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Introduction Health-seeking behavior is a critical determinant of success for rheumatic heart disease (RHD) control programs. If people at risk of RHD do not seek care for group A streptococcal (GAS) infections, primary prevention is impossible. If they do not…

Primordial Prevention Acute rheumatic fever (ARF) and rheumatic heart disease (RHD) are predominantly diseases of social, environmental, and economic poverty. Primordial prevention, defined as improving socioeconomic and living conditions, and having well-organized, effective health systems, is arguably the most important…