An epidemiological study of snakebites from rural Haryana

Singh, Abhishek; Goel, Shewtank; Singh, Abhishek; Goel, Anil Kumar; Chhoker, Virender K; Goel, S. K.; Naik, Sulabha M; Kaur, Manpreet

doi:10.4103/2349-4220.159142

Cited by 7 publications

(11 citation statements)

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“…22 In another study by Singh et al, it was less than 4 h in 55.69% of the cases and more than 12 h in 7.59% of the cases. 19 The overall Death rate in this study was 12%. In another study by Mohapatra et al, it was 0.67 % however they included all patients of snake bites with majority of bites being non-poisonous and among poisonous bite neurotoxic were very few, however in some other studies mortality of neurotoxic snake bite was as high as 20%.…”

Section: Discussionmentioning

confidence: 52%

“…In another study by Singh et al reported only 20.25% of snake bite patients sought hospital care after consulting the traditional healers. 19 Delayed transportation, lack of awareness of the hazards of snakebite and initial preference for alternative systems of medicine are the main reasons for the delay in seeking medical attention. The bite-to-treatment delay varies greatly in studies from different health care centers of India.…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile and prognostic indicators of neurotoxic snake bite in rural India

Hassan¹,

Saini²,

Aggarwal³

2019

Int J Adv Med

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Background: In rural India, snakebite is an occupational and environmental hazard. WHO listed snakebite as one of the neglected tropical diseases and in rural India it is underreported because of popular traditional methods of treatments and lack of healthcare facilities. This study is an attempt to look into the epidemiological, clinical and prognostic indicators of neurotoxic snake bite in rural India.Methods: This study is a prospective, descriptive study of 25 neurotoxic snake bites admitted in our hospital from January to September 2019. Clinical factors like age, sex, clinical features, management and the outcome of patients are studied.Results: Young males were common victims of snakebite in evening hours during monsoon season. All patients received traditional methods of treatment, and despite this 64% of our patients reported to the hospital within 6 hours after the bite. Overall, the mortality rate in this study was 12%. Poor outcome was also noted in cases who were having respiratory failure and needed artificial ventilation (30%). Mortality was 22.2% in patients where bite to admission time was greater than 6 hours as compared to 6.25% in patients where it was less than 6 hours.Conclusions: Author concluded that a neurotoxic snake bite is a life-threatening emergency. In preventive measures, outdoor activities in dim lights during monsoon season should be restricted. Traditional treatments are still popular and trusted methods of treatment in rural India and these healers can be educated to recognize and refer immediately all neurotoxic bites to nearby medical facilities.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Clinical profile and prognostic indicators of neurotoxic snake bite in rural India

Hassan¹,

Saini²,

Aggarwal³

2019

Int J Adv Med

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“…Within the articles quantifying the association between flooding (or related weather patterns) and snakebite incidence, the large majority (83.8%) were retrospective clinical or epidemiological studies [4, 6, 7, 9, 12, 13, 18-20, 23-26, 28-30, 34, 35, 37, 40, 41, 43, 60, 66, 77, 78]. Most of them (25) provided comparable summary statistics that along with two surveys [27,44] and one paper on economic burden [39] allowed us to analyze their results for the monthly number of snakebite cases according to…”

Section: Resultsmentioning

confidence: 99%

Assessing the Increase of Snakebite Incidence in Relationship to Flooding Events

Ochoa

Bolon

Durso

et al. 2020

Journal of Environmental and Public Health

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Snakebite envenoming causes up to 138,000 deaths and 400,000 permanently disabled victims worldwide every year. Flooding is one of the many factors that seems to influence the incidence of snakebite. The catastrophic floods from late 2018 in Kerala (India) were widely broadcast and are an example of how flooding events are related to the increased incidence of snakebite. This relationship has been mentioned regularly in scientific and grey literature, but usually quite scarcely in comparison to other topics linked to snakebite. Additionally, web media, mobile communications, and social media have started playing an important role not only in providing access to information on flooding-related snakebite events, but also in snakebite prevention at a larger scale. In order to better understand to what extent the relationship between snakebite incidence and flooding is reported and quantified and appraise the importance of mobile communications and social media in snakebite prevention and management, we performed multiple searches in generic (Google) and specialized (PubMed, Web of Science, Google Scholar) databases. We retrieved 68 scientific articles and 5 reports ranging from 1892 to 2018 mentioning or analyzing flooding and the increased incidence of snakebite. Additionally, we found 68 web media reports linking flooding and snakebite. This review indicates that the increase of snakebite incidence due to flooding has been repeatedly observed all over the world. This phenomenon could be exacerbated because of climate change, which is expected to increase the overall magnitude and frequency of flooding. However, it could also be mitigated by the role the Internet, mobile communications, and social media could play in snakebite prevention and human and animal rescue strategies during flooding.

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“…This study reports that most of the patients were agricultural workers which is supported by other studies as well. 11,[15][16][17] Snakes hide in the grass, bushes, firewood and people are vulnerable for bites when they encounter them. The snake bites occur from may to october with peak in july and august and then decline from september, these months correspond to the rainy season.…”

Section: Discussionmentioning

confidence: 99%

Study of clinical profile and outcome of patients with snake envenomation at Bheri Hospital Nepal

Mandal¹,

Shakya²,

Risal³

et al. 2022

Nep. Mediciti Med. J.

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BACKGROUND Snake bite is a public health problem in terai and inner terai of Nepal. It is a medical emergency leading to significant morbidity and mortality every year. This study aims to find the clinical profile and outcome of snake bite envenomation patients in Bheri Hospital Nepalgunj. METHODS This was a cross sectional, observational study from April 2021 to November 2021. Patients with history of snake bite and clinical features suggesting envenomation were enrolled in this study, their clinical data and outcome were recorded in Excel sheet and analyzed by SPSS 20. RESULTS A total of 58 cases of snake envenomation was admitted and managed, out of which 3 cases expired with case fatality of 5.17%. Krait and cobra were the common snake bites in this region. 84.48% of the snake bites occur inside houses and more than half 53.44% of the patients were bitten between 12am to 6am. The most common features of envenomation were ptosis, blurring of vision, swallowing difficulty, dysphonia, neck muscle weakness, epigastric pain and salivation. Majority of cases 96.55% was given 10 vials of Anti snake venom (ASV). Only 4 patients 6.89% needed ventilator assistance. CONCLUSION Mortality with snake bites can be minimized by strengthening the treatment centers and readily availability of ASV at such centers. Public awareness about snake bite, first aid, rapid transport to health facilities would be the key to success in reducing morbidity and mortality.

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An epidemiological study of snakebites from rural Haryana

Cited by 7 publications

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Clinical profile and prognostic indicators of neurotoxic snake bite in rural India

Clinical profile and prognostic indicators of neurotoxic snake bite in rural India

Assessing the Increase of Snakebite Incidence in Relationship to Flooding Events

Study of clinical profile and outcome of patients with snake envenomation at Bheri Hospital Nepal

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