of these conditions for Indigenous young peoples in Australia, New Zealand, and Canada. We outline the direct and indirect drivers of rheumatic heart disease risk and their mitigation. Specifically, we identify the opportunities and limitations of predominantly biomedical approaches to the primary, secondary, and tertiary prevention of disease among Indigenous peoples. We explain why these biomedical approaches must be coupled with decolonising approaches to address the underlying cause of disease. Initiatives underway to reduce acute rheumatic fever and rheumatic heart disease in Australia, New Zealand, and Canada are reviewed to identify how an Indigenous rights-based approach could contribute to elimination of rheumatic heart disease and global disease control goals.
dc.description.statementofresponsibilityRosemary Wyber, Vicki Wade, Anneka Anderson, Yoko Schreiber, Raphael Saginur, Alex Brown, Jonathan Carapetis
dc.identifier.citationThe Lancet Child and Adolescent Health, 2021; 5(6):437-446
dc.identifier.doi10.1016/s2352-4642(20)30308-4
dc.identifier.issn2352-4642
dc.identifier.issn2352-4650
dc.identifier.orcidBrown, A. [0000-0003-2112-3918]
dc.identifier.urihttp://hdl.handle.net/2440/131252
dc.language.isoen
dc.publisherElsevier BV
dc.rights© 2021 Elsevier Ltd. All rights reserved.
dc.source.urihttps://doi.org/10.1016/s2352-4642(20)30308-4
dc.subjectHumans
dc.subjectStreptococcus pyogenes
dc.subjectStreptococcal Infections
dc.subjectRheumatic Fever
dc.subjectRheumatic Heart Disease
dc.subjectIncidence
dc.subjectRisk Factors
dc.subjectEnvironmental Exposure
dc.subjectBiomedical Research
dc.subjectAdolescent
dc.subjectAdult
dc.subjectHealth Services Accessibility
dc.subjectCanada
dc.subjectAustralia
dc.subjectNew Zealand
dc.subjectHealthcare Disparities
dc.subjectYoung Adult
dc.subjectGlobal Burden of Disease
dc.subjectIndigenous Peoples
dc.titleRheumatic heart disease in Indigenous young peoples
dc.typeJournal article
pubs.publication-statusPublished

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