Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study

被引：135
|
作者：
Suraweera, Wilson [1 ,2 ]
Warrell, David [3 ]
Whitaker, Romulus [4 ]
Menon, Geetha [5 ]
Rodrigues, Rashmi [6 ]
Fu, Sze Hang [1 ,2 ]
Begum, Rehana [1 ,2 ]
Sati, Prabha [1 ,2 ]
Piyasena, Kapila [1 ,2 ]
Bhatia, Mehak [1 ,2 ]
Brown, Patrick [1 ,2 ,7 ]
Jha, Prabhat [1 ,2 ]
机构：
[1] Univ Toronto, Ctr Global Hlth Res, Unity Hlth Toronto, Toronto, ON, Canada
[2] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[3] Univ Oxford, Nuffield Dept Clin Med, Oxford, England
[4] Madras Crocodile Bank, Ctr Herpetol, Chennai, Tamil Nadu, India
[5] Indian Council Med Res, New Delhi, India
[6] St Johns Natl Acad Hlth Sci, St Johns Med Coll, Dept Community Hlth, Bangalore, Karnataka, India
[7] Univ Toronto, Dept Stat Sci, Toronto, ON, Canada
来源：
ELIFE | 2020年 / 9卷
基金：
加拿大健康研究院;
关键词：
TERTIARY CARE CENTER; CLINICO-EPIDEMIOLOGIC PROFILE; MEDICALLY IMPORTANT SNAKES; BITE VICTIMS; RURAL MAHARASHTRA; HIMACHAL-PRADESH; ANDHRA-PRADESH; ENVENOMATION; MANAGEMENT; VENOM;
D O I：
10.7554/eLife.54076
中图分类号：
Q [生物科学];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
The World Health Organization call to halve global snakebite deaths by 2030 will require substantial progress in India. We analyzed 2833 snakebite deaths from 611,483 verbal autopsies in the nationally representative Indian Million Death Study from 2001 to 2014, and conducted a systematic literature review from 2000 to 2019 covering 87,590 snakebites. We estimate that India had 1.2 million snakebite deaths (average 58,000/year) from 2000 to 2019. Nearly half occurred at ages 30-69 years and over a quarter in children < 15 years. Most occurred at home in the rural areas. About 70% occurred in eight higher burden states and half during the rainy season and at low altitude. The risk of an Indian dying from snakebite before age 70 is about 1 in 250, but notably higher in some areas. More crudely, we estimate 1.11-1.77 million bites in 2015, of which 70% showed symptoms of envenomation. Prevention and treatment strategies might substantially reduce snakebite mortality in India.
引用
收藏
页码：1 / 37
页数：37
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