{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:20:27Z","timestamp":1780420827672,"version":"3.54.1"},"reference-count":27,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:00:00Z","timestamp":1758585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cjcopen.ca","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CJC Open"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.cjco.2025.09.011","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T18:35:17Z","timestamp":1759343717000},"page":"59-64","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Rheumatic Heart Disease: Global Failure in Tackling a Common Killer"],"prefix":"10.1016","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5740-7707","authenticated-orcid":false,"given":"Valdano","family":"Manuel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Olga","family":"Mocumbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liesl","family":"Z\u00fchlke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.cjco.2025.09.011_bib1","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1056\/NEJMoa1603693","article-title":"Global, regional, and national burden of rheumatic heart disease, 1990-2015","volume":"377","author":"Watkins","year":"2017","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cjco.2025.09.011_bib2","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.gheart.2013.08.008","article-title":"Estimates of the global burden of rheumatic heart disease","volume":"8","author":"Z\u00fchlke","year":"2013","journal-title":"Glob Heart"},{"key":"10.1016\/j.cjco.2025.09.011_bib3","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1186\/s12872-025-05021-y","article-title":"Global burden and trend of rheumatic heart disease among women of childbearing age, 1990-2021, with projection to 2040","volume":"25","author":"Chen","year":"2025","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.cjco.2025.09.011_bib4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0302636","article-title":"Prevalence and pattern of rheumatic valvular heart disease in Africa: systematic review and meta-analysis, 2015-2023, population based studies","volume":"19","author":"Abdu","year":"2024","journal-title":"PLoS One"},{"key":"10.1016\/j.cjco.2025.09.011_bib5","series-title":"Building a sustainable cardiac surgery program in sub-Saharan Africa: the case of Angola","volume":"18","author":"Manuel","year":"2025"},{"key":"10.1016\/j.cjco.2025.09.011_bib6","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1161\/CIRCULATIONAHA.109.849190","article-title":"Rheumatic heart disease screening by echocardiography: the inadequacy of World Health Organization criteria for optimizing the diagnosis of subclinical disease","volume":"120","author":"Marijon","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.cjco.2025.09.011_bib7","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1093\/eurheartj\/ehu449","article-title":"Characteristics, complications, and gaps in evidence-based interventions in rheumatic heart disease: the Global Rheumatic Heart Disease Registry (the REMEDY study)","volume":"36","author":"Z\u00fchlke","year":"2015","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjco.2025.09.011_bib8","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1186\/s12872-023-03186-y","article-title":"Sub-clinical rheumatic heart disease (RHD) detected by hand-held echocardiogram in children participating in a school-based RHD prevention program in Tanzania","volume":"23","author":"Chillo","year":"2023","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.cjco.2025.09.011_bib9","doi-asserted-by":"crossref","first-page":"184","DOI":"10.5830\/CVJA-2015-090","article-title":"Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communiqu\u00e9","volume":"27","author":"Watkins","year":"2016","journal-title":"Cardiovasc J Afr"},{"key":"10.1016\/j.cjco.2025.09.011_bib11","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s12872-016-0451-8","article-title":"Rheumatic heart disease in Uganda: predictors of morbidity and mortality one year after presentation","volume":"17","author":"Okello","year":"2017","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.cjco.2025.09.011_bib12","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1177\/21501351251345805","article-title":"Historical, cultural, and structural barriers for cardiac surgery in sub-Saharan Africa: lessons learned from Angola","volume":"16","author":"Manuel","year":"2025","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"10.1016\/j.cjco.2025.09.011_bib13","doi-asserted-by":"crossref","first-page":"3127","DOI":"10.1161\/CIRCULATIONAHA.112.092312","article-title":"Echocardiography screening for rheumatic heart disease in Ugandan schoolchildren","volume":"125","author":"Beaton","year":"2012","journal-title":"Circulation"},{"key":"10.1016\/j.cjco.2025.09.011_bib14","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s12872-016-0225-3","article-title":"The natural history of latent rheumatic heart disease in a 5 year follow-up study: a prospective observational study","volume":"16","author":"Z\u00fchlke","year":"2016","journal-title":"BMC Cardiovasc