Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul 17:9-10:100074.
doi: 10.1016/j.toxcx.2021.100074. eCollection 2021 Jul.

Chronic health effects and cost of snakebite

Affiliations

Chronic health effects and cost of snakebite

Anuradhani Kasturiratne et al. Toxicon X. .

Abstract

The burden of disability among survivors and the socio-economic impact of snakebite have not been adequately researched. We reviewed original research articles, case reports and small case series relating to chronic physical, mental and psycho-social disability and economic burden of snakebite. Both physical and psychological health problems seem common in snakebite survivors and can lead to disability and loss of productivity. Chronic physical health effects, musculoskeletal disability being the commonest, can be largely attributed to limited and delayed access to optimal treatment of acute envenoming. The economic burden is considerable, and includes health system costs, out-of-pocket expenditure and opportunity costs, with regional variations. Health systems should be more responsive to needs and circumstances of bite victims, and a more holistic approach should be developed in the treatment of snakebite which incorporates the management of chronic health effects.

Keywords: Chronic health effects; Cost; Physical disability; Psychological effects; Snakebite; Socio-economic burden.

PubMed Disclaimer

Conflict of interest statement

All three authors have no conflict of interests to declare.

Figures

Image 1
Graphical abstract
Fig. 1
Fig. 1
PRISMA 2020 flow diagram for reviewing the chronic health effects of snakebite.
Fig. 2
Fig. 2
PRISMA 2020 flow diagram for reviewing the cost of snakebite.

References

    1. Abraham S.V., Hakkeem B., Mathew D., Rafi A.M., Poomali A., Thomas J., Kassyap C.K. Hematotoxic snakebite victim with trauma: the role of guided transfusion, rotational thromboelastometry, and tranexamic acid. Wilderness Environ. Med. 2020;31(4):470–481. doi: 10.1016/j.wem.2020.08.003. - DOI - PubMed
    1. Alcoba G., Chabloz M., Eyong J., Wanda F., Ochoa C., Comte E., Nkwescheu A., Chappuis F. Snakebite epidemiology and health-seeking behavior in Akonolinga health district, Cameroon: cross-sectional study. PLoS Neglected Trop. Dis. 2020;14(6) doi: 10.1371/journal.pntd.0008334. - DOI - PMC - PubMed
    1. Arias-Rodríguez J., Gutiérrez J.M. Circumstances and consequences of snakebite envenomings: a qualitative study in south-eastern Costa Rica. Toxins. 2020;12(1):45. 10.3390/toxins12010045. PMID: 31940786; PMCID: PMC7020421. - PMC - PubMed
    1. Banerjee S., Pipliwal P.S., Joshi S., Goyal P., Sharma M., Sharma A. Cerebellar ataxia: a rare manifestation of snake envenomation. J. Indian Med. Assoc. 2019;117:28–29. 06.
    1. Bell D.J., Wijegunasinghe D., Samarakoon S., Palipana H., Gunasekera S., de Silva H.A., Lalloo D.G., Ranawaka U.K., de Silva H.J. Neurophysiological findings in patients 1 year after snake bite induced neurotoxicity in Sri Lanka. Trans. R. Soc. Trop. Med. Hyg. 2010;104(5):351–356. doi: 10.1016/j.trstmh.2009.12.003. - DOI - PubMed

LinkOut - more resources