“…6,7,11,14,15 Several manufacturers have responded developing antivenoms for sub-Saharan Africa. Thus, in addition to laboratories traditionally producing antivenoms for Africa, such as EgyVac (Egypt), Sanofi-Pasteur (France), and South African Vaccine Producers (South Africa), 16 other manufacturers have recently developed new antivenoms for this region, e.g., MicroPharm (UK), 17 Instituto Bioclon (Mexico), 11,18 Instituto Clodomiro Picado (Costa Rica), 19,20 and Instituto Butantan (Brazil) (Diasda-Silva W, personal communication). However, there was a large heterogeneity in the design and composition of the venoms used in the immunization mixtures to prepare the above antivenoms, an issue complicated by the complexity of subSaharan herpetofauna and by the diversity of African snake venom proteomes ("venoms"), including intraspecies venom variability in those species with a wide geographical distribution.…”