Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping

Detalhes bibliográficos
Autor(a) principal: Schneider, Maria Cristina
Data de Publicação: 2021
Outros Autores: Min, Kyung-duk, Hamrick, Patricia Nájera, Montebello, Lucia R., Ranieri, Tani Maria, Mardini, Lucia, Camara, Volney M., Luiz, Ronir Raggio, Liese, Bernhard, Vuckovic, Myriam, Moraes, Milton Ozorio, Lima, Nísia Trindade
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/51091
Resumo: Department of International Health, School of Nursing and Health Studies, Georgetown University. Washington, DC, USA / Universidade Federal do Rio de Janeiro. Instituto de Estudos de Saúde Coletiva. Rio de Janeiro, RJ, Brasil.
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spelling Schneider, Maria CristinaMin, Kyung-dukHamrick, Patricia NájeraMontebello, Lucia R.Ranieri, Tani MariaMardini, LuciaCamara, Volney M.Luiz, Ronir RaggioLiese, BernhardVuckovic, MyriamMoraes, Milton OzorioLima, Nísia Trindade2022-02-08T18:27:44Z2022-02-08T18:27:44Z2021SCHNEIDER, Maria Cristina et al. Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping. PLoS Negl Trop Dis., v. 15 , n. 1, e0009044, p. 1- 18, Jan. 2021.1935-2727https://www.arca.fiocruz.br/handle/icict/5109110.1371/journal. pntd.0009044engPublic Library of ScienceVisão geralPicada de cobraFerramentaMapeamento de riscoBrasilOverviewSnakebite in BrazilPossible driversToolRisk mappingOverview of snakebite in Brazil: Possible drivers and a tool for risk mappinginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDepartment of International Health, School of Nursing and Health Studies, Georgetown University. Washington, DC, USA / Universidade Federal do Rio de Janeiro. Instituto de Estudos de Saúde Coletiva. Rio de Janeiro, RJ, Brasil.Institute of Health and Environment, Graduate School of Public Health, Seoul National University. Seoul, South Korea.Department of Health Emergencies, Pan American Health Organization. Washington, DC, USA.Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Imunização e Doenças Transmissíveis. Brasilia, DF, Brasil.Departamento Estadual de Saúde do Rio Grande do Sul. Divisão de Vigilância Epidemiológica. Porto Alegre, RS, Brasil.Departamento Estadual de Saúde do Rio Grande do Sul. Divisão de Vigilância Epidemiológica. Porto Alegre, RS, Brasil.Universidade Federal do Rio de Janeiro. Instituto de Estudos de Saúde Coletiva. Rio de Janeiro, RJ, Brasil.Department of International Health, School of Nursing and Health Studies, Georgetown University. Washington, DC, USA .Department of International Health, School of Nursing and Health Studies, Georgetown University. Washington, DC, USAMinistério da Saúde do Brasil. Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Ministério da Saúde do Brasil. Fundação Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.Snakebite envenoming affects close to 2.7 million people globally every year. In Brazil, snakebites are reported to the Ministry of Health surveillance system and cases receive antivenom free of charge. There is an urgent need to identify higher risk areas for antivenom distribution, and to develop prevention activities. The objective of this study is to provide an overview of the epidemiological situation of snakebite envenoming in Brazil and explore possible drivers; as well as to create a flowchart tool to support decision-makers identify higher risk areas. An ecological-type study was carried out using data by municipality (2013–2017). Study parts: 1) Create a geocoded database and perform a descriptive and cluster analysis; 2) Statistical analysis to measure the association of snakebite and possible environmental and socioeconomic drivers; 3) Develop a flowchart to support decision-makers and the application of this tool in one state (Rio Grande do Sul) as an example. An average of 27,120 snakebite cases per year were reported at the country level. Clusters of municipalities with high numbers of snakebites are mostly found in the Amazon Legal Region. The negative binomial regression model showed association with the snakebite case count: the type of major habitat, tropical or non-tropical; temperature; percentage of urbanization; precipitation; elevation; GDP per