Integrating lay knowledge and practice into snakebite prevention and care in central Africa, a hotspot for envenomation

IF 3.6 Q2 TOXICOLOGY Toxicon: X Pub Date : 2021-09-01 DOI:10.1016/j.toxcx.2021.100077
Romain Duda , Wuelton M. Monteiro , Tamara Giles-Vernick
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引用次数: 6

Abstract

The WHO has identified the goal of halving deaths and disability from snakebite envenomation (SBE) by 2030 through a four-pillar program that promotes accessible and affordable treatments, strengthens health systems, promotes community and multi-level engagement, and mobilizes partnerships, coordination and resources to advocate for global action. This initiative could accelerate multi-disciplinary research and action in central Africa, a “hotspot” for SBE, but it offers little specific guidance about anthropological research to be conducted. This commentary develops that research agenda. It surveys anthropological, ethnohistorical investigations in the central African forest to elaborate the socio-cultural and historical significance and practices around snakes and snakebites. It draws from south and southeast Asian and Latin American literatures to illustrate anthropological contributions to SBE research. It then outlines a Central African research agenda employing ethnobiological investigation of snake ecologies, participatory evaluations of humans-snake contacts, and interviews and participant-observation of local prevention and treatment practices and knowledge. This research will co-develop policies and practices with forest communities and leaders and regional and national authorities to reduce the burden of SBE.

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将非专业知识和实践融入中部非洲毒蛇咬伤预防和护理,这是一个毒蛇咬伤的热点
世卫组织确定了到2030年将蛇咬伤致死和致残减半的目标,通过一项四大支柱规划,促进可获得和负担得起的治疗,加强卫生系统,促进社区和多层次参与,并动员伙伴关系、协调和资源,倡导全球行动。这项计划可以加速中非的多学科研究和行动,中非是SBE的一个“热点”,但是它对将要进行的人类学研究几乎没有提供具体的指导。这篇评论阐述了这一研究议程。它调查了中非森林的人类学和民族历史调查,详细阐述了蛇和蛇咬伤的社会文化和历史意义和实践。它借鉴了南亚、东南亚和拉丁美洲的文献,以说明人类学对SBE研究的贡献。然后,它概述了中非的研究议程,包括对蛇生态的民族生物学调查,对人蛇接触的参与性评估,以及对当地预防和治疗实践和知识的访谈和参与者观察。这项研究将与森林社区和领导人以及区域和国家当局共同制定政策和做法,以减轻森林生态系统的负担。
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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
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