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 Health  Vol.8 No.5 , March 2016
Snakebite Epidemiology in Bangladesh—A National Community Based Health and Injury Survey
Abstract: Insert Snakebite is a global public health issue, and in majority of cases it is undermined. Tropical and subtropical countries are most effected, Bangladesh being one of them. There is scarcity of countries’ epidemiological situation in relation to snakebite poisoning. This study has looked at the epidemiological status of snakebite poisoning from national representative survey findings. Methods: A nationwide cross-sectional survey was conducted in 12 randomly selected districts of Bangladesh in 2003. A total of 171,366 households were surveyed and information was collected from 819,429 populations by face to face interview. Multi-stage cluster sampling methods were used in this survey and covered urban, rural and slum populations. Results: Annually an estimated 15,372 (10.98/100,000) individuals were bitten by snakes and of them 1709 (1.22/100,000) died every year. Males were found to be most vulnerable with a risk of 1.51 times higher than female. Rural populations were also 10.54 times higher at risk than the populations living in the urban areas. Among the victims 94% were from the poor socio economic conditions. Around 43.9% of the incidences occurred during evening to midnight. Home was found the most common area for snake bite (33.6%), and the Leg was found to be the most common site for biting (63.1%). A total of 96.6% victims sought treatment, of them 61% sought immediate treatment from traditional healing methods. Conclusions: Present incidence of snakebite in Bangladesh has clearly shown that there is emerging public health needs for intervention that can reduce the mortality and burden of the disease in the country.
Cite this paper: Hossain, J. , Biswas, A. , Rahman, F. , Mashreky, S. , Dalal, K. and Rahman, A. (2016) Snakebite Epidemiology in Bangladesh—A National Community Based Health and Injury Survey. Health, 8, 479-486. doi: 10.4236/health.2016.85051.
References

[1]   World Health Organization (2016) A Multicomponent Strategy to Improve the Availiblity of Anivenom for Trating Snaebite Envenoming.
http://www.who.int/bulletin/volumes/92/7/13-132431/en/

[2]   Williams, D., Gutiérrez, J.M., Harrison, R., Warrell, D., White, J., Winkel, K.D., et al. (2010) The Global Snake Bite Initiative: An Antidote for Snake Bite. The Lancet, 375, 89-91.
http://dx.doi.org/10.1016/S0140-6736(09)61159-4

[3]   Kasturiratne, A., Wickremasinghe, A.R., De Silva, N., Gunawardena, N.K., Pathmeswaran, A., Premaratna, R., et al. (2008) The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths. PLoS Medicine, 5, 1591-1604.
http://dx.doi.org/10.1371/journal.pmed.0050218

[4]   Warrell, D.A. (2010) Snake Bite. The Lancet, 375, 77-88.
http://dx.doi.org/10.1016/S0140-6736(09)61754-2

[5]   White, J., Warrell, D., Eddleston, M., Currie, B.J., Whyte, I.M. and Isbister, G.K. (2003) Clinical Toxinology—Where Are We Now? Journal of Toxicology—Clinical Toxicology, 41, 263-276.
http://dx.doi.org/10.1081/CLT-120021112

[6]   White, J. (2000) Bites and Stings from Venomous Animals: A Global Overview. Therapeutic Drug Monitoring, 22, 65- 68.
http://dx.doi.org/10.1097/00007691-200002000-00014

[7]   Halesha, B.R., Harshavardhan, L., Lokesh, A.J., Channaveerappa, P.K. and Venkatesh, K.B. (2013) A Study on the Clinico-Epidemiological Profile and the Outcome of Snake Bite Victims in a Tertiary Care Centre in Southern India. Journal of Clinical and Diagnostic Research, 7, 122-126.

[8]   Ghose, A. and Faiz, A. (2015) Snake Envenomation in Bangladesh. Clinical Toxinology in Aisa Pacific and Africa, 233-249.

[9]   Alirol, E., Sharma, S.K., Bawaskar, H.S., Kuch, U. and Chappuis, F. (2010) Snake Bite in South Asia: A Review. PLoS Neglected Tropical Diseases, 4, e603.
http://dx.doi.org/10.1371/journal.pntd.0000603

[10]   Sharma, S.K., Chappuis, F., Jha, N., Bovier, P.A., Loutan, L. and Koirala, S. (2004) Impact of Snake Bites and Determinants of Fatal Outcomes in Southeastern Nepal. The American Journal of Tropical Medicine and Hygiene, 71, 234-238.

[11]   Hati, A.K., Mandal, M., De, M.K., Mukherjee, H. and Hati, R.N. (1992) Epidemiology of Snake Bite in the District of Burdwan, West Bengal. Journal of the Indian Medical Association, 90, 145-147.

[12]   Chippaux, J.P. (1998) Snake-Bites: Appraisal of the Global Situation. Bulletin of the World Health Organization, 76, 515-524.

[13]   Abms, A. and Akmm, I. (2015) Snake Bite as a Public Health Problem?: Bangladesh Perspective. Birdem Medical Journal, 5, 24-29.

[14]   Faiz, M.A., Hossain, M., Amin, R. and Ga, A.B. (2008) National Guideline of Management of Snake Bite. 2nd Edition, DGHS, Dhaka.

