What is RHD?
Rheumatic Heart Disease (RHD) is a life-threatening disease that currently affects over 55 million people globally and over 500,000 Ugandans. RHD disproportionally affects children and young adults living in resource-limited settings. RHD is caused by untreated or undertreated recurrent strep infections. These infections can trigger an autoimmune response called rheumatic fever (RF). The most serious manifestation of ARF is damage to the heart valves, RHD.
RHD can cause serious symptoms like fatigue, fever, chest pain, difficulty breathing, and swollen joints. Complications from RHD can include stroke, heart failure, and complications in pregnancy. However, RHD is largely preventable through the recognition and treatment of strep throat by early diagnosis and early intervention for RF.

How do I get RHD?
RHD begins with group A Strep infection, most commonly strep throat. Untreated strep throat can trigger Rheumatic Fever (RF) which causes an autoimmune reaction.
RF is an autoimmune response. Symptoms include fatigue, fever, chest pain, difficulty breathing, and swollen joints.

Can RHD be treated?
3. During the early RHD period, medication can be administered to prevent the progression of the disease. This treatment is called Secondary Antibiotic Prophylaxis (SAP) most commonly in the form of Penicillin G benzathine (BPG). BPG is an intramuscular penicillin injection given every 28 days to keep the disease from advancing.
4 & 5. Advanced-stage RHD and End-stage RHD require surgical intervention or a catheterization procedure to repair the damage to the heart valves.

Living With RHD
Living with Rheumatic Heart Disease (RHD) doesn’t mean giving up on a vibrant, fulfilling life. With early detection and proper medical care, individuals can effectively manage their condition and continue to enjoy active, joyful lives. Regular check-ups, medication, and a healthy lifestyle can help minimize symptoms, prevent complications and support overall heart health and well-being. Those living with RHD can pursue their passions, succeed in school and work, stay connected with loved ones, contribute to the community, and achieve their personal goals. With the right care and support, a meaningful and enriching future remains within reach while living with RHD.
