Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018)
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/19022 |
Resumo: | Snakebites represent an important, though neglected, public health problem especially in the Northeast of Brazil. There is still a large number of underreported cases, the collection of epidemiological data is deficient, and the ecological and epidemiological knowledge of this envenomation remains limited due to the lack of updated regional and local information. This study describes the epidemiological profile of snakebites recorded by the Notifiable Diseases Information System from 2008 to 2018 in the state of Ceará. The data were organized according to the municipalities of the health macro-regions, considering the variables: sex, snake, gravity and deaths. A total of 8,233 cases was found, with an annual incidence of 8.6/100,000 inhabitants, and a higher prevalence of accidents caused by Bothrops snakes (64%), in men (87.4%) in the Sobral region (25.5%). However, the highest incidence rate was found in the Sertão Central (299.7/100,000). Most cases were considered mild (62%), but the mortality rate was 0.07/100,000 and the case-fatality rate was 0.8%. Among the most affected municipalities, cities like Tauá (1.3%), Sobral (8.1%) and Fortaleza (8.5%) are concerning, considering that the case-fatality rates were above the national average (1%). Snakebites in Ceará follow a pattern similar to that of other states in the Northeast, with a high frequency of incidents where the causative snake is not identified (16%). Considering the gravity of snakebites, studies that evaluate the anthropic and environmental influence in the distribution of cases may help to define priority risk areas, to improve health surveillance and patient care. |
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Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018)Distribución espacial de mordeduras de serpiente en el Estado de Ceará, Brasil (2008-2018)Distribuição espacial das picadas de serpente no Estado do Ceará, Brasil (2008 - 2018)Bothrops. Envenenamiento. Noreste.BothropsEnvenenamientoNoreste.Bothrops. Envenenamento. Nordeste.BothropsEnvenenamentoNordeste.BothropsEnvenomationNortheastNortheast.Snakebites represent an important, though neglected, public health problem especially in the Northeast of Brazil. There is still a large number of underreported cases, the collection of epidemiological data is deficient, and the ecological and epidemiological knowledge of this envenomation remains limited due to the lack of updated regional and local information. This study describes the epidemiological profile of snakebites recorded by the Notifiable Diseases Information System from 2008 to 2018 in the state of Ceará. The data were organized according to the municipalities of the health macro-regions, considering the variables: sex, snake, gravity and deaths. A total of 8,233 cases was found, with an annual incidence of 8.6/100,000 inhabitants, and a higher prevalence of accidents caused by Bothrops snakes (64%), in men (87.4%) in the Sobral region (25.5%). However, the highest incidence rate was found in the Sertão Central (299.7/100,000). Most cases were considered mild (62%), but the mortality rate was 0.07/100,000 and the case-fatality rate was 0.8%. Among the most affected municipalities, cities like Tauá (1.3%), Sobral (8.1%) and Fortaleza (8.5%) are concerning, considering that the case-fatality rates were above the national average (1%). Snakebites in Ceará follow a pattern similar to that of other states in the Northeast, with a high frequency of incidents where the causative snake is not identified (16%). Considering the gravity of snakebites, studies that evaluate the anthropic and environmental influence in the distribution of cases may help to define priority risk areas, to improve health surveillance and patient care.Las mordeduras de serpientes representan un problema de salud pública importante, aunque desatendido, especialmente en el noreste de Brasil. El número de casos infrarreportados sigue siendo elevado, la recopilación de datos epidemiológicos es deficientes y el conocimiento ecológico y epidemiológico de esta intoxicación sigue siendo limitado, debido a la falta de información regional y local actualizada. Este estudio describe el perfil epidemiológico de las mordeduras de serpientes registradas por el Sistema de Información de Enfermedades Notificables de 2008 a 2018 en el estado de Ceará. Los datos se organizaron según los municipios de los macrorregiones de salud, considerando las variables: género, culebra, severidad y muertes. Se encontraron 8.233 casos, con una incidencia anual de 8,6 / 100.000 habitantes y una mayor prevalencia de accidentes botrópicos (64%) en hombres (87,4%) en la comarca de Sobral (25,5%). Sin embargo, la tasa de incidencia más alta se encontró en el Sertão Central (299,7 / 100.000). La mayoría de los casos se consideraron leves (62%), pero la tasa de mortalidad fue de 0,07 / 100.000 y la tasa de letalidad fue de 0,8%. Entre los municipios más afectados, ciudades como Tauá (1,3%), Sobral (8,1%) y Fortaleza (8,5%) son preocupantes, ya que las tasas de letalidad estuvieron por encima de la media nacional (1%). Las mordeduras de serpientes en Ceará siguen un patrón similar al de otros estados del noreste, con una alta frecuencia de incidentes donde no se identifica la serpiente causante (16%). Considerando la gravedad de las mordeduras de serpientes, los estudios que evalúen la influencia antropogénica y ambiental en la distribución de casos pueden ayudar a definir áreas de riesgo prioritarias, con el fin de mejorar la vigilancia de la salud y la atención al paciente.Picadas de serpentes representam um importante, embora negligenciado, problema de saúde pública, principalmente no Nordeste do Brasil. Ainda é grande o número de casos subnotificados, a coleta de dados epidemiológicos é deficiente, e o conhecimento ecológico e epidemiológico desse envenenamento permanece limitado, devido à falta de atualização de informações regionais e locais. Este