Disease Overview - Rheumatic heart disease is an old disease affecting young people, striking children and teenagers [4][5] - It starts with common infections like infected skin sores or strep throat, leading to an abnormal immune response [11][12] - The abnormal immune response damages heart valves, causing blood to flow backward, potentially leading to heart failure and death [13][17] Prevalence and Disparities - In developed countries like the US and Denmark, rates of rheumatic fever and rheumatic heart disease plummeted in the 20th century due to improved living conditions and antibiotics [19] - However, in the Northern Territory, remote communities, and other regions, rates are as high as those seen 100 years ago in developed countries [20][21] - In some communities, over 5% (one in 20) of school-aged children have been diagnosed with rheumatic heart disease [21] - Screening reveals that over 50% of cases in Australia and over 90% in Teimolestee are new, previously undiagnosed cases [23] Community-Based Solutions - Communities want to find undiagnosed children and get them on treatment to prevent heart failure, surgery, and death [29] - Communities prefer local Aboriginal health workers, practitioners, doctors, and nurses to be trained to diagnose and treat the disease [31][32] - Training local healthcare providers is not only possible but also better, enabling them to use technology to diagnose and treat rheumatic heart disease [33][34] Call to Action - The industry should listen to communities, understand their priorities, and work together to address challenges like rheumatic heart disease [25][27] - The industry should support policy changes to address poverty and the effects of colonization [28] - The industry should walk alongside communities, learn from their perspective, and empower them to lead the solutions [26][35]

In recent weeks, President Trump noted mild swelling in his lower legs. In keeping with routine medical care, and out of an abundance of caution, this concern was thoroughly evaluated by the White House medical unit. The president underwent a comprehensive examination, including diagnostic vascular studies.Bilateral lower extremity v Venus Doppler ultrasounds were performed and revealed chronic venus insufficiency AB9 in common condition particularly in individuals over the age of 70. Importantly there was ...