The Cape Town Declaration on Access to Cardiac Surgery in the Developing World

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Summary

Mission: to urge all relevant entities within the international cardiac surgery, industry and government sectors to commit to develop and implement an effective strategy to address the scourge of rheumatic heart disease in the developing world through increased access to life-saving cardiac surgery.

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Most cited references 6

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Global, Regional, and National Burden of Rheumatic Heart Disease, 1990-2015.

David A. Watkins, Catherine Johnson, Samantha M Colquhoun … (2017)

Rheumatic heart disease remains an important preventable cause of cardiovascular death and disability, particularly in low-income and middle-income countries. We estimated global, regional, and national trends in the prevalence of and mortality due to rheumatic heart disease as part of the 2015 Global Burden of Disease study.

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Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communiqué

David A. Watkins, Liesl Joanna Zuhlke, Mark Engel … (2016)

Abstract Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) remain major causes of heart failure, stroke and death among African women and children, despite being preventable and imminently treatable. From 21 to 22 February 2015, the Social Cluster of the Africa Union Commission (AUC) hosted a consultation with RHD experts convened by the Pan-African Society of Cardiology (PASCAR) in Addis Ababa, Ethiopia, to develop a ‘roadmap’ of key actions that need to be taken by governments to eliminate ARF and eradicate RHD in Africa. Seven priority areas for action were adopted: (1) create prospective disease registers at sentinel sites in affected countries to measure disease burden and track progress towards the reduction of mortality by 25% by the year 2025, (2) ensure an adequate supply of high-quality benzathine penicillin for the primary and secondary prevention of ARF/RHD, (3) improve access to reproductive health services for women with RHD and other non-communicable diseases (NCD), (4) decentralise technical expertise and technology for diagnosing and managing ARF and RHD (including ultrasound of the heart), (5) establish national and regional centres of excellence for essential cardiac surgery for the treatment of affected patients and training of cardiovascular practitioners of the future, (6) initiate national multi-sectoral RHD programmes within NCD control programmes of affected countries, and (7) foster international partnerships with multinational organsations for resource mobilisation, monitoring and evaluation of the programme to end RHD in Africa. This Addis Ababa communiqué has since been endorsed by African Union heads of state, and plans are underway to implement the roadmap in order to end ARF and RHD in Africa in our lifetime.

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The Drakensberg declaration on the control of rheumatic fever and rheumatic heart disease in Africa.

Chapman Palweni, B Biesman, Tiny Mokone … (2006)

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Contributors

Zilla Peter

Bolman R Morton

Yacoub Magdi H

Beyersdorf Friedhelm

Sliwa Karen

Zühlke Liesl

Higgins Robert SD

Mayosi Bongani

Carpentier Alain

Williams David

Journal

Journal ID (nlm-ta): Cardiovasc J Afr

Journal ID (iso-abbrev): Cardiovasc J Afr

Journal ID (publisher-id): TBC

Title: Cardiovascular Journal of Africa

Publisher: Clinics Cardive Publishing

ISSN (Print): 1995-1892

ISSN (Electronic): 1680-0745

Publication date (Print): May-Jun 2018

Volume: 29

Issue: 4

Pages: 256-259

Affiliations

Christiaan Barnard Division of Cardiothoracic Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Division of Cardiothoracic Surgery, University of Vermont, Burlington, Vermont, USA

Chain of Hope, Chelsea, London, United Kingdom

Department of Cardiovascular Surgery, Universitats- Herzzentrum Freiburg–Bad Krotzingen, Freiburg, Germany

Hatter Institute of Cardiovascular Research in Africa, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Division of Paediatric Cardiology, Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa

Department of Surgery, Johns Hopkins Medicine, Baltimore, Maryland, USA

Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Hôpital Européen Georges Pompidou, Paris, France

Wake Forest Institute of Regenerative Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA

Article

DOI: 10.5830/CVJA-2018-046

PMC ID: 6291809

PubMed ID: 30080213

SO-VID: 3c825264-1e26-498a-871c-7370c2c480a5

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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

The Cape Town Declaration on Access to Cardiac Surgery in the Developing World

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Most cited references 6

Global, Regional, and National Burden of Rheumatic Heart Disease, 1990-2015.

Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communiqué

The Drakensberg declaration on the control of rheumatic fever and rheumatic heart disease in Africa.

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