Snakebite envenoming in different national contexts: Costa Rica, Sri Lanka, and Nigeria

IF 3.6 Q2 TOXICOLOGY Toxicon: X Pub Date : 2021-07-01 DOI:10.1016/j.toxcx.2021.100066
José María Gutiérrez , Kalana Maduwage , Garba Iliyasu , Abdulrazaq Habib
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引用次数: 15

Abstract

Snakebite envenoming is a neglected tropical disease that predominantly affects impoverished rural communities in sub-Saharan Africa, Asia, and Latin America. The global efforts to reduce the impact of this disease must consider the local national contexts and, therefore, comparative studies on envenomings in different countries are necessary to identify strengths, weaknesses and needs. This work presents a comparative analysis of snakebite envenomings in Costa Rica, Sri Lanka, and Nigeria. The comparison included the following aspects: (a) burden of envenomings, (b) historical background of national efforts to confront envenomings, (c) national health systems, (d) antivenom availability and accessibility including local production, (e) training of physicians and nurses in the diagnosis and management of envenomings, (f) prevention campaigns and community-based work, (g) scientific and technological platforms in these topics, and (h) international cooperation programs. Strengths and weaknesses were identified in the three contexts and several urgent tasks to improve the management of this disease in these countries are highlighted. This comparative analysis could be of benefit for similar studies in other national and regional contexts.

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蛇咬伤发生在不同的国家:哥斯达黎加、斯里兰卡和尼日利亚。
蛇咬伤是一种被忽视的热带疾病,主要影响撒哈拉以南非洲、亚洲和拉丁美洲的贫困农村社区。减少这种疾病影响的全球努力必须考虑到当地的国家情况,因此,有必要对不同国家的环境进行比较研究,以确定优势、劣势和需求。这项工作提出了哥斯达黎加,斯里兰卡和尼日利亚蛇咬中毒的比较分析。比较包括以下方面:(a)中毒负担,(b)国家应对中毒的历史背景,(c)国家卫生系统,(d)抗蛇毒血清的可获得性和可及性,包括当地生产,(e)医生和护士在中毒诊断和管理方面的培训,(f)预防运动和社区工作,(g)这些主题的科技平台,以及(h)国际合作计划。确定了这三种情况下的优势和劣势,并强调了在这些国家改善对这一疾病管理的若干紧迫任务。这种比较分析可能有利于在其他国家和区域范围内进行类似的研究。
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来源期刊
Toxicon: X
Toxicon: X Pharmacology, Toxicology and Pharmaceutics-Toxicology
CiteScore
6.50
自引率
0.00%
发文量
33
审稿时长
14 weeks
期刊最新文献
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