Scorpion stings and spider bites in the Upper Juruá, Acre – Brazil

Abstract

Introduction: Epidemiological information on poisonings by venomous animals is fundamental in order to elaborate proposals for educational campaigns for prevention of poisonings, and may contribute to the improvement of the care of patients admitted to health facilities.
 Objective: Thus, the objective is to analyze the epidemiological profile of spider and scorpion poisoning in the Upper Juruá region, Western Amazonia, Brazil, from 2012 to 2017.
 Methods: Epidemiological data were obtained from the records of SINAN (Information System of Notifiable Diseases) in the Epidemiological Surveillance Sector of the Juruá Regional Hospital located in Cruzeiro do Sul.
 Results: There were 207 cases of accidents with arachnids, predominantly stinging by scorpions (148 cases, 71.9%), in the Regional Epidemiological Surveillance Sector of the Juruá Regional Hospital located in Cruzeiro do Sul. The average morbidity coefficient during the study period was 12 cases per 100,000 inhabitants for spider bites and 29.28 for scorpion stings. There was no correlation between spider and scorpion incidents with rainfall over the months during the study period.
 Conclusion: The average incidence of spider and scorpion incidents in the Upper Juruá region is one of the highest recorded for the Brazilian Amazon and is higher than the averages for Brazil, the Northern region and the state of Acre. Incidents with spiders and scorpions were not correlated with rainfall, and other factors associated with species biology or with human activities related to the temporal distribution, therefore there could be a risk of an arachnid incident throughout the year.

Escorpionismo no Extremo Sul da Bahia, 2010-2017: perfil dos casos e fatores associados à gravidade*

“…22,23 In view of this situation, socio--economically vulnerable individuals, self-reported as being Black (84.0%), living in the rural areas of the municipalities and with low schooling (illiterate and with up to 7 years of schooling) were those who most suffered scorpion accidents. Production activities in rural areas are mainly performed by men, thus increasing their risk of exposure to scorpions, as reported in a recent study by Silva et al 24 In our study, as in the study conducted by Bucaretchi et al, 25 the hands were the anatomic region most affected by scorpion accidents. This finding is justified both by domestic activities 26 and also by failure to use personal protective equipment (PPE) by workers in their activities.…”

“…This finding is justified both by domestic activities 26 and also by failure to use personal protective equipment (PPE) by workers in their activities. 24 Scorpion accidents are characterized above all by activities involving handling objects and places where scorpions gather. PPEs could be an important instrument for avoiding scorpion accidents at work.…”

Scorpion species of medical importance in the Brazilian Amazon: a review to identify knowledge gaps

“…The correct distinction of scorpions involved in accidents helps in the diagnosis and in the prediction of serious complications, depending on the causative species [ 36 , 113 ]. Surprisingly, in several cases of scorpion envenoming, the animals responsible for the stings are not identified in the Brazilian Amazon region (as will be shown later in Table 4 ) [ 36 , 117 - 119 ]. In the Northern region, the identification of venomous animals is usually carried out in Manaus and Belém, respectively, the capitals of the Brazilian states of Amazonas and Pará [ 9 , 50 ].…”

Assistência De Enfermagem Na Saúde Do Idoso No Âmbito Da Estratégia Saúde Da Família: Uma Revisão Integrativa De Literatura

“…Nenhum momento ela achou aquilo um absurdo, nenhum momento ela falou "olha o que fizeram comigo, com meu corpo, olha o que aconteceu aqui!" (Destaca-se ainda a violência doméstica como ação rotineira, que na maioria das vezes, está ligada a conflitos que levam ao rompimento conjugal (ALENCAR; RAMOS; RAMOS, 2018), o que pode ser visualizado a seguir:[...] situações de mulher trancada dentro de casa em prisão doméstica que ela não pode sair, em casa trancada com as crianças o dia todo, eu fazia violência acontece muitas vezes no meio intrafamiliar, cometido por algum parente ou pessoas que tenham aproximação com a vítima(SILVA, 2018), como apontado abaixo:[...] um padrasto engravidar uma menina de 10 anos e a mãe estar de acordo. Ele ciumava muito da menina, andava com a menina na bicicleta para cima e para baixo e não deixava ela brincar com outras crianças da idade dela[...].…”