| Author | Schneider, Maria Cristina | |
| Author | Min, Kyung-duk | |
| Author | Hamrick, Patricia Nájera | |
| Author | Dourado, Lúcia Regina Montebello Pereira | |
| Author | Ranieri, Tani Maria | |
| Author | Mardini, Lucia Beatriz Lopes Ferreira | |
| Author | Camara, Volney de Magalhães | |
| Author | Luiz, Ronir Raggio | |
| Author | Liese, Bernhard | |
| Author | Vuckovic, Myriam | |
| Author | Moraes, Milton Ozório | |
| Author | Lima, Nísia Trindade | |
| Access date | 2022-02-08T18:27:44Z | |
| Available date | 2022-02-08T18:27:44Z | |
| Document date | 2021 | |
| Citation | SCHNEIDER, Maria Cristina et al. Overview of snakebite in Brazil: possible drivers and a tool for risk mapping. PLoS Neglected Tropical Diseases, v. 15, p. 1-18, 29 Jan. 2021. | |
| ISSN | 1935-2727 | |
| URI | https://www.arca.fiocruz.br/handle/icict/51091 | |
| Description | Produção científica do Laboratório de Hanseníase. | pt_BR |
| Sponsorship | The authors received no specific funding for this work. | |
| Language | eng | en_US |
| Publisher | Public Library of Science | |
| Rights | open access | |
| Title | Overview of snakebite in Brazil: possible drivers and a tool for risk mapping | en_US |
| Type | Article | |
| DOI | 10.1371/journal. pntd.0009044 | |
| Abstract | Snakebite envenoming affects close to 2.7 million people globally every year. In Brazil, snakebites are reported to the Ministry of Health surveillance system and cases receive antivenom free of charge. There is an urgent need to identify higher risk areas for antivenom distribution, and to develop prevention activities. The objective of this study is to provide an overview of the epidemiological situation of snakebite envenoming in Brazil and explore possible drivers; as well as to create a flowchart tool to support decision-makers identify higher risk areas. An ecological-type study was carried out using data by municipality (2013–2017). Study parts: 1) Create a geocoded database and perform a descriptive and cluster analysis; 2) Statistical analysis to measure the association of snakebite and possible environmental and socioeconomic drivers; 3) Develop a flowchart to support decision-makers and the application of this tool in one state (Rio Grande do Sul) as an example. An average of 27,120 snakebite cases per year were reported at the country level. Clusters of municipalities with high numbers of snakebites are mostly found in the Amazon Legal Region. The negative binomial regression model showed association with the snakebite case count: the type of major habitat, tropical or non-tropical; temperature; percentage of urbanization; precipitation; elevation; GDP per capita; a weaker relation with forest loss; and with venomous snake richness. The state where the instrument was applied reported 4,227 snakebites in the period. Most municipalities were considered as medium risk and 56/496 as high risk according to the tool created. Snakebite cases are distributed across the entire country with the highest concentration in the Legal Amazon Region. This creates a complex situation both for better understanding of the association of environmental and socioeconomic factors with snakebites and for the distribution and maintenance of antivenom to remote areas. Research into types of antivenom with a longer shelf life without the need for refrigeration is needed. | en_US |
| Affilliation | Georgetown University. School of Nursing and Health Studies. Department of International Health. Washington, DC, USA / Universidade Federal do Rio de Janeiro. Centro de Ciências da Saúde. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, Brasil. | |
| Affilliation | Seoul National University. Graduate School of Public Health. Institute of Health and Environment. Seoul, South Korea. | |
| Affilliation | Pan American Health Organization. Department of Health Emergencies. Washington, DC, USA. | |
| Affilliation | Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Imunização e Doenças Transmissíveis. Brasilia, DF, Brasil. | |
| Affilliation | Departamento Estadual de Saúde do Rio Grande do Sul. Divisão de Vigilância Epidemiológica. Porto Alegre, RS, Brasil. | |
| Affilliation | Departamento Estadual de Saúde do Rio Grande do Sul. Divisão de Vigilância Epidemiológica. Porto Alegre, RS, Brasil. | |
| Affilliation | Universidade Federal do Rio de Janeiro. Centro de Ciências da Saúde. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, Brasil. | |
| Affilliation | Georgetown University. School of Nursing and Health Studies. Department of International Health. Washington, DC, USA. | |
| Affilliation | Georgetown University. School of Nursing and Health Studies. Department of International Health. Washington, DC, USA. | |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Hanseníase. Rio de Janeiro, RJ, Brasil. | |
| Affilliation | Fundação Oswaldo Cruz. Casa de Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. | |
| Subject | Snakebite | en_US |
| Subject | Brazil | en_US |
| Subject | Medical risk factors | en_US |
| Subject | Snakes | en_US |
| Subject | Socioeconomic aspects of health | en_US |
| Subject | Habitats | en_US |
| Subject | Urbanization | en_US |
| Subject | Remote areas | en_US |
| e-ISSN | 1935-2735 | |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 11 Cidades e comunidades sustentáveis | |
