Snakebites as cause of deaths in the Western Brazilian Amazon: Why and who dies? Deaths from snakebites in the Amazon

Toxicon : Official Journal of the International Society on Toxinology
Anderson da Silva SouzaWuelton M Monteiro

Abstract

Snake envenoming represents a major burden for public health worldwide. In the Amazon, the official number of cases and deaths detected is probably underestimated because of the difficulty riverine and indigenous populations have reaching health centers in order to receive medical assistance. Thus, integrated analysis of health information systems must be used in order to improve adequate health policies. The aim of this work is to describe a series of deaths and identify risk factors for lethality from snakebites in the state of Amazonas, Brazil. All deaths from snakebites reported to the Brazilian Notifiable Diseases Surveillance System (SINAN) and to the Mortality Information System (SIM; ICD10-10th revision, X.29), from 2007 to 2015, were included. Variables were assessed by blocks with distal (ecological variables), intermediate (demographics) and proximal (clinical variables) components to identify predictors of case fatality. A total of 127 deaths from snakebites were recorded, with 58 pairs found through linkage of the SINAN and SIM databases (45.7%), 37 (29.1%) deaths found only in SINAN and 32 (25.2%) found only in the SIM. Deaths occurred mostly in males (95 cases; 74.8%) living in rural areas (78.6%). The most affec...Continue Reading

Citations

Jul 13, 2018·PLoS Neglected Tropical Diseases·Dabor ResiereJosé María Gutiérrez
Nov 27, 2018·Transactions of the Royal Society of Tropical Medicine and Hygiene·Samara Freire Valente MagalhãesMaria Regina Fernandes de Oliveira
Jan 20, 2019·Tropical Medicine & International Health : TM & IH·Mikaelle Kaline Bezerra da CostaEliza Maria Xavier Freire
Jul 3, 2019·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Sâmella Silva de OliveiraWuelton Marcelo Monteiro
Apr 3, 2020·Transactions of the Royal Society of Tropical Medicine and Hygiene·Samara Freire Valente MagalhãesMaria Regina Fernandes de Oliveira
Jun 2, 2020·PLoS Neglected Tropical Diseases·Ana Teresa Azevedo SachettoMarcelo Larami Santoro
Jul 12, 2019·Transactions of the Royal Society of Tropical Medicine and Hygiene·Xi ChenHongke Cai
Apr 6, 2019·Case Reports in Medicine·Murilo Sérgio Valente-AguiarRicardo Jorge Dinis-Oliveira
Sep 26, 2020·Frontiers in Immunology·Irmgardt Alicia María WellmannAllyson Guimarães Costa
Dec 29, 2020·Toxicon : Official Journal of the International Society on Toxinology·Emiro G MunizSâmella S Oliveira
Jan 27, 2021·Toxicon : Official Journal of the International Society on Toxinology·Êndila de Souza BarbosaJacqueline de Almeida Gonçalves Sachett
Dec 1, 2019·Toxicon : Official Journal of the International Society on Toxinology·Pedro Ferreira BisnetoIgor Luis Kaefer
Aug 30, 2021·Toxicon : Official Journal of the International Society on Toxinology·Mikaelle Kaline Bezerra da CostaEliza Maria Xavier Freire
Sep 16, 2021·Plastic and Reconstructive Surgery. Global Open·Andrei N SavuJeffrey E Janis

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