Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , |
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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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 |
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eng |
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eng |
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Public Library of Science |
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Public Library of Science |
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