The role of social determinants of health in the risk and prevention of group A streptococcal infection, acute rheumatic fever and rheumatic heart disease: A systematic review.
BackgroundRheumatic heart disease (RHD) poses a major disease burden among disadvantaged populations globally.It results from acute rheumatic fever (ARF), a complication of Group A Streptococcal (GAS) infection.These conditions are acknowledged as diseases of poverty, however the role of specific social and environmental factors in GAS infection an