Rheumatic heart disease among adults in a mining community of Papua, Indonesia: Findings from an occupational cohort

R. Rodriguez-Fernandez, R. Amiya, Rosemary Wyber, W. Widdodow, Jonathan Carapetis

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10 Citations (Scopus)

Abstract

Background Rheumatic heart disease (RHD) remains a significant cause of cardiovascular morbidity and mortality in developing countries such as Indonesia. Yet, despite being one of the most readily preventable chronic diseases, RHD has received scant research or policy attention, particularly in South-East Asia. Aim To describe the pattern of RHD occurrence in a sample of presenting cases from an occupational cohort in Papua Province, Indonesia. Methods Clinical records of 15 608 mining workers (96.4% men, mean age 36.3+7.4 years) were reviewed retrospectively to identify and extract data on all rheumatic fever (RE) and RHD cases admitted to two hospitals in Papua during 2008-2013. Collected data basic demographics, employment history and echocardiographic findings, Results 83 RHD cases (95.6% men, mean age 39.6 +12.5 years) and 3 RE cases were identified between 2008 and 2013. Increased RHD risk was observed among those aged 35-44 (HR=3.60) and 45-68 (HR=4.46) years relative to the youngest age group (p
Original languageEnglish
Pages (from-to)1-5
JournalHeart Asia
Volume7
Issue number2
DOIs
Publication statusPublished - 2015

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