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Case Registry for Rheumatic Fever in Greater Miami, Florida

Milton S. Saslaw and Morton N. Schwartzman
Public Health Reports (1896-1970)
Vol. 77, No. 1 (Jan., 1962), pp. 17-28
DOI: 10.2307/4591401
Stable URL: http://www.jstor.org/stable/4591401
Page Count: 12
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Case Registry for Rheumatic Fever in Greater Miami, Florida
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Abstract

In Greater Miami, Fla., a case registry of all known acute episodes of rheumatic fever was maintained for a 3-year period, September 1, 1955, to October 1, 1958. Based on this register, the incidence rate for acute rheumatic fever, both initial and recurrent attacks, is one episode per 30,000 population per year. Diagnoses were based on the Jones modified criteria. Eighty-three episodes of acute rheumatic fever and rheumatic heart disease were recorded, 53 definitely active and 30 suspected active cases. Attack and recurrence rates for acute episodes of rheumatic fever and rheumatic heart disease are low in Greater Miami. Factors such as environment and its effect on the bacteria, socioeconomic conditions, genetic predisposition, and habitat of the streptococci may account for the low incidence of rheumatic fever in this area. The incidence of first attacks was highest between 10 and 15 years of age. The antistreptolysin O titer was highest in the group aged 16-20 years. More than 90 percent of all patients presented a minimum of one major criterion and two minor criteria.

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