• The cardiac status of 100 children with a history of rheumatic fever was reviewed at yearly intervals after their discharge from an institution where they had participated in a program of accelerated rehabilitation. Many were found to be without continued (though available) medical care, to have stopped taking any prophylactic medication, or to have been set back seriously in their emotional, social, or economic adjustment. Sixty-four had definite evidence of heart disease, but this fact seemed to play no significant part in getting patients to remain under medical care. The initiative of the patient and his parents does not suffice. Success in preventing recurrences depends on the development of a community-wide program, including some professional education and the dissemination of information about current rheumatic fever research.
Lendrum BL, Kobrin C. PREVENTION OF RECURRENT ATTACKS OF RHEUMATIC FEVERPROBLEMS REVEALED BY LONG-TERM FOLLOW-UP. JAMA. 1956;162(1):13–16. doi:10.1001/jama.1956.02970180015004