A 3 year old with Rheumatic Heart disease

It is known that RHD occurs in children age 5-15 years. In Sudan RHD is a real problem. We recently had a child 4 years of age with history of joint pain and swelling for 1 year followed by shortness of breathing. Now she has severe affection of her heart (mitral valve regurgitation). Such a sad story as the only option is surgical repair which is technically challenging open heart surgey, or even worse, to replace the valve with mechanical one. This means she has to be on lifelong medications. The future is extremely poor! This could have been prevented if she came earlier.
We need to increase awareness of the families about RHD