8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

1/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

3

YGB\ B\ C ZC^Y E@ YGF I^C@Y

KBOC CMYB^FVACYBLC OVCYFACKYFLC

KC^O

IB\LKE\V^F

Ygf zv~ze|f b| ye bm`e~a ygf ofmf~ck zvnkbl cmi gfckyg

zf~|emmfk wgblg b| ~gfvacybl `fpf~ ib|fc|f ygb|

Iffzkr ~eeyfi bm ev~ Zezvkcybem

OVCYFACKC ACR >+:3:

Ygf bm`e~acybem b| v|fkf|| b` mey |gc~fi

I~- _bk`~fie ^cam \yedf|

Afiblck ^f|fc~lg

Kblfmlbcic Z\- Me~c Kb||fyyf Gf~mmifx

Z|rlgekeoblck ^f|fc~lg

Bmofmbf~ Bmi- Ov|ycpe C~~ere

Fmobmff~ Cmi Yflgmblck Cipb|e~r

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

2/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

>

I~ _bk`~fie caem \yedf| N-

CLVYF ^GFVACYBL @FPF^ C IB@@BLVKY IB\FC\F YE IBCOME\F CMI

PF^R E@YFM BM EV^ ZFEZKF

Bm`flybem| bm ygf yg~ecy c~f ckae|y ygf ae|y leaaem ~fc|em `e~ afiblck

lem|vkycybem bm ev~ levmy~r+ ygb| gczzfm| cy zvnkbl+ z~bpcyf cmi ckk

|elbck lkc||f|+ wgfm ygb| bm`flybem b| lcv|fi nr nclyf~bc lckkfi O~evz

C nfyc gfaekrybl |y~fzyelellv| .C. ygf~f ygf ze||bnbkbyr ygcy |eaf

zfezkf '

^gfvacybl `fpf~ '^@" b| cm bm`kcaacye~r ib|fc|f wbyg c yfmifmlr ye

nfleaf lg~embl ae~f `~fsvfmykr c``flybmo ygf gfc~y cmi nemf| nvy lcm

ck|e c``fly ygf |dbm mf~pev| |r|yfa nkeei pf||fk| cmi oc|y~ebmyf|ybmck

y~cly-

Y^ECY BM@FLYBEM\ C^FYgf ae|y leaaem lcv|f e` ~gfvacybl `fpf~

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

3/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

: rfc~| `e~ neyg lc|f| c~f ibcome|fi civky| c~f kbdfkr ye nf ~fkcz|f e`

ygf ib|fc|f ellv~| ae~f leaaemkr bm yfazf~cyf lkbacyf|+ leki cmi wfy cmi eygf~

baze~ycmy `clye~| `e~ by| ellv~~fmlf c~f8 zepf~yr+ kcld e` ielye~|+

epf~l~ewibmo+ zee~ mvy~bybem+ |fk`!afiblcybem+ kcld e` yc~ofyfi z~fpfmybem

z~eo~ca| `e~ gfckyg cvyge~bybf| e` c levmy~r cmi kcld e` z~ezf~ afiblck

ibcome|b|-

Ygb| b| c ib|fc|f `e~ wgblg ygf~f B\ ME NKEEI YF\Y\ e~ ~cibekeobl bacobmo ye

fm|v~f ygcy ygf zf~|em gc| e~ mey ygb| ib|fc|f b| ygcy |eafybaf| ygf ibcome|b|

lcm nf ib``blvky f|zflbckkr b` ygf zgr|blbcm b| mey `cabkbc~ wbyg ygf ib|fc|f-

Ygf @^ b| c ib|fc|f ygcy gc| nffm yf~afi c| |elbck c| rev lcm |ff ellv~| bm

zkclf| wbyg kc~of if`fly| e~ z~flc~bev| fb|yfmlf c| lgekf~c+ ackmvy~bybem cmi

yvnf~lvke|b|-

Ygf lv~~fmy ib|fc|f |byvcybem bm ev~ levmy~r b| dmewm `~ea ygf fzbifabekeoblck

zebmy e` pbfw nflcv|f ye icyf me e``blbck ~fle~i| e` ygf ib|fc|f mcybemwbif+

nvy wgcy b| lf~ycbm b| ygcy b` ygb| cmi pf~r z~f|fmy bm ev~ zezvkcybem+

c|_e~d fpbifmlfi |lbfmyb|y I~- _bk`~fie \yedf| acif iv~bmo `bpf rfc~| bm ygf

ifzc~yafmy e` Bxcnck-

Ygb| ib|fc|f b| ygf kfcibmo lcv|f e` ifcyg `~ea gfc~y ib|fc|f bm zfezkf 6!9:

