Facts Did you know... • Rheumatic fever is a serious disease that can lead to permanent heart damage Courage behind the smiles All three children featured on the Bay of Plenty ‘sore throats matter’ pamphlets and posters have experienced acute rheumatic fever (ARF). The children; Tutohia, Michael and Mersayde and their whanau have very generously agreed to share their stories to help raise awareness about rheumatic fever and the impact it has had on their lives. • It is almost three times more common in the Bay of Plenty than in New Zealand overall Tutohia Huriwaka feels a bit shy but proud to be on the cover of the Opotiki rheumatic • Maori and Pacific children aged between 5 -14 years are most at risk of developing rheumatic fever fever pamphlets and posters. “My friends often say that they have seen me and sometimes ask what it is all about,” says Tutohia. He is now ‘world famous in New Zealand’ as the resources have been distributed across the Bay of Plenty, Northland, Waikato, Wellington and Nelson. Tutohia was only six years old when he had his first attack of rheumatic fever. He remembers waking up in the night vomiting and feeling “cold and shaky with sore legs.” The episode of rheumatic fever damaged his heart valve - this is called rheumatic heart disease. In 2009 Tutohia went to Starship Hospital where he underwent surgery to repair the damaged heart valve. Tutohia enjoys playing and watching rugby, swimming and reading. He receives a monthly injection of Penicillin which will continue until he is at least 21 years old. This is to prevent another attack of rheumatic fever which could lead to further heart damage. Tutohia understands that although it can be sore, he needs to have the injection “to keep me going”. If a friend came to Tutohia with a sore throat he would tell them to “go and get a throat swab from Nita!” • Rheumatic fever is preventable provided sore throats are treated correctly • An untreated sore throat (‘strep throat’) can cause rheumatic fever • If a child complains of a sore throat make sure they are checked by a doctor • If a ‘strep throat’ is diagnosed, the doctor will usually prescribe a 10 day course of antibiotics • It is important to complete the whole 10 day course to prevent rheumatic fever from developing Michael Savage receives a lot of comments from family and friends about being on • Sore throats matter – get them checked! the Kawerau ‘sore throats matter’ pamphlets and posters. “They usually know why I am on the brochure, but if not they read them to find out,” says Michael. Michael was eleven years old when she became unwell with a sore throat and sore joints. In addition, Michael couldn’t sleep because her arms and legs were constantly moving around. She was diagnosed with rheumatic fever and Sydenham’s chorea (a rare symptom of rheumatic fever that causes jerky limb movements). Michael spent three weeks in hospital where she had an echocardiogram of her heart and endless blood tests. “The whole family was worried because I had never been in hospital before,” says Michael. Fortunately Michael recovered well and has exceeded her doctor’s expectations. She has regained her independence and plays volleyball in summer and soccer in winter. Michael has mixed feelings about the monthly injections of Penicillin. “The bad bit is that it is sore, but it is good to know that it keeps me from getting sick again,” says Michael. Mersayde Akuhata was initially nervous but is now excited to be on the cover of the Murupara rheumatic fever pamphlets and posters. “Everyone knows everyone in Murupara so it is important to have a local person representing the community,” says Mersayde’s mum Linda. Mersayde was just eight years old when she had an attack of acute rheumatic fever which damaged her heart valve. As a result, Mersayde underwent heart surgery at Starship Hospital to replace the damaged valve. Mersayde is inspirational. She recovered so quickly from the heart surgery that even the doctors were amazed. She loves school and always asks why she can’t have her paediatric appointments outside school hours because she does not want to take a day off! Mersayde enjoys playing netball and being with her family. “Most children who are diagnosed with rheumatic fever can still lead a normal life and do what other children do if they take care,” says Linda. Although Mersayde is still learning about rheumatic fever, she understands the importance of receiving monthly injections of Penicillin to prevent her heart from becoming maauiui or sick. The last injection went really well, “she was a gun”, says Linda proudly. Rheumatic fever is a preventable disease, provided sore throats are treated correctly. If your child complains of a sore throat, take them to your local health centre to be checked. By taking sore throats seriously we can help prevent life long illness and suffering for our tamariki. Free ‘Preventing Rheumatic Fever’ pamphlets and posters are available from Toi Te Ora - Public Health Service. For further information phone Lindsay Lowe, Rheumatic Fever Co-ordinator on (07) 577 3790 or 0800 221 555. For further information go to www.toiteorapublichealth.govt.nz or talk to your doctor L124wb918-11
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