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vii.  Hearing disorders
          viii. Unconsciousness


          Preventive and Control Measures
          i.   Smoking and drinking alcohol should be avoided.
          ii.  Obesity should be reduced.

          iii.  Balanced diet should be taken regularly.
          iv.  Physical exercise should be done regularly.
          v.  We should be free from mental tension.

          vi.  Consumption of fatty, oily and spicy foods should be avoided.
          vii.  Fruits and vegetables should be consumed regularly.
          viii. Blood pressure should be tested regularly and should be kept under normal condition.
          ix.  Use of drugs or narcotics should be avoided.


          2.  Rheumatic Fever and Rheumatic Heart Disease
          Rheumatic fever is a disease associated with sore throat. It
          is a serious illness that can cause stroke, permanent damage
          to the heart and death of the victim if left untreated.
          Children between the ages of 5 and 15 usually suffer from
          rheumatic fever, however, it may attack older children and
          adults, too.

          Rheumatic fever affects the heart, joints and brain. Swelling
          of the heart may cause chest pain and if severe, there  may be
          signs of heart failure. Rheumatic heart disease is a chronic   Fig: 16 Rheumatic fever
          condition caused by rheumatic fever.


          Causes of Rheumatic Fever                                  Do You Know
          Rheumatic fever is caused by Group  A of           •  Rheumatic fever is
          Streptococcus  bacterium. This  bacterium is           common in places like
          commonly known as Beta-hemolytic streptococcus.        Sub-Saharan Africa, South
          This bacterium causes sore throat  or scarlet fever    Central Asia and Certain
          which is an inflammatory disorder.                     populations in Australia
                                                                 and New Zealand.
          Major Symptoms of Rheumatic Fever
          i.   Sore throat with tender and swollen lymph nodes

          ii.  Red rashes in the skin
          iii.  Difficulty in swallowing
          iv.  Thick bloody discharge from nose

          160  GREEN Health, Population and Environment Education Book-10
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