Walsh L, Innes-Smith S, Wright J, et al. - Researchers conducted this retrospective cohort study to assess the effectiveness of strategies for reducing acute rheumatic fever (ARF) with group A streptococcal pharyngitis treatment in 2011–18. They retrospectively evaluated outcomes of three open cohorts of Māori schoolchildren receiving different interventions: Eastern Bay rural Cohort 1, mean deprivation decile 9.80, received school-based sore-throat programs with nurse and general practice (GP) support; Eastern Whakatane township/surrounds Cohort 2, mean deprivation 7.25, GP management; Western Bay Cohort 3, mean deprivation 5.98, received predominantly GP care, but 3 highest-risk schools received school-based programs. Findings suggested that school-based programs with sore-throat swabbing of indigenous Māori health workers and support from GP/Nurse reduced incidence of first-presentation ARF in high-risk Māori students.