The Cape Town declaration on access to cardiac surgery in the developing world

Peter Zilla, R. Morton Bolman, Magdi H. Yacoub, Friedhelm Beyersdorf, Karen Sliwa, Liesl Zühlke, Robert S.D. Higgins, Bongani Mayosi, Alain Carpentier, David Williams

Research output: Contribution to journalArticle

Abstract

Twelve years after cardiologists and cardiac surgeons from all over the world issued the ‘Drakensberg Declaration on the Control of Rheumatic Fever and Rheumatic Heart Disease in Africa’, calling on the world community to address the prevention and treatment of rheumatic heart disease (RHD) through improving living conditions, to develop pilot programmes at selected sites for control of rheumatic fever and RHD, and to periodically review progress made and challenges that remain, RHD still accounts for a major proportion of cardiovascular diseases in children and young adults in low- and middle-income countries, where more than 80% of the world population live. Globally equal in prevalence to human immunodeficiency virus infection, RHD affects 33 million people worldwide. Prevention efforts have been important but have failed to eradicate the disease. At the present time, the only effective treatment for symptomatic RHD is open heart surgery, yet that life-saving cardiac surgery is woefully absent in many endemic regions. In this declaration, we propose a framework structure to create a co-ordinated and transparent international alliance to address this inequality.

Original languageEnglish (US)
Pages (from-to)702-704
Number of pages3
JournalSouth African Medical Journal
Volume108
Issue number9
DOIs
StatePublished - Sep 2018

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Keywords

  • Cardiac surgery
  • Consensus statement
  • South Africa

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Zilla, P., Bolman, R. M., Yacoub, M. H., Beyersdorf, F., Sliwa, K., Zühlke, L., Higgins, R. S. D., Mayosi, B., Carpentier, A., & Williams, D. (2018). The Cape Town declaration on access to cardiac surgery in the developing world. South African Medical Journal, 108(9), 702-704. https://doi.org/10.7196/SAMJ.2018.v108i9.13102