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HardIndigenous HealthChronic rheumatic heart disease secondary prophylaxisau-amcau-racp

A 17-year-old Aboriginal girl from a remote community is diagnosed with definite rheumatic heart disease involving the mitral valve following prior episodes of acute rheumatic fever. According to Australian ARF/RHD guidelines, what is the recommended duration of secondary benzathine benzylpenicillin prophylaxis in high-risk settings such as hers, assuming no contraindications and ongoing risk?

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