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Fig 1.

Components of the national rheumatic heart disease prevention and control program founded in Egypt in 2006.

The program follows the conceptual framework for comprehensive RHD control programs. Footnote of Fig 1: ARF; acute rheumatic fever, BPG; benzathine penicillin G, HIS; Health Information Systems, REDcap; Research Electronic Data Capture, Rh.A; rheumatic arthritis, RHD; rheumatic heart disease, S. Chorea; Sydenham’s Chorea.

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Fig 2.

Total number of RHD operative procedures and expenditures in the El-Mahalla tertiary care cardiac centre (1998–2018).

Footnote of Fig 2: RHD; rheumatic Heart disease, CABG; Coronary artery bypass grafting, CHD; Congenital heart disease, EGP; Egyptian pound.

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Fig 3.

Number of screened subjects versus the number of cases diagnosed with rheumatic fever or its sequelae per year, in El-Mahalla canter (2006–2018).

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Table 1.

Sociodemographic characteristics of the screened cohort.

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Table 1 Expand

Fig 4.

Age distribution of acute rheumatic fever and rheumatic heart disease patients.

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Table 2.

Clinical presentation of the screened cohort.

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Table 2 Expand

Fig 5.

Tonsillectomy among cases with a history of recurrent attacks of tonsillitis attending the El-Mahalla RHD centre (2006–2018).

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Table 3.

Factors associated with misdiagnosis of rheumatic fever and its sequelae.

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