Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study.
India
antivenom envenomation snake
case fatality
epidemiology
global health
human
million death study
mortality risk incidence
snakebite
Journal
eLife
ISSN: 2050-084X
Titre abrégé: Elife
Pays: England
ID NLM: 101579614
Informations de publication
Date de publication:
07 07 2020
07 07 2020
Historique:
received:
02
12
2019
accepted:
04
06
2020
entrez:
8
7
2020
pubmed:
8
7
2020
medline:
17
2
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 32633232
doi: 10.7554/eLife.54076
pii: 54076
pmc: PMC7340498
doi:
pii:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : CIHR
ID : FDN154277
Pays : Canada
Informations de copyright
© 2020, Suraweera et al.
Déclaration de conflit d'intérêts
WS, DW, RW, GM, RR, SF, RB, PS, KP, MB, PB No competing interests declared, PJ Reviewing editor, eLife
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