Jean-Philippe Chippaux
Epidemiology of envenomations by terrestrial venomous animals in Brazil based on case reporting: from obvious facts to contingencies
Délégation Paris 5|Sorbonne Paris Cité|Institut de Recherche pour le Développement
envenomation remains neglected public health issue tropical countries better understanding epidemiology bites stings venomous animals facilitate prevention management study aimed explore benefits could derived compulsory notification cases routinely practiced brazilthe brazilian notifiable diseases information system sinan consulted online 20012012 period envenomations venomous terrestrial animals studied incidence severity number deaths gender season accident time accident hospital consultationin total 1192667 accidents 2664 deaths terrestrial venomous animals snakes scorpions spiders bees caterpillars reported brazil 12 years circumstances detailed study envenomations deaths caused snakebites scorpion stings however incidence mortality showed high regional variations period steady parallel increase cases species resulted several factors including human population increase gradual improvement data collection system probably environmental socioeconomic factors affecting different way incidence envenomation zoological group regionmandatory reporting cases appears useful tool improve management envenomations however local studies continued account variability accident circumstances refine measures necessary management