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Rheumatic fever (RF) and rheumatic heart disease (RHD) are primarily diseases of childhood and young adulthood. As a result of this epidemiological pattern, RF and RHD negatively impact on society by decreasing the capacity of the most productive age groups, as well as limiting future capacity by thwarting the development of young people. Acute RF and RHD lead to increased school absenteeism and drop-out, and lost wages due to parental absenteeism from work. The patient and the family bear most of the brunt of these costs, which are shared to some extent by society as a whole.

Rheumatic heart disease: social and economic dimensions.