Disord"},{"key":"10.1016\/j.cjco.2025.09.011_bib15","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1056\/NEJMoa065085","article-title":"Prevalence of rheumatic heart disease detected by echocardiographic screening","volume":"357","author":"Marijon","year":"2007","journal-title":"N Engl J Med"},{"key":"10.1016\/j.cjco.2025.09.011_bib16","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.123.032442","article-title":"Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review","volume":"13","author":"Shimanda","year":"2024","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.cjco.2025.09.011_bib17","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s12887-016-0584-z","article-title":"Echocardiographic pattern of rheumatic valvular disease in a contemporary sub-Saharan African pediatric population: an audit of a major cardiac ultrasound unit in Yaounde, Cameroon","volume":"16","author":"Nkoke","year":"2016","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.cjco.2025.09.011_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/S2666-5247(22)00359-7","article-title":"WHO's global tuberculosis report 2022","volume":"4","author":"Bagcchi","year":"2023","journal-title":"Lancet Microbe"},{"key":"10.1016\/j.cjco.2025.09.011_bib21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0007840","article-title":"Gender-related factors affecting health seeking for neglected tropical diseases: findings from a qualitative study in Ethiopia","volume":"13","author":"Wharton-Smith","year":"2019","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.cjco.2025.09.011_bib22","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0253581","article-title":"Rheumatic heart disease in pregnancy and neonatal outcomes: a systematic review and meta-analysis","volume":"16","author":"Liaw","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.cjco.2025.09.011_bib23","first-page":"ehaf494","article-title":"Why Africa needs its own criteria for heart valve prosthesis selection","author":"Manuel","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjco.2025.09.011_bib24","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s12960-021-00635-7","article-title":"Participation of women in the health workforce in the fragile and conflict-affected countries: a scoping review","volume":"19","author":"Ayaz","year":"2021","journal-title":"Hum Resour Health"},{"key":"10.1016\/j.cjco.2025.09.011_bib25","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1017\/S1047951117001202","article-title":"A multinational and multidisciplinary approach to treat CHD in paediatric age in Angola: initial experience of a medical-surgical centre for children with heart disease in Angola","volume":"27","author":"Nunes","year":"2017","journal-title":"Cardiol Young"},{"key":"10.1016\/j.cjco.2025.09.011_bib26","doi-asserted-by":"crossref","unstructured":"Manuel V. Rethinking international collaboration in cardiac surgery in Africa: from dependency to sustainable empowerment [e-pub ahead of print]. J Thorac Cardiovasc Surg doi: 10.1016\/j.jtcvs.2025.07.022.","DOI":"10.1016\/j.jtcvs.2025.07.022"},{"key":"10.1016\/j.cjco.2025.09.011_bib27","first-page":"246","article-title":"African experiences of humanitarian cardiovascular medicine: the Mozambican experience","volume":"2","author":"Mocumbi","year":"2012","journal-title":"Cardiovasc Diagn Ther"},{"key":"10.1016\/j.cjco.2025.09.011_bib28","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1016\/j.jtcvs.2019.01.054","article-title":"Making cardiac surgery feasible in African countries: experience from Namibia, Uganda, and Zambia","volume":"158","author":"Forcillo","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.cjco.2025.09.011_bib29","doi-asserted-by":"crossref","unstructured":"Aldersley T, Ali S, Dawood A, et al. A Landscape analysis of pediatric and congenital heart disease services in Africa [e-pub ahead of print]. World J Pediatr Congenit Heart Surg doi: 10.1177\/21501351251316230.","DOI":"10.1177\/21501351251316230"},{"key":"10.1016\/j.cjco.2025.09.011_bib30","doi-asserted-by":"crossref","first-page":"2541","DOI":"10.1016\/j.jtcvs.2017.11.106","article-title":"Ten-year clinical experience of humanitarian cardiothoracic surgery in Rwanda: building a platform for ultimate sustainability in a resource-limited setting","volume":"155","author":"Swain","year":"2018","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["CJC Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589790X2500589X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589790X2500589X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:18:36Z","timestamp":1768454316000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589790X2500589X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":27,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S2589790X2500589X"],"URL":"https:\/\/doi.org\/10.1016\/j.cjco.2025.09.011","relation":{},"ISSN":["2589-790X"],"issn-type":[{"value":"2589-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Rheumatic Heart Disease: Global Failure in Tackling a Common Killer","name":"articletitle","label":"Article Title"},{"value":"CJC Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cjco.2025.09.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.","name":"copyright","label":"Copyright"}]}}