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Article History

Received: 11 September 2020

Accepted: 18 June 2021

First Online: 3 July 2021

Declarations

:

: This research is a sub-study of an existing study. The title of the bigger study is the Pan African Society of Cardiology Fever/Rheumatic Heart Disease Prevention Programme in African Nations. (THE ASAP PROJECT-REC REF:028/2006).Ethics approval was obtained from the Human Research Ethics Committee (HREC) of the University of Cape Town (UCT) (Ref: 436/2017) as well as permission to access data from Groote Schuur Hospital was obtained from the Western Cape Department of Health (WCDH) prior to commencement of study. The research also complied with the World Medical Association Declaration of Helsinki on Ethical Principles for Research Involving Human Subjects [].During the review of the medical records, privacy was maintained, and no identifying information such as patient participants’ names and identity numbers were collected. In addition, the study has minimal risk as it only involves accessing adult participants records from the big study database of an existing study. This sub-study (Ref: 436/2017) entails medical records reviews and extraction of data from hospital databases with no contact with patients as well as no identifying information of the patients. Data analyzed were confidential.

: Not Applicable.

: The authors declare that they have no competing interests.