capita; a weaker relation with forest loss; and with venomous snake richness. The state where the instrument was applied reported 4,227 snakebites in the period. Most municipalities were considered as medium risk and 56/496 as high risk according to the tool created. Snakebite cases are distributed across the entire country with the highest concentration in the Legal Amazon Region. This creates a complex situation both for better understanding of the association of environmental and socioeconomic factors with snakebites and for the distribution and maintenance of antivenom to remote areas. Research into types of antivenom with a longer shelf life without the need for refrigeration is needed.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/51091/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALNisiaTrindadeLima_MiltonMoraes_etal_IOC_2021.pdfNisiaTrindadeLima_MiltonMoraes_etal_IOC_2021.pdfapplication/pdf2861665https://www.arca.fiocruz.br/bitstream/icict/51091/2/NisiaTrindadeLima_MiltonMoraes_etal_IOC_2021.pdfe0dc32ff67d15f5ef84f122145610b11MD52icict/510912022-02-08 15:27:44.828oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-02-08T18:27:44Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
title Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
spellingShingle Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
Schneider, Maria Cristina
Visão geral
Picada de cobra
Ferramenta
Mapeamento de risco
Brasil
Overview
Snakebite in Brazil
Possible drivers
Tool
Risk mapping
title_short Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
title_full Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
title_fullStr Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
title_full_unstemmed Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
title_sort Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
author Schneider, Maria Cristina
author_facet Schneider, Maria Cristina
Min, Kyung-duk
Hamrick, Patricia Nájera
Montebello, Lucia R.
Ranieri, Tani Maria
Mardini, Lucia
Camara, Volney M.
Luiz, Ronir Raggio
Liese, Bernhard
Vuckovic, Myriam
Moraes, Milton Ozorio
Lima, Nísia Trindade
author_role author
author2 Min, Kyung-duk
Hamrick, Patricia Nájera
Montebello, Lucia R.
Ranieri, Tani Maria
Mardini, Lucia
Camara, Volney M.
Luiz, Ronir Raggio
Liese, Bernhard
Vuckovic, Myriam
Moraes, Milton Ozorio
Lima, Nísia Trindade
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Schneider, Maria Cristina
Min, Kyung-duk
Hamrick, Patricia Nájera
Montebello, Lucia R.
Ranieri, Tani Maria
Mardini, Lucia
Camara, Volney M.
Luiz, Ronir Raggio
Liese, Bernhard
Vuckovic, Myriam
Moraes, Milton Ozorio
Lima, Nísia Trindade
dc.subject.other.pt_BR.fl_str_mv Visão geral
Picada de cobra
Ferramenta
Mapeamento de risco
Brasil
topic Visão geral
Picada de cobra
Ferramenta
Mapeamento de risco
Brasil
Overview
Snakebite in Brazil
Possible drivers
Tool
Risk mapping
dc.subject.en.pt_BR.fl_str_mv Overview
Snakebite in Brazil
Possible drivers
Tool
Risk mapping
description Department of International Health, School of Nursing and Health Studies, Georgetown University. Washington, DC, USA / Universidade Federal do Rio de Janeiro. Instituto de Estudos de Saúde Coletiva. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-02-08T18:27:44Z
dc.date.available.fl_str_mv 2022-02-08T18:27:44Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SCHNEIDER, Maria Cristina et al. Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping. PLoS Negl Trop Dis., v. 15 , n. 1, e0009044, p. 1- 18, Jan. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/51091
dc.identifier.issn.pt_BR.fl_str_mv 1935-2727
dc.identifier.doi.none.fl_str_mv 10.1371/journal. pntd.0009044
identifier_str_mv SCHNEIDER, Maria Cristina et al. Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping. PLoS Negl Trop Dis., v. 15 , n. 1, e0009044, p. 1- 18, Jan. 2021.
1935-2727
10.1371/journal. pntd.0009044
url https://www.arca.fiocruz.br/handle/icict/51091
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/51091/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/51091/2/NisiaTrindadeLima_MiltonMoraes_etal_IOC_2021.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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