Abstract

To the Editor: Karthikeyan and Mayosi make a compelling case for increasing the focus on sore throat treatment in Africa with the aim of preventing rheumatic fever.1 However, in citing one of my articles in relation to their statement “Several arguments have been made against adopting primary antibiotic prophylaxis for the prevention of RF and RHD as a public health intervention in the community,” I believe they have misrepresented my position. I have never argued against the importance of treating streptococcal sore throat in primary care. On the contrary, I have repeatedly reinforced the importance of this strategy in …

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