rfc~| bm ygf V-\- ckemf ibfi bm ygf rfc~ >-::9 nr lc~ibcl leazkblcybem| lcv|fi

nr ~gfvacybl `fpf~ wgblg 97 zfezkf wf~f 3-:>> cmi >->>0 afm wf~f

`fackf|- Ygb| |gew| ygf |fm|bybpbyr e` ygb| ib|fc|f bm ygcy levmy~r |bmlf ygf

ib|fc|f b` by gc| cyycldfi cmi lemy~ekkfi `e~ acmr rfc~| cmi gcpf acbmycbmfi

cifsvcyf lemy~ek e` mfw lc|f|+ wgbkf bm ev~ levmy~r gc| mey fpfm nffm ifyflyfi

|e `c~ ygf z~enkfa if|zbyf ckk ygf `clye~| `e~ ygb| ib|fc|f b| obpfm cy ckk

kfpfk|-

\RAZYEA\8 Ygf |razyea| e` ygb| ib|fc|f acr nfobm 3!0 wffd| c`yf~ |v``f~bmo cyg~ecy bm`flybem |vlg c| yem|bkkbyb| e~ zgc~rmobyb| e~ c`yf~ cm cyycld e`

|lc~kfy `fpf~ cmi lcm nf pf~r |gc~z e~ |eafybaf| |eafygbmo abme~ cmi

mem|zflb`bl-

Ygf acbm |razyea| cmi |bom| c~f c~yg~byb|+ zcbm cmi ~fimf|| e` hebmy| |vlg c|

fknew|+ dmff|+ cmdkf|+ ncld+ |gevkif~|+ `bmof~| fyl- Ygf|f zcbm| c~f c

zflvkbc~byr b| ygcy |ffa| ye lgcmof `~ea emf zkclf ye cmeygf~+ c~f mey ckwcr|

c``flyfi neyg |bif| c| by gczzfm| bm ~gfvacyebi c~yg~byb| cmi b| |eafybaf|

ab|ibcome|fi c| o~ewbmo zcbm| bm lgbki~fm e~ ciekf|lfmy|- Rev gcpf ye

vmif~|ycmi ygcy ygf|f |razyea| c~f fsvbpckfmy ye c~yg~byb|+ wgblg b| mey

me~ack `e~ cmr lgbki+ yffmcof~ e~ civky zkcy`e~a evy ygf~f |v``f~bmo nemf

zcbm-

OB^K E@ ? RFC^\ _BYG C^YG^BYB\

\VNLVYCMFEV\ MEIVKF

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

4/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

9

Lc~ibcl |razyea|

LC^IBYB\8

C~f zckzbycybem| cmi yclgrlc~ibc+ l~v|gbmo zcbm e~ lgf|y+ c~~grygabc|+

`cybovf+ |wfkkbmo e` `ffy cmi bm cipcmlfi |ycof| av~av~|+ `cbmybmo |fpf~f

lgedbmo cmi `bmckkr `bmckkr ifcyg ivf ye gfc~y

`cbkv~f-

Pckpf e~b`blf| c~f`~ff cmi wbkk lkfc~ygf nkeei 'me~ack"

