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Hernández-Muñoz EA, Zavala-Sánchez EV. Scorpion sting envenomation: should it be considered a neglected tropical disease? Int J Epidemiol 2024; 53:dyae070. [PMID: 38757194 DOI: 10.1093/ije/dyae070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 05/03/2024] [Indexed: 05/18/2024] Open
Affiliation(s)
- Eduardo Alfonso Hernández-Muñoz
- Unit of Epidemiological Surveillance, Family Medicine Unit N° 53, Mexican Institute of Social Security, Zapopan, Jalisco, México
- University Center of Health Sciences (CUCS), University of Guadalajara, Guadalajara, México
- Villa Unión Hospital N°16, Mexican Institute of Social Security, Villa Unión, Mazatlán, Sinaloa, México
| | - Eugenio Vladimir Zavala-Sánchez
- Unit of Epidemiological Surveillance, Family Medicine Unit N° 53, Mexican Institute of Social Security, Zapopan, Jalisco, México
- University Center of Health Sciences (CUCS), University of Guadalajara, Guadalajara, México
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Hernández-Muñoz EA, Zavala-Sánchez EV, Rubio-Atondo A, López-Chávez JA, Arredondo-Rojas V, Reyes-Reyes JS. Scorpion sting envenomation outbreak in Mexico. Strategies for prevention and control. Toxicon 2024; 237:107549. [PMID: 38061672 DOI: 10.1016/j.toxicon.2023.107549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 11/22/2023] [Accepted: 12/01/2023] [Indexed: 12/24/2023]
Abstract
In Mexico occurs 25% of all worldwide cases of scorpion sting envenomation (SSE). An outbreak of SSE was identified in Villa Unión, Sinaloa, Mexico. The objective of this study is to describe the outbreak, and prevention and control strategies implemented. The design was a cross-sectional study. Eligibility criteria included confirmed cases (n = 425) identified from the date the outbreak was recognized (from November 08, 2023 to July 10, 2023). The cases from Villa Unión (n = 231) were included for the analysis of epidemiological and clinical findings. The research followed the recommendations of the Initiative Reporting of studies Conducted Using Observational Routinely collected Data (RECORD). Of the total cases (n = 425), 398 (93.6%) were from the municipality of Mazatlán, and 231 (58%) were from Villa Unión. The incidence rate was 13.64 per 1000 persons. The average cases per week was 51.5(SD ± 12). The male-to-female ratio was 3:4, the average age was 30.7(SD ± 19) years. Most of cases occurred in the 25-44 age group. The sting occurred mostly inside houses (n = 200, 86.5%). The predominant symptoms were local pain (95.2%), and local paresthesia (75.8%). The Case fatality rate was 0%. Implementation of prevention and control strategies based on field epidemiological research and scientific evidence are necessary to reduce the incidence and prevent fatal complications.
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Affiliation(s)
- E A Hernández-Muñoz
- Unit of Epidemiological Surveillance, Family Medicine Unit N 53, Mexican Institute of Social Security, Avenida Juan Pablo II Esq Hidalgo 150 Zapopan, Col. Zapopan Centro, Zapopan 45100, Jalisco, Mexico; Postgraduate Specialty Program in Epidemiology, University Center of Health Sciences (CUCS), University of Guadalajara, Sierra Mojada 950, Puerta 7, Edificio A, Col. Independencia, Guadalajara C.P. 44340, Jal, Mexico; Coordination of Epidemiology and Preventive Medicine, Villa Unión Hospital N°16, Mexican Institute of Social Security, Leandro Valle y Carr. Internacional S/N Centro, Villa Unión, Mazatlán 82210, Sinaloa, Mexico; College of History and Philosophy of Medicine of the State of Guanajuato, León, Guanajuato, Mexico.
| | - E V Zavala-Sánchez
- Unit of Epidemiological Surveillance, Family Medicine Unit N 53, Mexican Institute of Social Security, Avenida Juan Pablo II Esq Hidalgo 150 Zapopan, Col. Zapopan Centro, Zapopan 45100, Jalisco, Mexico; Postgraduate Specialty Program in Epidemiology, University Center of Health Sciences (CUCS), University of Guadalajara, Sierra Mojada 950, Puerta 7, Edificio A, Col. Independencia, Guadalajara C.P. 44340, Jal, Mexico.
| | - A Rubio-Atondo
- Coordination of Epidemiology and Preventive Medicine, Villa Unión Hospital N°16, Mexican Institute of Social Security, Leandro Valle y Carr. Internacional S/N Centro, Villa Unión, Mazatlán 82210, Sinaloa, Mexico.
| | - J A López-Chávez
- Villa Unión Hospital N°16, Mexican Institute of Social Security, Villa Unión, Leandro Valle y Carr, Internacional S/N Centro, Mazatlán 82210, Sinaloa, Mexico.
| | - V Arredondo-Rojas
- Department of Vector-Borne and Zoonotic Diseases, Health Ministry, Río Culiacan 38, Tellería, Mazatlán, 82017, Sinaloa, Mexico.
| | - J S Reyes-Reyes
- Department of Epidemiology, Health Ministry, Río Culiacan 38, Tellería, Mazatlán 82017, Sinaloa, Mexico.
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