estudo descreve o perfil epidemiológico das picadas de serpentes registradas pelo Sistema de Informação de Agravos de Notificação de 2008 a 2018 no estado do Ceará. Os dados foram organizados segundo os municípios das macrorregiões de saúde, considerando as variáveis: sexo, serpente, gravidade e óbitos. Foram encontrados 8.233 casos, com incidência anual de 8,6/100.000 habitantes e maior prevalência de acidentes botrópicos (64%), em homens (87,4%) na região de Sobral (25,5%). Porém, a maior taxa de incidência foi encontrada no Sertão Central (299,7/100.000). A maioria dos casos foi considerada leve (62%), mas a taxa de mortalidade foi de 0,07/100.000 e taxa de letalidade de 0,8%. Entre os municípios mais atingidos, cidades como Tauá (1,3%), Sobral (8,1%) e Fortaleza (8,5%) são preocupantes, visto que as taxas de letalidade ficaram acima da média nacional (1%). As picadas de serpentes no Ceará seguem um padrão semelhante ao de outros estados do Nordeste, com alta frequência de incidentes onde a serpente causadora não é identificada (16%). Considerando a gravidade das picadas de serpentes, estudos que avaliem a influência antrópica e ambiental na distribuição dos casos podem auxiliar na definição de áreas de risco prioritárias, para melhorar a vigilância em saúde e o atendimento ao paciente.Research, Society and Development2021-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1902210.33448/rsd-v10i10.19022Research, Society and Development; Vol. 10 No. 10; e367101019022Research, Society and Development; Vol. 10 Núm. 10; e367101019022Research, Society and Development; v. 10 n. 10; e3671010190222525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/19022/16926Copyright (c) 2021 Jacqueline Ramos Machado Braga; Relrison Dias Ramalho; José Cleidvan Cândido de Sousa; Luis Eduardo Meira Fariahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBraga, Jacqueline Ramos MachadoRamalho, Relrison DiasSousa, José Cleidvan Cândido deFaria, Luis Eduardo Meira2021-10-02T21:49:16Zoai:ojs.pkp.sfu.ca:article/19022Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:01.115611Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) Distribución espacial de mordeduras de serpiente en el Estado de Ceará, Brasil (2008-2018) Distribuição espacial das picadas de serpente no Estado do Ceará, Brasil (2008 - 2018) |
title |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
spellingShingle |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) Braga, Jacqueline Ramos Machado Bothrops. Envenenamiento. Noreste. Bothrops Envenenamiento Noreste. Bothrops. Envenenamento. Nordeste. Bothrops Envenenamento Nordeste. Bothrops Envenomation Northeast Northeast. |
title_short |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
title_full |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
title_fullStr |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
title_full_unstemmed |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
title_sort |
Spatial distribution of snakebites in the State of Ceará, Brazil (2008-2018) |
author |
Braga, Jacqueline Ramos Machado |
author_facet |
Braga, Jacqueline Ramos Machado Ramalho, Relrison Dias Sousa, José Cleidvan Cândido de Faria, Luis Eduardo Meira |
author_role |
author |
author2 |
Ramalho, Relrison Dias Sousa, José Cleidvan Cândido de Faria, Luis Eduardo Meira |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Braga, Jacqueline Ramos Machado Ramalho, Relrison Dias Sousa, José Cleidvan Cândido de Faria, Luis Eduardo Meira |
dc.subject.por.fl_str_mv |
Bothrops. Envenenamiento. Noreste. Bothrops Envenenamiento Noreste. Bothrops. Envenenamento. Nordeste. Bothrops Envenenamento Nordeste. Bothrops Envenomation Northeast Northeast. |
topic |
Bothrops. Envenenamiento. Noreste. Bothrops Envenenamiento Noreste. Bothrops. Envenenamento. Nordeste. Bothrops Envenenamento Nordeste. Bothrops Envenomation Northeast Northeast. |
description |
Snakebites represent an important, though neglected, public health problem especially in the Northeast of Brazil. There is still a large number of underreported cases, the collection of epidemiological data is deficient, and the ecological and epidemiological knowledge of this envenomation remains limited due to the lack of updated regional and local information. This study describes the epidemiological profile of snakebites recorded by the Notifiable Diseases Information System from 2008 to 2018 in the state of Ceará. The data were organized according to the municipalities of the health macro-regions, considering the variables: sex, snake, gravity and deaths. A total of 8,233 cases was found, with an annual incidence of 8.6/100,000 inhabitants, and a higher prevalence of accidents caused by Bothrops snakes (64%), in men (87.4%) in the Sobral region (25.5%). However, the highest incidence rate was found in the Sertão Central (299.7/100,000). Most cases were considered mild (62%), but the mortality rate was 0.07/100,000 and the case-fatality rate was 0.8%. Among the most affected municipalities, cities like Tauá (1.3%), Sobral (8.1%) and Fortaleza (8.5%) are concerning, considering that the case-fatality rates were above the national average (1%). Snakebites in Ceará follow a pattern similar to that of other states in the Northeast, with a high frequency of incidents where the causative snake is not identified (16%). Considering the gravity of snakebites, studies that evaluate the anthropic and environmental influence in the distribution of cases may help to define priority risk areas, to improve health surveillance and patient care. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19022 10.33448/rsd-v10i10.19022 |
url |
https://rsdjournal.org/index.php/rsd/article/view/19022 |
identifier_str_mv |
10.33448/rsd-v10i10.19022 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/19022/16926 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 10; e367101019022 Research, Society and Development; Vol. 10 Núm. 10; e367101019022 Research, Society and Development; v. 10 n. 10; e367101019022 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052686680457216 |