PCKPF ABY^CK C^FAE^F LEMLF^MFI BM_EAFM CMI AFM BM YGFCE^YBL

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

5/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

6

Ygb| gfckbmo ~fsvb~f| ygf gfc~y ye we~d gc~if~ ye |fmi nkeei yg~evog ygf neir+

nfbmo c av|lkf wbyg ygf fy~c f``e~y nfobm| ye o~ew cmi ie mey ~f|y e~

y~fcyafmy lemybmvf| ye o~ew vmybk by b| me kemof~ `vmlybemck ygb| o~ewyg b|

lckkfi GRZF^Y^EZGR GFC^Y cmi ofmf~ckkr lcm mey ~fpf~|f ygf icacof bm cipcmlfi

lc|f|+ lc~ibcl c~~grygabc| lcm ck|e ellv~ nr bm`kcaacybem e` ygf gfc~y/|

fkfly~blck |r|yfa ygcy lemy~ek| ygf zclf+ YGF\F C^F YGF AE\Y LEAAEM LCV\F\ E@

IFCYG NR ^GFVACYBL @FPF^-

By ck|e cyycld| ygf mf~pev| |r|yfa bm ygf `e~a e` DE^FC e~ \y- Pbyv|/ icmlf8

Ygb| b| c |ycyf e` lkva|bmf|| wgblg c~f |viifm cmi ygf zf~|em peyf| ygf

enhfly| e` ygf gcmi| cmi acr gcpf |f~bev| ib``blvkybf| bm wckdbmo+

Ygb| b| ygf icacof ygcy ellv~|^gfvacybl @fpf~ GFCKBMO E@YGF GFC^Y PCKPF\ ygb|

z~eivlf| Gfc~y av~av~

CNEVY\YCMIC^I

\BXF

2 Rfc~ eki ner wbyg Lc~ibyb|

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

6/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

0

gcmiw~bybmo+ kcld lee~ibmcybem+ ck|e lcv|f| zcybfmy| ye `ffk if|b~f ye aev~m

cmrygbmo 'yfc~`vkmf||" cmi bm |eaf lgbki~fm lcv|f| grzf~clybpbyr cmi

ifz~f||bem- Ygf |dbm acmb`f|ycybem| lem|b|y e` |ackk nckk| ygcy czzfc~ vmif~

ygf |dbm wgblg c~f gc~i cmi o~ew c~evmi ygf hebmy| cmi ib|czzfc~ c`yf~ c wgbkf

wbygevy c y~clf \VN!\DBM MEIVKF\- By ck|e lcv|f| c ~fi e~ zbmd em ygfb~ ncmd|

cmi ae~f lkfc~ bm ygf abiikf bm ygf lfmyf~ leaf| evy em ygf |yeaclg nvyyeld|+

kfo| e~ ncld nvy ygb| ck|e ib|czzfc~| c`yf~ c wgbkf wbygevy c y~clf 'F~rygfac

Ac~obmcyva"

Ygf|f c~f ygf ae|y leaaem |razyea| e` ygf ib|fc|f nvy lcm ck|e lcv|f `fpf~|+

me|fnkffi|+ |fpf~f cnieabmck zcbm| ygcy |ffa ye czzfmiblbyb|+ kbpf~ z~enkfa|

cmi eygf~|

Gew ye acdf c ibcome|b|8 Nflcv|f ygb| ib|fc|f b| c lkbmblck |rmi~eaf lcm cmi

|gevki emkr nf ibcome|fi nr c zgr|blbcm y~cbmfi cmi svckb`bfi c| c ib|fc|f b|

avkyb`clfyfi cmi ygf~f b| me nkeei yf|y+ lvkyv~f cmi |e em-+ Ygcy ygf~f nf

ze|bybpf fm|v~f| ibcome|b| e` ygf ib|fc|f ygcy yf|y| ygf cnbkbyr e` ygfy~fcybmo ielye~ cmi ygcy ygb| b| c zcybfmy zvy ygf kcnfk e` c ib|fc|f ygcy lcm

gcpf ckk gb| kb`f-

Y~fcyafmy8 Ygf ib|fc|f b| y~fcyfi wbyg |bazkf cmybnbeybl|+ kew yeblbyr lgfcz

cmi ~fcibkr cpcbkcnkf+ fzfm|bpf cmybnbeybl|+ ye ~faepf ygf yem|bk| cmi yg~ecy

lvkyv~f| wbyg |v|lfzybnbkbyr wbkk mey we~d ye z~fpfmy ygb| ib|fc|f- Ygf kemo!

