{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:40:21Z","timestamp":1791211221790,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T00:00:00Z","timestamp":1359072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"the Health and Social Agency"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,2]]},"abstract":"Aim<\/jats:title>Despite the well\u2010documented burden of rheumatic heart disease (RHD<\/jats:styled-content>) in several Pacific countries, the disease is poorly understood in N<\/jats:styled-content>ew C<\/jats:styled-content>aledonia. The aim of this study was to assess the prevalence of RHD<\/jats:styled-content> detected by echocardiographic screening in school children.<\/jats:p><\/jats:sec>Methods<\/jats:title>An annual RHD<\/jats:styled-content> screening programme is conducted by the H<\/jats:styled-content>ealth and S<\/jats:styled-content>ocial A<\/jats:styled-content>gency of N<\/jats:styled-content>ew C<\/jats:styled-content>aledonia for school\u2010aged children in their fourth year of primary school. For the purpose of this study, we used data collected during this echocardiographic screening between 2008 and 2010.<\/jats:p><\/jats:sec>Results<\/jats:title>Of 12\u2009728 children screened, 50.2% were male and the mean age was 9.6 \u00b1 0.6 years. Between 2008 and 2010, 114 children had RHD<\/jats:styled-content>, corresponding to a prevalence of 8.9 cases per 1000 (95% confidence interval (CI<\/jats:styled-content>) (7.3\u201310.6)). Prevalence of RHD<\/jats:styled-content> was higher on the main island outside Greater N<\/jats:styled-content>oumea (13.7 per 1000; 95% CI<\/jats:styled-content> (9.8\u201317.5)) and in the outlying island groups (14.6 per 1000; 95% CI<\/jats:styled-content> (8.4\u201320.9)) than in Greater N<\/jats:styled-content>oumea (5.8 per 1000; 95% CI<\/jats:styled-content> (4.1\u20137.5)). RHD<\/jats:styled-content> was more prevalent in M<\/jats:styled-content>elanesian children (13.5 per 1000; 95% CI<\/jats:styled-content> (10.9\u201316.1)) than in E<\/jats:styled-content>uropean (1.8 per 1000; 95% CI<\/jats:styled-content> (0.4\u20133.1)).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>This study documented a high prevalence of RHD<\/jats:styled-content> in N<\/jats:styled-content>ew C<\/jats:styled-content>aledonia, particularly in districts located outside Noumea and in children of M<\/jats:styled-content>elanesian heritage. These results uncover a hitherto unknown burden of disease in N<\/jats:styled-content>ew C<\/jats:styled-content>aledonia and underline the importance of delivering secondary prophylaxis to reduce the prevalence of RHD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12087","type":"journal-article","created":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T11:07:12Z","timestamp":1359112032000},"page":"109-114","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["High prevalence of rheumatic heart disease in schoolchildren detected by echocardiography screening in N<\/scp>ew C<\/scp>aledonia"],"prefix":"10.1111","volume":"49","author":[{"given":"No\u00e9mie","family":"Baroux","sequence":"first","affiliation":[{"name":"Infectious Diseases Epidemiology Unit Institut Pasteur of New Caledonia, Institut Pasteur International Network Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Rouchon","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Huon","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s","family":"Germain","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Michel","family":"Meunier","sequence":"additional","affiliation":[{"name":"Health and Social Agency of New Caledonia Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"D'Ortenzio","sequence":"additional","affiliation":[{"name":"Infectious Diseases Epidemiology Unit Institut Pasteur of New Caledonia, Institut Pasteur International Network Noumea New Caledonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1601-0825.2002.1o816.x"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.The Current Evidence for the Burden of Group A Streptococcal Diseases. 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