The criteria for the certain and probable diagnosis of rheumatic fever and its sequelae have been outlined. These criteria were applied to all cases possibly suffering from this disease which were admitted to the wards of the Colonial War Memorial Hospital, Suva, Fiji, during the year 1948. Rheumatic fever has been proved with certainty in both the Fijian race and among the Indians born and living in Fiji. Indian cases, proved absolutely, “clinically proved” and “doubtful, probable,” were 1·2 per cent. of total Indian admissions (2,067), Fijian cases 0·2 per cent. of total Fijian admissions (1,162), suggesting an incidence six times as great among the Indians of Fiji as in the indigenous Fijian race. In the age group 6 to 10, when, in Europe and America, the disease usually first attacks and has its highest incidence, only Indian cases came under observation, and these constituted 8 per cent. of the total Indian admissions (73) for these ages.
Read full abstract