Mohammad Heidari, Hamid Jafari, Samaneh Heidari
Zahedan School Fire: Endless Fire Incidents in Iranian Schools
Disaster medicine and public health preparedness
rheumatic heart disease rhd dental caries dc disproportionately affect children young adults subsaharan countries major impact schoolchildrens health education dc children rhd constitutes important risk fatal complications study aimed assessing feasibility simultaneous rhd dc screening school environment march 2024 2022 performed observational descriptive study schoolchildren public school maputo city mozambique rhd screening involved two stages first physical examination including cardiac auscultation direct observation oral cavity second abbreviated echocardiography performed cardiologist rapid testing group streptococcus gas done every eighth child classroom signs suggesting recent infection accordance study protocol developed screening multidisciplinary team collected data data analyzed using descriptive statistics total 954 students median age 9 range 615 screened one hundred twentyfive participants eligible rapid antigen test 6 48 tested positive clinical evaluation 52 children 53 presented heart murmur echocardiography 362 children showed borderline rhd 35 children definite rhd 2 06 1 child ventricular septal defect dental cavities present 444 484 despite 904 917 students reporting brushing teeth three times daily 986 schoolbased integrated oral cardiovascular screenings use rapid tests gas carriage provide crucial information create customized preventive strategies rheumatic fever rf rhd low middleincome countries lmics addition detecting children high risk bacterial endocarditis sustainability interventions acceptability health providers needs assessed