Overview
Snakebite envenoming is a potentially life-threatening disease caused by toxins in the bite of a venomous snake. Envenoming can also be caused by having venom sprayed into the eyes by certain species of snakes that have the ability to spit venom as a defence measure.
Inadequate past efforts to control snakebite envenoming has produced fragmented, inaccurate epidemiological data. Many victims do not attend health centres or hospitals and instead rely on traditional treatments. However, available data show 4.5–5.4 million people get bitten by snakes annually. Of this, 1.8–2.7 million develop clinical illness and 81 000 to 138 000 die from complications.
High-risk groups include rural agricultural workers, herders, fishermen, hunters, working children, people living in poorly constructed houses and those with limited access to education and healthcare. Morbidity and mortality occur most frequently among young people and children suffer higher case fatality. Furthermore, women experience increased barriers to accessing medical care in some cultures and pregnant women are extremely vulnerable.
An ongoing crisis restricting access to safe, effective antivenom treatment in many regions, and particularly sub-Saharan Africa, is one factor that contributes to the predisposition for seeking help through traditional medicine.