The research also found recurrences were strongly associated with severe rheumatic heart disease. The authors say the cost of medical and dental care could be a significant barrier to young adults continuing their penicillin prophylaxis prescription, and there should be culturally-tailored systems to help people keep up the medication.
This is a companion discussion topic for the original entry at https://www.sciencemediacentre.co.nz/2020/06/12/rheumatic-fever-recurrences-expert-reaction/