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de Souza TC, Farias BES, Bernarde PS, Chiaravalotti F, Frade DDR, Brilhante AF, Melchior LAK. Temporal trend and epidemiological profile of accidents involving venomous animals in Brazil, 2007-2019. EPIDEMIOLOGIA E SERVIÇOS DE SAÚDE 2022; 31:e2022025. [PMID: 36351057 PMCID: PMC9887982 DOI: 10.1590/s2237-96222022000300009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 09/09/2022] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVE to analyze the temporal trend of accidents involving venomous animals in Brazil from 2007 to 2019. METHODS this was a cross-sectional study carried out with data from the Notifiable Health Conditions Information System (SINAN). Prais-Winsten linear regression was used for the temporal analysis. We calculated incidence rates according to sex and age group, relative risk and case fatality ratio. RESULTS during the study period there were 2,102,657 cases of accidents involving venomous animals. With the exception of snakebite, the remaining accidents showed a rising temporal trend in most regions of the country. Scorpion stings, snake bites and spider bites were responsible for 86% of accidents, mainly affecting male people of working age. Accidents involving snakes (0.4%) and bees (0.3%) had the highest case fatality ratios. Children were the main victims of accidents involving bees, caterpillars and "others". CONCLUSION accidents involving venomous animals showed a rising temporal trend for most conditions, as well as different epidemiological profiles.
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Affiliation(s)
- Tiago Cruz de Souza
- Universidade Federal do Acre, Programa de Pós-Graduação em Ciências
da Saúde na Amazônia Ocidental, Rio Branco, AC, Brazil
| | | | - Paulo Sérgio Bernarde
- Universidade Federal do Acre, Laboratório de Herpetologia, Cruzeiro
do Sul, AC, Brazil
| | | | | | - Andreia Fernandes Brilhante
- Universidade Federal do Acre, Programa de Pós-Graduação em Ciências
da Saúde na Amazônia Ocidental, Rio Branco, AC, Brazil
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Taniele-Silva J, Martins LG, de Sousa MB, de Souza LM, Cardoso RMB, Velasco SRU, Ramos GDS, de Miranda CT, Moura AÁ, Anderson L, Bassi ÊJ. Retrospective clinical and epidemiological analysis of scorpionism at a referral hospital for the treatment of accidents by venomous animals in Alagoas State, Northeast Brazil, 2007-2017. Rev Inst Med Trop Sao Paulo 2020; 62:e26. [PMID: 32401958 PMCID: PMC7232956 DOI: 10.1590/s1678-9946202062026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 03/23/2020] [Indexed: 12/02/2022] Open
Abstract
Scorpionism has a high incidence rate in Brazil. It is considered a serious public health problem mainly in tropical and subtropical regions around the world. The number of scorpion accidents have increased over the years and the highest frequencies have been reported mainly in the Brazilian Northeast region. Therefore, in this study we report a retrospective clinical and epidemiological analysis of scorpion stings from 2007 to 2017 in Alagoas State, Northeast Brazil, at a referral hospital for assistance and treatment of accidents by venomous animals. During the analyzed period, the referral hospital treated 27,988 cases, and an increase in the number of cases has taken place over the years. The highest frequency of scorpion stings was observed in females, and the age range most affected was from 20 to 29 years old. The most stung body site was the foot, followed by finger, toe or hand. Regarding the severity, most severe cases were reported in children up to 4 years old (69.4%) and 50% of the total cases treated with serotherapy corresponded to patients in this age range. Interestingly, it was also found that the occurrence of systemic manifestations and the severity of the cases were significantly associated with pediatric patients. In this way, this study highlights the scorpionism as an environmental public health problem in Alagoas State, Northeast Brazil, as well as the need to intensify the epidemiological surveillance and educational campaigns to prevent and control scorpion accidents throughout the year.
