Snakebites in “invisible populations”: a cross-sectional survey in riverine populations in the remote western Brazilian Amazon

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dc.contributorCentro Bioindustrialpt_BR
dc.contributorHVB - Hospital Vital Brazilpt_BR
dc.contributor.authorSalazar, Guilherme Kemeron Macielpt_BR
dc.contributor.authorCristino, Joseir Saturninopt_BR
dc.contributor.authorSilva-Neto, Alexandre Vilhenapt_BR
dc.contributor.authorFarias, Altair Seabrapt_BR
dc.contributor.authorAlcântara, João Arthurpt_BR
dc.contributor.authorMachado, Vinícius Azevedopt_BR
dc.contributor.authorMurta, Felipept_BR
dc.contributor.authorSampaio, Vanderson Souzapt_BR
dc.contributor.authorVal, Fernandopt_BR
dc.contributor.authorSachett, Andrépt_BR
dc.contributor.authorBernarde, Paulo Sérgiopt_BR
dc.contributor.authorLacerda, Marcuspt_BR
dc.contributor.authorFan, Hui Wenpt_BR
dc.contributor.authorMonteiro, Wueltonpt_BR
dc.contributor.authorSachett, Jacquelinept_BR
dc.date.accessioned2021-09-30T17:24:25Z-
dc.date.available2021-09-30T17:24:25Z-
dc.date.issued2021pt_BR
dc.identifier.citationSalazar GKM, Cristino JS, Silva-Neto AV, Farias AS, Alcântara JA, Machado VA, et al. Snakebites in “invisible populations”: a cross-sectional survey in riverine populations in the remote western Brazilian Amazon. PLoS Negl. Trop. Dis.. 2021 Sept;15(9):e0009758. doi:10.1371/journal.pntd.0009758.pt_BR
dc.identifier.urihttps://repositorio.butantan.gov.br/handle/butantan/3944-
dc.description.abstractIn 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; 2) official medical healthcare generally combined with traditional practices; and 3) self-care using traditional practices combined with Western medicines. To mitigate snakebite burden in the Brazilian Amazon, an innovative intervention that would optimize timely delivery of care, including antivenom distribution among existing community healthcare centers, is needed.pt_BR
dc.description.sponsorship(FAPEAM) Fundação de Amparo à Pesquisa do Estado do Amazonaspt_BR
dc.description.sponsorship(CNPq) Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipMinistério da Saúde do Brasilpt_BR
dc.format.extente0009758pt_BR
dc.language.isoEnglishpt_BR
dc.relation.ispartofPlos Neglected Tropical Diseasespt_BR
dc.rightsOpen accesspt_BR
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/pt_BR
dc.titleSnakebites in “invisible populations”: a cross-sectional survey in riverine populations in the remote western Brazilian Amazonpt_BR
dc.typeArticlept_BR
dc.rights.licenseCC BYpt_BR
dc.identifier.doi10.1371/journal.pntd.0009758pt_BR
dc.identifier.urlhttps://doi.org/10.1371/journal.pntd.0009758pt_BR
dc.contributor.external(UEA) Universidade do Estado do Amazonaspt_BR
dc.contributor.external(FMT-HVD) Fundação de Medicina Tropical Doutor Heitor Vieira Douradopt_BR
dc.contributor.external(FVS-AM) Fundação Vigilância em Saúde do Amazonaspt_BR
dc.contributor.external(UFAC) Universidade Federal do Acrept_BR
dc.contributor.external(ILMD/Fiocruz Amazônia) Instituto Leônidas & Maria Deanept_BR
dc.contributor.external(FUAM) Fundação Alfredo da Mattapt_BR
dc.identifier.citationvolume15pt_BR
dc.identifier.citationissue9pt_BR
dc.subject.keywordsnakebitept_BR
dc.subject.keywordRiverspt_BR
dc.subject.keywordBrazilpt_BR
dc.subject.keywordTraditional medicinept_BR
dc.subject.keywordFinancept_BR
dc.subject.keywordurban areaspt_BR
dc.subject.keywordpainpt_BR
dc.subject.keywordTransportationpt_BR
dc.relation.ispartofabbreviatedPLoS Negl. Trop. Dis.pt_BR
dc.identifier.citationabntv. 15, n. 9, e0009758, set. 2021pt_BR
dc.identifier.citationvancouver2021 Sept;15(9):e0009758pt_BR
dc.contributor.butantanFan, Hui Wen|:Pesquisador|:Centro Bioindustrial|:Hospital Vital Brazil (HVB)pt_BR
dc.sponsorship.butantanFundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM)¦¦007/2019pt_BR
dc.sponsorship.butantanConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)¦¦733781/19-035pt_BR
dc.sponsorship.butantanConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)¦¦308748/2017-4pt_BR
dc.sponsorship.butantanConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)¦¦311509/2020-7pt_BR
dc.sponsorship.butantanConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)¦¦309207/2020-7pt_BR
dc.sponsorship.butantanMinistério da Saúde do Brasil ¦¦733781/19-035pt_BR
dc.identifier.bvsccBR78.1pt_BR
dc.identifier.bvsdbIBProdpt_BR
dc.description.dbindexedYespt_BR
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