yf~a y~fcyafmy e` ygf ib|fc|f b| fzfm|bpf ye S 3:-:: S ?:-:: ')3 ye 3: V\I"c

aemyg `e~ wgcy mey ye keed `e~ ckyf~mcybpf afiblbmf| cmi cmybnbeybl| fzfm|bpf

nflcv|f ygfr wbkk mey we~d-

Pf~r baze~ycmy b| ye vmif~|ycmi ygcy ygf y~fcyafmy e` ~gfvacybl `fpf~ b| mey c

ocaf cmi cmybnbeybl| |gevki nf v|fi `e~ kemo ybaf+ vz ye 37!>3 rfc~| e~ cy

kfc|y `bpf rfc~| wgblgfpf~ b| kemof~ `e~ ygf zcybfmy |e n~edfm nvy b` rev

icacof ygf gfc~y av|y nf kb`fkemo-

Ygf~f b| c| rfy me ckyf~mcybpf ygf~czr ygcy lcm ~faepf ygf icacof lcv|fi nr

ygb| ib|fc|f |e e``f~fi wbkk nf cm b~~f|zem|bnkf PF^R KC^OF CMI _BKK NF CY

^B\D E@ LEAZKBLCYBEM\ E^ IFCYG YE YGF ZCYBFMY-

Ygf z~eome|b| e` ygf ib|fc|f wgfm ibcome|fi bm lgbkigeei b| ofmf~ckkr oeei

f|zflbckkr b` rev cigf~f |y~blykr ye ygf ~vkf| e` y~fcyafmy+ nvy wgfm rev gby

ygf gfc~y cmi by| pckpf| f|zflbckkr ygf z~eome|b| acr nf vmlf~ycbm cmi wbkk nf

gfcpbkr bm`kvfmlfi nr kb`f|yrkf cmi fmpb~emafmy bm wgblg ye vm`eki ygf

zcybfmy-

Ygb| |dbm kf|bem b|8F~rygfac

Ac~obmcyva

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

7/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

?

