Anweshan Patra, Ardhendu Das Mahapatra, Anita Malhotra, Vishal Santra, Sudipta Kumar Ghorai, D Annadurai
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引用次数: 0
Abstract
Background: Snakebite envenoming is a critical medical emergency and significant global public health issue, with India experiencing the highest annual snakebite deaths. Sea snakes in the Indian Ocean pose a severe threat to rural fishermen due to their potent neurotoxins.
Methods: From December 2020 to December 2021, we conducted surveys at 15 fishing ports in East Medinipur, West Bengal, and Balasore, Odisha, India (between 21.805651 N 87.874188 E and 21.574851 N 87.374059 E). We interviewed 2301 fishermen in 421 group sessions to document sea snake bite incidents, outcomes and perceptions from 2012 onwards. Historical data were also retrieved from various databases and social media platforms.
Results: We recorded 166 sea snake bite cases, with 55.4% fatalities, 2.4% permanent disabilities and 41% survivors. Gill net fishermen were the most affected, with most bites occurring while handling snakes caught in nets, particularly at dawn and dusk. Fishermen reported a significant decline in sea snake populations over the past decade due to by-catch and killing practices.
Conclusions: Sea snake bites are a major occupational hazard for Indian fishermen, with high fatality rates due to limited medical access. Increased awareness, safer handling practices and improved medical infrastructure are essential to reduce mortality and conserve sea snake populations. This study highlights the need for targeted interventions in affected communities.
背景:蛇咬伤是一个严重的医疗紧急情况和重大的全球公共卫生问题,印度每年蛇咬伤死亡人数最高。印度洋的海蛇由于其强大的神经毒素对农村渔民构成严重威胁。方法:从2020年12月到2021年12月,我们在西孟加拉邦东梅迪尼普尔和印度奥里萨邦巴拉索尔的15个渔港(21.805651 N 87.874188 E和21.574851 N 87.374059 E之间)进行了调查,在421次小组会议中采访了2301名渔民,记录了2012年以来的海蛇咬伤事件、结果和看法。历史数据也从各种数据库和社交媒体平台检索。结果:本院共记录海蛇咬伤166例,死亡55.4%,终身残疾2.4%,生还者41%。刺网渔民受影响最大,大多数咬伤发生在处理用刺网捕获的蛇时,特别是在黎明和黄昏。渔民报告说,在过去十年中,由于误捕和捕杀行为,海蛇的数量显著下降。结论:海蛇咬伤是印度渔民的主要职业危害,由于医疗机会有限,死亡率很高。提高认识、更安全的处理做法和改善医疗基础设施对于降低死亡率和保护海蛇种群至关重要。这项研究强调了在受影响社区进行有针对性干预的必要性。
期刊介绍:
Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.