Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon.
In the Brazilian Amazon, long distances, low healthcare coverage, common use of ineffective or deleterious self-care practices, and resistance to seeking medical assistance have an impact on access to antivenom treatment. This study aimed to estimate snakebite underreporting, and analyze barriers th...
Published in: | PLOS Neglected Tropical Diseases |
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2021
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ftdoajarticles:oai:doaj.org/article:ba0d57296928495595c1fd78cc9d657f 2023-05-15T15:15:37+02:00 Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. Guilherme Kemeron Maciel Salazar Joseir Saturnino Cristino Alexandre Vilhena Silva-Neto Altair Seabra Farias João Arthur Alcântara Vinícius Azevedo Machado Felipe Murta Vanderson Souza Sampaio Fernando Val André Sachett Paulo Sérgio Bernarde Marcus Lacerda Fan Hui Wen Wuelton Monteiro Jacqueline Sachett 2021-09-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0009758 https://doaj.org/article/ba0d57296928495595c1fd78cc9d657f EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0009758 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009758 https://doaj.org/article/ba0d57296928495595c1fd78cc9d657f PLoS Neglected Tropical Diseases, Vol 15, Iss 9, p e0009758 (2021) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1371/journal.pntd.0009758 2022-12-31T11:27:26Z In the Brazilian Amazon, long distances, low healthcare coverage, common use of ineffective or deleterious self-care practices, and resistance to seeking medical assistance have an impact on access to antivenom treatment. This study aimed to estimate snakebite underreporting, and analyze barriers that prevent victims from obtaining healthcare in communities located in 15 municipalities on the banks of the Solimões, Juruá and Purus Rivers, in the remote Western Brazilian Amazon. Information on the participants' demographics, previous snakebites, access to healthcare, time taken to reach medical assistance, use of self-care practices, and the reason for not accessing healthcare were collected through semi-structured interviews. In the case of deaths, information was collected by interviewing parents, relatives or acquaintances. A total of 172 participants who reported having suffered snakebites during their lifetime were interviewed. A total of 73 different treatment procedures was reported by 65.1% of the participants. Participants living in different river basins share few self-care procedures that use traditional medicine, and 91 (52.9%) participants reported that they had access to healthcare. Living in communities along the Juruá River [OR = 12.6 (95% CI = 3.2-49.7; p<0.001)] and the use of traditional medicine [OR = 11.6 (95% CI = 3.4-39.8; p<0.001)] were variables that were independently associated to the lack of access to healthcare. The main reasons for not accessing healthcare were the pprioritization of traditional treatments (70.4%), and the failure to recognize the situation as being potentially severe (50.6%). Four deaths from complications arising from the snakebite were reported, and three of these were from communities on the banks of the Juruá River. Only one of these received medical assistance. We found an unexpectedly high underreporting of snakebite cases and associated deaths. Snakebite victims utilized three main different healing systems: 1) self-care using miscellaneous techniques; ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 15 9 e0009758 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Guilherme Kemeron Maciel Salazar Joseir Saturnino Cristino Alexandre Vilhena Silva-Neto Altair Seabra Farias João Arthur Alcântara Vinícius Azevedo Machado Felipe Murta Vanderson Souza Sampaio Fernando Val André Sachett Paulo Sérgio Bernarde Marcus Lacerda Fan Hui Wen Wuelton Monteiro Jacqueline Sachett Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
In the Brazilian Amazon, long distances, low healthcare coverage, common use of ineffective or deleterious self-care practices, and resistance to seeking medical assistance have an impact on access to antivenom treatment. This study aimed to estimate snakebite underreporting, and analyze barriers that prevent victims from obtaining healthcare in communities located in 15 municipalities on the banks of the Solimões, Juruá and Purus Rivers, in the remote Western Brazilian Amazon. Information on the participants' demographics, previous snakebites, access to healthcare, time taken to reach medical assistance, use of self-care practices, and the reason for not accessing healthcare were collected through semi-structured interviews. In the case of deaths, information was collected by interviewing parents, relatives or acquaintances. A total of 172 participants who reported having suffered snakebites during their lifetime were interviewed. A total of 73 different treatment procedures was reported by 65.1% of the participants. Participants living in different river basins share few self-care procedures that use traditional medicine, and 91 (52.9%) participants reported that they had access to healthcare. Living in communities along the Juruá River [OR = 12.6 (95% CI = 3.2-49.7; p<0.001)] and the use of traditional medicine [OR = 11.6 (95% CI = 3.4-39.8; p<0.001)] were variables that were independently associated to the lack of access to healthcare. The main reasons for not accessing healthcare were the pprioritization of traditional treatments (70.4%), and the failure to recognize the situation as being potentially severe (50.6%). Four deaths from complications arising from the snakebite were reported, and three of these were from communities on the banks of the Juruá River. Only one of these received medical assistance. We found an unexpectedly high underreporting of snakebite cases and associated deaths. Snakebite victims utilized three main different healing systems: 1) self-care using miscellaneous techniques; ... |
format |
Article in Journal/Newspaper |
author |
Guilherme Kemeron Maciel Salazar Joseir Saturnino Cristino Alexandre Vilhena Silva-Neto Altair Seabra Farias João Arthur Alcântara Vinícius Azevedo Machado Felipe Murta Vanderson Souza Sampaio Fernando Val André Sachett Paulo Sérgio Bernarde Marcus Lacerda Fan Hui Wen Wuelton Monteiro Jacqueline Sachett |
author_facet |
Guilherme Kemeron Maciel Salazar Joseir Saturnino Cristino Alexandre Vilhena Silva-Neto Altair Seabra Farias João Arthur Alcântara Vinícius Azevedo Machado Felipe Murta Vanderson Souza Sampaio Fernando Val André Sachett Paulo Sérgio Bernarde Marcus Lacerda Fan Hui Wen Wuelton Monteiro Jacqueline Sachett |
author_sort |
Guilherme Kemeron Maciel Salazar |
title |
Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
title_short |
Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
title_full |
Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
title_fullStr |
Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
title_full_unstemmed |
Snakebites in "Invisible Populations": A cross-sectional survey in riverine populations in the remote western Brazilian Amazon. |
title_sort |
snakebites in "invisible populations": a cross-sectional survey in riverine populations in the remote western brazilian amazon. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doi.org/10.1371/journal.pntd.0009758 https://doaj.org/article/ba0d57296928495595c1fd78cc9d657f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 15, Iss 9, p e0009758 (2021) |
op_relation |
https://doi.org/10.1371/journal.pntd.0009758 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009758 https://doaj.org/article/ba0d57296928495595c1fd78cc9d657f |
op_doi |
https://doi.org/10.1371/journal.pntd.0009758 |
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PLOS Neglected Tropical Diseases |
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15 |
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9 |
container_start_page |
e0009758 |
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