2:& e` ygf kbogy lc~ibyb| ~flepf~ leazkfyfkr wbygevy |fsvfkcf+ ib|czzfc~bmo

av~av~ gb| lempckf|lfmlf e~ bm 6!3: rfc~|- C~yg~byb| cmi lge~fc ~flepf~ `vkkr-

^gfvacybl `fpf~ b| c ib|fc|f ygcy acr gcpf ~flv~~fmlf| cmi ygcy ifyf~abmf| ygf

ib|cnbkbyr e~ ifcyg e` ygf zcybfmy- Ae|y civky| ibcome|fi ze||bnkr pf~r kemo

~fsvb~fi y~fcyafmy cmi lc~ibcl kf|bem| acr nf ib``blvky ye `bmi- YGF^F@E^F NF

\V^F YE @EKKE_ IB^FLYBEM\ CMI YGF^CZFVYBL AFC\V^F\-

Z^FPFMYBEM8 Z~fpfmybem b| ygf ae|y baze~ycmy e` ygb| ib|fc|f cmi by|

lem|fsvfmlf| lcm nf |f~bev| e~ fpfm `cyck-

Gf~f c~f |eaf afc|v~f| ye z~fpfmy ygf em|fy e` bkkmf|| bm ygfb~ lgbki~fm+

`cabkr cmi `~bfmi|-

3- Me |fk`!afiblcyf+ ycdf cmybnbeybl| wbygevy c z~f|l~bzybem wbkk mey |ekpf

ygf z~enkfa emkr acdf by we~|f-

>- Lckk ygf ielye~ b` ygf~f b| c yg~ecy bm`flybem+ ygf ache~byr e` yg~ecy

bm`flybem| bm z~f|lgeek lgbki~fm c~f pb~ck cmi ie mey mffi cmybnbeybl|+ nvy

ygf ielye~ lcm fc|bkr ~fleombxf wgfygf~ by b| c nclyf~bck bm`flybem-

- \razyea| |vlg c|8 lg~embl levog wbyg gfckygr kvmo|+ nci n~fcyg wbyg e~

wbygevy krazg| meif| bm mfld e~ Mfld Zcbm byfa| acr nf |voof|ybpf e`

lg~embl zgc~rmobyb|-

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

8/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

7

3- Bm ygb| ib|fc|f lcm c``fly yg~evogevy kb`f b| baze~ycmy ygcy zcybfmy|

vmif~|ycmi gew ygfr c~f acmb`f|yfi cmi gew ye bifmyb`r ~fkcz|f| ygcy c~f |e

leaaem+ ygf zcybfmy |gevki |ffd ciibybemck bm`e~acybem+ Bmyf~mfy b| cm

flfkkfmy ezze~yvmbyr e~ ie mey c|d eygf~ z~e`f||bemck- By b| mey lem|bif~fi

oeei ye lem|vky |eafemf wge b| mey svckb`bfi zgr|blbcm e~ |eafemf gc| nffm

ibcome|fi wbyg ygf ib|fc|f cmi wgcy gf wbkk ie b| lempfr ygfb~ fzf~bfmlf cmi

lcm mey gcpf c ~fck pb|bem e` ygf n~ecif~ ib|fc|f-

8/9/2019 Rheumatic Fever for All for Dr Wilfredo Stokes B. Guatemala Nov 2,009

9/9

Kboc Cmyb~~fvayblc Ovcyfackyflc !KC^O

Cvyge~8 I~- _bk`~fie cam \yedf| Nckycxc~

Afiblck f|fc~lgf~

2

@e~ ae~f bm`e~acybem pb|by ygb| nkeo8 gyyz8%%i~wbk`~fie|yedf|nckycxc~-nkeo|zey-lea%

Cmr bm`e~acybem em ygb| ib|fc|f acr nf ~fsvb~fi ye facbk|

i~w|yedf|Joacbk-lea afiblbmcbmyfo~ckzc~cyeie|Joacbk-lea

KBOC CMYB^^FVACYBLC OVCYFACKYFLC

Ygf @^ b| c ib|fc|f if|zbyf gcpbmo nffm lemy~ekkfi bm ifpfkezfi

levmy~bf| lemybmvf| ye c``fly gvmi~fi| e` ygev|cmi| e` zfezkf c~evmi

ygf we~ki nflcv|f by b| c ib|fc|f ygcy |bavkcyf| e~ ababl| acmr eygf~|-

Caemo ygf ib|fc|f| ygcy c~f y~fcyfi bm Ovcyfackc cmi c~f lem`v|fi e~

w~emo wbyg ygb| ib|fc|f c~f8 Ygf kvzv|+ ~gfvacyebi c~yg~byb|+

GBZF^KC\BYVI \RMI^EAF+ lg~embl gfzcybyb|+ b~~bycnkf newfk |rmi~eaf+

`bn~earckobc ~gfvacybl+ gbzf~clybpbyr lgbki~fm/|+ cmbfyr+ yclgrlc~ibc+

cmobmc zflye~b|+ czzfmiblbyb|+ fkfpcyfi v~bl clbi cmi |e em-

_f |voof|y ygf ~fcif~ ye bmpf|ybocyf ae~f cnevy ygb| ib|fc|f cmi

lem|vky BMYF^MFY `e~ack kbyf~cyv~f b| cm flfkkfmy yeek ye kfc~m cnevy

by b| z~f`f~cnkf bm`e~acybem `~ea gfckyg z~e`f||bemck| c| ygf eygf~

|ev~lf| lcm nf lcyfoe~bxfi c| `e~ack-

Ygb| ib|fc|f lcm z~e`evmikr c``fly ygf bmibpbivck cmi gb| `cabkr cmi

cyycldbmo c zf~|em wgfm by nfobm| ye `e~a cmi z~fzc~f `e~ kb`f

ib|~vzybmo cmi kewf~bmo ygf svckbyr e` rev~ kb`f-

^fafanf~ ygcy ygf nf|y e` ygb| |f~bev| ib|fc|f ygcy b| mey obpfm ygcy

ygf acbm f``e~y| |gevki nf ib~flyfi yewc~i| z~fpfmybem

Ygf nkeo '|ff kbmd" rev lcm wcylg pbife| e` wgcy b| De~fc wgblg c~f

pf~r bkkv|y~cybpf e` ygb| leazkblcybem-