Assertion: acute rheumatic fever | /r/HasProperty | declined in north america
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text: Although acute rheumatic fever (ARF) has declined in Europe and North America in incidence over the past 4 to 6 decades, the disease remains one of the most important causes of cardiovascular morbidity and mortality among socially and economically disadvantaged populations all over the world, especially in the developing countries that are home to the majority of the world’s population.