ENT  |  Sore Throat Pathway - Determine Rheumatic Fever Risk


Sore Throat Pathway - Determine Rheumatic Fever Risk

A patient is considered high risk for rheumatic fever if personal, family or household history of rheumatic fever or if they have 2 or more of the following criteria:

  • Maori or Pacific
  • Aged 3-35
  • Living in crowded circumstances* or lower socioeconomic area (i.e. those living in Quintile areas 4 and 5)
  • If the patient only has 0 or 1 criteria, they are considered low risk.

* Crowded Circumstances

Reference: pg 24 New Zealand Guidelines for Rheumatic Fever; 2014 Update
The Canadian National Occupancy Standard is a comprehensive measure of household crowding used by Statistics New Zealand and included as part of the New Zealand Deprivation Index.84 The Canadian Standard sets the bedroom requirements of a household according to the following composition criteria:


  • There should be no more than two people per bedroom.
  • Parents or couples share a bedroom.
  • Children under five years, either of the same or the opposite sex, may reasonably share a bedroom.
  • Children under 18 years of the same sex may reasonably share a bedroom.
  • A child aged five to 17 years should not share a bedroom with one under five of the opposite sex.
  • Single adults 18 years and over and any unpaired children require a separate bedroom.

85 Household crowding has found to be a contributing factor for the occurrence of ARF.

Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016

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