[15]   Harris, J.B., Faiz, M.A., Rahman, M.R., Jalil, M.M.A., Ahsan, M.F., Theakston, R.D.G., et al. (2010) Snake Bite in Chittagong Division, Bangladesh: A Study of Bitten Patients Who Developed No Signs of Systemic Envenoming. Royal Society of Tropical Medicine and Hygiene, 104, 320-327.
http://dx.doi.org/10.1016/j.trstmh.2009.12.006

[16]   Gutierrez, J.M. (2014) Current Challenges for Confronting the Public Health Problem of Snakebite Envenoming in Central America. Journal of Venomous Animals and Toxins including Tropical Diseases, 20, 7.
http://dx.doi.org/10.1186/1678-9199-20-7

[17]   Sarker, M.S. and Sarker, N.J.P.S. (1999) Epidemiological Survey of Snake Bite Incidences in Bangladesh. Journal of Biological Sciences, 8, 53-68.

[18]   Rahman, R., Faiz, M.A., Selim, S., Rahman, B., Basher, A., Jones, A., et al. (2010) Annual Incidence of Snake Bite in Rural Bangladesh. PLoS Neglected Tropical Diseases, 4, e860.
http://dx.doi.org/10.1371/journal.pntd.0000860

[19]   Mohapatra, B., Warrell, D.A., Suraweera, W., Bhatia, P., Dhingra, N., Jotkar, R.M., et al. (2011) Snakebite Mortality in India: A Nationally Representative Mortality Survey. PLoS Neglected Tropical Diseases, 5, 1-8.
http://dx.doi.org/10.1371/journal.pntd.0001018

[20]   Sharma, S.K., Khanal, B., Pokhrel, P., Khan, A.K.S. (2003) Snake Bite Reappraisal of the Situation in Eastern Nepal. Toxicon, 41, 285-289.
http://dx.doi.org/10.1016/S0041-0101(02)00289-1

[21]   Jamaiah, I., Rohela, M., Ng, T.K., Ch’ng, K.B., The, Y.S. et al. (2006) Retrospective Prevalence of Snakebites from Hospital Kuala Lumpur (HKL). Southeast Asian Journal of Tropical Medicine and Public Health, 37, 200-205.

[22]   Zulkifli, A. and Hashim, M.H.K.A. (1995) Snake Bites in Kelantan, Peninsular Malaysia. Tropical Biomedicine, 12, 1- 4.

[23]   Kularatne, S.A.M. (2003) Epidemiology and Clinical Picture of the Russell’s Viper (Daboia Russelii Russelii) Bite in Anuradhapura, Sri Lanka: A Prospective Study of 336 Patients. The Southeast Asian Journal of Tropical Medicine and Public Health, 34, 855-862.

[24]   Hansdak, S.G., Lallar, K.S., Pokharel, P., Shyangwa, P., Karki, P. and Koirala, S. (1998) A Clinico-Epidemiological Study of Snake Bite in Nepal. Tropical Doctor, 28, 223-236.

[25]   Brunda, G. and Sashidhar, R.B. (2007) Epidemiological Profile of Snake-Bite Cases from Andhra Pradesh Using Immunoanalytical Approach. Indian Journal of Medical Research, 125, 661-668.

[26]   Suchithra, N., Pappachan, J.M. and Sujathan, P. (2008) Snakebite Envenoming in Kerala, South India: Clinical Profile and Factors Involved in Adverse Outcomes. Emergency Medicine Journal, 25, 200-204.
http://dx.doi.org/10.1136/emj.2007.051136

[27]   Bawaskar, H.S. and Bawaskar, P.H. (2002) Profile of Snakebite Envenoming in Western Maharashtra, India. Transactions of the Royal Society of Tropical Medicine and Hygiene, 96, 79-84.
http://dx.doi.org/10.1016/S0035-9203(02)90250-6

[28]   Sharma, S.K., Khanal, B., Pokhrel, P., Khan, A. and Koirala, S. (2003) Snakebite-Reappraisal of the Situation in Eastern Nepal. Toxicon, 41, 285-289.
http://dx.doi.org/10.1016/S0041-0101(02)00289-1

[29]   Suleman, M.M., Shahab, S. and Rab, M.A. (1998) Snake Bite in the Thar Desert. Journal of the Pakistan Medical Association, 48, 306-368.

[30]   Monteiro, F.N.P., Kanchan, T., Bhagavath, P., Kumar, G.P., Menezes, R.G. and Yoganarasimha, K. (2012) Clinico-Epidemiological Features of Viper Bite Envenomation: A Study from Manipal, South India. Singapore Medical Journal, 53, 203-207.

[31]   Anandilal, R. and Ayurveda, P. (2012) Education AM, Rural N, Delhi N, Pharmacology R. Short Report, 3, 2012- 2013.

[32]   Ariaratnam, C.A., Sheriff, M.H.R., Theakston, R.D.G. and Warrell, D.A. (2008) Distinctive Epidemiologic and Clinical Features of Common Krait (Bungarus caeruleus) Bites in Sri Lanka. The American Journal of Tropical Medicine and Hygiene, 79, 458-462.

[33]   Ghosh, M. and Chatterjee, S. (1978) Cultivation of Mentha Citrata Ehrh in Burdwan District, West Bengal. Proceedings of the Indian Academy of Science, 87, 157-160.

[34]   Gomes, A., Das, R., Sarkhel, S., Mishra, R., Mukherjee, S., Bhattacharya, S., et al. (2010) Herbs and Herbal Constituents Active against Snake Bite. Indian Journal of Experimental Biology, 48, 865-878.

[35]   Faiz, M.A. (2006) Snake Bite in Bangladesh. The Orion, 23, 322.

 
 
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