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Affiliation(s)
- Jamile Taniele-Silva
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
| | - Lycia Gama Martins
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
- Universidade Federal de Alagoas, Faculdade de Medicina, Maceió, Alagoas, Brazil
- Universidade Estadual de Ciências da Saúde de Alagoas, Hospital Escola Dr. Hélvio Auto, Maceió, Alagoas, Brazil
| | | | | | | | | | - Geymerson dos Santos Ramos
- Universidade Federal de Alagoas, Instituto de Computação, Laboratório de Computação Científica e Análise Numérica, Maceió, Alagoas, Brazil
| | | | - Adriana Ávila Moura
- Universidade Federal de Alagoas, Faculdade de Medicina, Maceió, Alagoas, Brazil
- Universidade Estadual de Ciências da Saúde de Alagoas, Hospital Escola Dr. Hélvio Auto, Maceió, Alagoas, Brazil
| | - Letícia Anderson
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
- Centro Universitário CESMAC, Maceió, Alagoas, Brazil
| | - Ênio José Bassi
- Universidade Federal de Alagoas, Instituto de Ciências Biológicas e da Saúde, Laboratório de Pesquisas em Virologia e Imunologia, Grupo de Pesquisa em Regulação da Resposta Imune, Maceió, Alagoas, Brazil
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Carmo ÉA, Nery AA, Nascimento CL, Casotti CA. Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study. SAO PAULO MED J 2019; 137:162-168. [PMID: 31314877 PMCID: PMC9721235 DOI: 10.1590/1516-3180.2018.0388070219] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 02/07/2019] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Scorpion accidents have gained great visibility around the world because of the high frequency and severity with which they occur, and have become a global medical-sanitary problem. OBJECTIVE The aim of this study was to describe the sociodemographic, clinical and epidemiological profile of scorpionism in the municipality of Jequié, Bahia, Brazil, from 2007 to 2015. DESIGN AND SETTING Retrospective epidemiological study in the municipality of Jequié, Bahia, Brazil. METHODS This study was based on data collected from the epidemiological investigation notification forms of the injury information system. RESULTS There was an increase in the coefficient of incidence of scorpion accidents in Jequié from 23.4/100,000 in 2007 to 413.6/100,000 in 2015. There were 3565 cases: 54.9% were female, 58.8% were aged 20-59 years, 63.5% had brown skin color and 48.6% had incomplete primary education. Most accidents occurred in urban areas (93.1%). Homes were the main place of occurrence (84.5%) and upper limbs were the commonest sting sites (53.0%). Regarding clinical aspects, 66.4% of the cases received hospital assistance within one hour after the bite, 84.1% presented mild severity, 97.1% had local manifestations and 10.2% had systemic symptoms. Serum therapy was administered in 17.3% of the cases, and 99.9% evolved to cure. CONCLUSION There was an increase in the incidence of scorpion accidents in the municipality, which demonstrates the need for investment in actions that reduce the morbidity and mortality caused by these accidents, such as educational campaigns and improvements in socioeconomic and health conditions.
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Affiliation(s)
- Érica Assunção Carmo
- MSc. Nurse and Doctoral Student, Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
| | - Adriana Alves Nery
- PhD. Nurse and Professor, Department of Health II and Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
| | - Carlito Lopes Nascimento
- PhD. Doctor and Professor, Department of Health and Postgraduate Program on Public Health, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana (BA), Brazil.
| | - Cezar Augusto Casotti
- PhD. Dentist and Professor, Department of Health I and Postgraduate Program on Nursing and Health, Universidade Estadual do Sudoeste da Bahia (UESB), Jequié (BA), Brazil.
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Torrez PPQ, Dourado FS, Bertani R, Cupo P, França FODS. Scorpionism in Brazil: exponential growth of accidents and deaths from scorpion stings. Rev Soc Bras Med Trop 2019; 52:e20180350. [PMID: 31141047 DOI: 10.1590/0037-8682-0350-2018] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Accepted: 03/21/2019] [Indexed: 11/22/2022] Open
Affiliation(s)
- Pasesa Pascuala Quispe Torrez
- Núcleo de Medicina Tropical, Departamento de Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Flávio Santos Dourado
- Coordenação-Geral de Doenças Transmissíveis, Ministério da Saúde, Brasília, DF, Brasil
| | - Rogério Bertani
- Laboratório Especial de Ecologia e Evolução, Instituto Butantan. São Paulo, SP, Brasil
| | - Palmira Cupo
- Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brasil
| | - Francisco Oscar de Siqueira França
- Núcleo de Medicina Tropical, Departamento de Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.,Laboratório de Imunologia, Departamento de Doenças Infecciosas e Parasitárias, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
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Benício RA. Phoneutrism inside a protected area in the State of São Paulo. Rev Soc Bras Med Trop 2018. [DOI: 10.1590/0037-8682-0052-2017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Araújo KAMD, Tavares AV, Marques MRDV, Vieira AA, Leite RDS. Epidemiological study of scorpion stings in the Rio Grande do Norte State, Northeastern Brazil. Rev Inst Med Trop Sao Paulo 2017; 59:e58. [PMID: 28793026 PMCID: PMC5553945 DOI: 10.1590/s1678-9946201759058] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Accepted: 05/11/2017] [Indexed: 11/21/2022] Open
Abstract
This communication is a retrospective epidemiological study of the scorpion sting cases recorded from 2007 to 2014 in the Rio Grande do Norte State, Northeastern Brazil. The data was collected from the Injury Notification Information System database of the Health Department of Rio Grande do Norte State. A total of 20,555 cases were studied. The cases were distributed over all months of the period studied and occurred mainly in urban areas. Victims were predominantly 20-29 year-old women. Most victims were stung on the foot and received medical care within 1-3 h after being stung. The cases were mostly classified as mild and progressed to cure. Scorpion stings in Rio Grande do Norte State are an environmental public health problem that needs to be monitored and controlled throughout the year.
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Affiliation(s)
- Kaliany Adja Medeiros de Araújo
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Aluska Vieira Tavares
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Michael Radan de Vasconcelos Marques
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Alecxandro Alves Vieira
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
| | - Renner de Souza Leite
- Universidade Federal de Campina Grande, Centro de Educação e Saúde, Unidade Acadêmica de Saúde, Programa de Pós-Graduação em Biotecnologia e Ciências Naturais, campus Cuité, Paraíba, Brazil
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