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Until his recent surgery at NYU Medical Center, Deepak Loknauth could barely muster the energy to walk. When he was only five, rheumatic fever raged through his body and left him with a damaged mitral valve - one of the heart's flap-like structures that prevents the backward flow of blood. The damage worsened over time. Deepak gradually lost his appetite. Chest pain, shortness of breath, extreme fatigue, and poor sleep were his daily symptoms. Rheumatic fever and resulting valvular disease had adversely affected the boy's health.

Deepak is from Guyana, one of the poorest countries in South America. Rheumatic fever, rare in the United States, is a common occurrence in Deepak's world. Poverty is its underlying cause, a disease of deprivation that erodes the health status of the Guyanese population, and especially its children.
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