Geographical distribution of health indicators related to snake bites and envenomation in Morocco between 1999 and 2013
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OBJECTIVES: Envenomation from snake bites is a significant cause of morbidity and mortality worldwide. The aim of this study was to describe the epidemiological features of snake bites in Morocco and to evaluate time-space trends in snake bite incidence, the mortality rate, and the case-fatality rate. METHODS: This is a retrospective study of snake bite cases reported to the Moroccan Poison Control Center between 1999 and 2013. RESULTS: During the study period, 2,053 people were bitten by snakes in Morocco. Most victims were adults (55.4%). The average age of the patients was 26.48±17.25 years. More than half of the cases (58.1%) were males. Approximately 75% of snake bites happened in rural areas, and 85 deaths were recorded during this period. The incidence of snake bites remained generally steady over the 15-year period of this study, with a marked increase noted since 2012. The mortality rate has increased slightly, from 0.02 deaths per 100,000 inhabitants in 1999 to 0.05 in 2013. The geographical distribution of snake bite cases in the regions of Morocco showed that Tanger-Tétouan had the highest annual incidence of snake bites (1.41 bites per 100,000 inhabitants). However, the highest annual mortality rates were recorded in the Guelmim-Es Semara and Souss-Massa-Drâa regions (0.09 deaths per 100,000 inhabitants for both regions). CONCLUSIONS: The geographical distribution of the incidence, mortality, and case-fatality rates of snake bites in Morocco showed large disparities across regions during the three 5-year periods included in this study, meaning that certain areas can be considered high-risk for snake bites.
Abstract
OBJECTIVES: Envenomation from snake bites is a significant cause of morbidity and mortality worldwide. The aim of this study was to describe the epidemiological features of snake bites in Morocco and to evaluate time-space trends in snake bite incidence, the mortality rate, and the case-fatality rate. METHODS: This is a retrospective study of snake bite cases reported to the Moroccan Poison Control Center between 1999 and 2013. RESULTS: During the study period, 2,053 people were bitten by snakes in Morocco. Most victims were adults (55.4%). The average age of the patients was 26.48±17.25 years. More than half of the cases (58.1%) were males. Approximately 75% of snake bites happened in rural areas, and 85 deaths were recorded during this period. The incidence of snake bites remained generally steady over the 15-year period of this study, with a marked increase noted since 2012. The mortality rate has increased slightly, from 0.02 deaths per 100,000 inhabitants in 1999 to 0.05 in 2013. The geographical distribution of snake bite cases in the regions of Morocco showed that Tanger-Tétouan had the highest annual incidence of snake bites (1.41 bites per 100,000 inhabitants). However, the highest annual mortality rates were recorded in the Guelmim-Es Semara and Souss-Massa-Drâa regions (0.09 deaths per 100,000 inhabitants for both regions). CONCLUSIONS: The geographical distribution of the incidence, mortality, and case-fatality rates of snake bites in Morocco showed large disparities across regions during the three 5-year periods included in this study, meaning that certain areas can be considered high-risk for snake bites.
참고문헌 (21)
- Kasturiratne A, "The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths", PLoS Med, 5, pp.e218~ (2008)[DOI]
- Salama WH, "Rosemary leaves extract: anti-snake action against Egyptian Cerastes cerastes venom", J Tradit Complement Med (2018)[DOI]
- "Prevalence of snakebite envenoming"[URL]
- Arfaoui A, "Epidemiological profile of snakebites in Morocco", J Venom Anim Toxins Incl Trop Dis, 15, pp.653~666 (2009)[DOI]
- Chafiq F, "Snakebites notified to the poison control center of Morocco between 2009 and 2013", J Venom Anim Toxins Incl Trop Dis, 22, pp.8~ (2016)[DOI]
- Bertrand PG, "Toxicovigilance systems and practices in Africa", Toxics, 4, pp.E13~ (2016)[DOI]
- "Intox definitions"[URL]
- Donner A, "Adjustment of frequently used chi-square procedures for the effect of site-to-site dependencies in the analysis of dental data", J Dent Res, 68, pp.1350~1354 (1989)[DOI]
- Chafiq F, "National strategy of snake envenomations management", Toxicol Maroc, 24, pp.3~7 (2015)
- Ozay G, "Clinical characteristics of children with snakebite poisoning and management of complications in the pediatric intensive care unit", Pediatr Int, 47, pp.669~675 (2005)[DOI]
- Petite J, "Viper bites: treat or ignore? Review of a series of 99 patients bitten by Vipera aspis in an alpine Swiss area", Swiss Med Wkly, 135, pp.618~625 (2005)
- Sharma N, "Snake envenomation in a north Indian hospital", Emerg Med J, 22, pp.118~120 (2005)[DOI]
- Dehghani R, "Ten years of snakebites in Iran", Toxicon, 90, pp.291~298 (2014)[DOI]
- Chippaux JP, "Ophidian envenomation in Africa: epidemiology, clinical assessment and treatment", Ann Inst Pasteur Actual, 10, pp.161~171 (1999)[DOI]
- Chippaux JP, "Incidence and mortality resulting from venomous animals in tropical countries", Med Trop, 68, pp.334~339 (2008)
- Chippaux JP, "Appraisal of snakebite incidence and mortality in Bolivia", Toxicon, 84, pp.28~35 (2014)[DOI]
- Mensah EK, "Secondary analysis of snake bite data in the Western Region of Ghana: 2006-2010", Ghana Med J, 50, pp.103~106 (2016)[DOI]
- El Hattimy F, "Child ophidian envenomation in Morocco: epidemiological aspects, and risk factors", Labome, 3, pp.1513~ (2016)
- Argaz H, "Venomous snakes in Morocco: biogeography and envenomation", Science Lib, 5, pp.130509~ (2013)
- Larreche S, "Antivenin remains effective against African Viperidae bites despite a delayed treatment", Am J Emerg Med, 29, pp.155~161 (2011)[DOI]
- Larreche S, "Adder bites in France", Arch Pediatr, 19, pp.660~662 (2012)[DOI]