Why India is a world’s “snakebite” capital?
Snake bites: The deadly health crisis that's hidden from our gaze
Monsoons are the time when snakes come out — to play, hunt and mate. Their dens flooded, they seek refuge in dry patches where often the reticent reptiles cross path with humans, resulting in a season of fatal snake bites every year.
Sunil Limaye’s phone doesn’t stop ringing in these months. The additional principal chief conservator of forests in Maharashtra gets an average of two snakebite complaints daily June to September. “We’ve received more than 70 calls this year,” said Limaye last week.
Unknown to many, India is likely the world’s snakebite capital. In 2017, the Union health ministry collated countrywide data between April and October. The survey recorded 1.14 lakh cases across the country in the six-month period before and after the monsoon. Maharashtra led the pack of states with 24,437 cases, followed by West Bengal, Andhra Pradesh, Odisha and Karnataka.
Herpetologists, doctors and science-ecology experts have long held that official numbers in India are grossly underestimated. The World Health Organisation listed snake bites under ‘neglected tropical diseases’ in 2017. Its datasheet said under-reporting of snakebite incidence and mortality was common. “A very large community-level study in India gave a direct estimate of 45,900 deaths in 2005… over 30 times higher than the official figure”.
It was referring to the national mortality survey of 1.1 million homes as part of Centre for Global Health Research’s Million Death Study in 2011, which put the annual death from snake bite at 45,900 in 2005. There are no accurate records to determine exact mortality. National Crime Records Bureau noted just 8,554 deaths from snake bite in 2015.
该调研参考了全球健康研究中心(center for Global Health Research) 2011年对110万户家庭进行的全国死亡率调查，该调查是该中心“百万死亡研究”(million Death Study)的一部分。该研究认为，2005年，每年死于蛇咬伤的人数为45900人。但没有准确的记录来确定死亡率。国家犯罪记录局指出，2015年只有8554人死于蛇咬伤。
In a unique initiative, a 257-member WhatsApp group called ‘Snakebite Interest Group’ is striving to attend to cases across the country. Created in 2015 by Dr Dayalbandhu Mazumdar, a Bengal-based ophthalmologist and an expert in snakebite management, and administered by Priyanka Kadam, a Mumbai-based crusader against snake bites, the community of 240 doctors spans 14 states and Nepal. It works alongside activists and herpetologists and says it has saved more than 3,500 victims in the past four years.
WhatsApp推出了一项独特的倡议，一个名为“毒蛇咬伤兴趣小组”(Snakebite Interest group)的组织，由257名成员组成，正在努力处理全国各地的蛇咬伤案件。2015年，孟加拉眼科医生、蛇咬伤管理专家达亚班杜·马祖姆达尔博士创建了这个组织，由孟买的反蛇咬斗士普里扬卡·卡达姆负责管理。这个由240名医生组成的组织遍布14个邦以及尼泊尔。该组织与活动人士和爬虫学家合作，称在过去四年里，该组织已经拯救了3500多名受害者。
The death of 10-year-old Manan Vora from Gujarat’s Bhavnagar — while holidaying with his family at a luxury resort in Diu when a cobra hiding in his pillowcase bit him — showed how ill-equipped urban centres are in dealing with snakebites. Although Manan was rushed to a hospital, he was put on antibiotics instead of anti-venom and advised transfer to a hospital 17km away.
More harmful than the venom is belief in occult practice and healers. Devendri in Bulandshahar, UP, was collecting firewood when a cobra bit her. Her husband chose a faith healer. She was buried in dung for 75 minutes. She didn’t survive. For another it was burial in salt, and for some it’s stones and leaves, roots and twigs.
Dr Dilip Punde who has treated around 7,000 snakebite cases in Nanded (Maharashtra) over three decades says he urges traditional healers to redirect snakebite victims to a health centre. It takes 100ml of anti-venom within 100 minutes of a bite to save a life. But even when available, it can be prohibitively expensive, pushing poor victims further into poverty and debt. A vial of anti-snake venom costs Rs 250 to Rs 500, and a loading dose for a venomous bite requires at least 10 vials.
译文来源：三泰虎 http://www.santaihu.com/48166.html 译者：Jessica.Wu
Dennis Dias•2 hours ago •Follow
Snake bites are high in India because snakes are been rescued where bitten humans are not which should have been the priority. Rescued reptiles goes elsewhere and bites some more human beings and kills them, yet they are been rescued.
kakasaheb lonkar•3 hours ago
Need to strengthen govt. policy. Still we are lacking to minimize traveling distance from victimization location to treatment center.,Recommending stock buildup at every hospital presence in village. Still people need to travel at district hospital to treat on snake bite, more delayed in treatment is directly proportional to risk of survival. Absence of antidote and distance covered is responsible for deaths in country..
Imran Ahmed•3 hours ago
Last time I checked, India was the "RAPE" capital. Don''t try to change your heritage HAHAHA
Ashwani Kumar•Unknown•3 hours ago
The problem could be due to poor health systems and lack of awareness.
anmol•noida•3 hours ago
India has many such cases but no action or very few action is taken towards it by our government
Jayant Chettri•3 hours ago
Governments at the centre and states must be more proactive about this menace.
Rudolph Furtado•4 hours ago
Snakes won''t attack humans or other large animals unless provoked or accidentally stepped on. Its a tendency in villages to kill a snake on sighting one and the same should be discouraged by educating locals about the benefits of snakes in controlling the rodent population that destroy crops. Village hospitals should store adequate amount of anti-venom for treating snake bites and superstitious people educated about snake bite treatment and avoiding treatment by local faith healers .
Sambappa Kalvala•4 hours ago
Poorest of poor are vulnerable to snake bites
Yesaeti Enaegi•4 hours ago
Why just snakebite? India is also the Dogbite capital of the world. Stray dogs don''t have it as good anywhere as in India!
Jaant Chettri• Yesaeti Enaegi•3 hours ago
Yes. India hasn''t taken any precautionary measures for dog bites in a large way. Governments at the centre and states must have a program to control the population of stray dogs in the country which is increasing at an alarming rate.
Ravi Punuru•4 hours ago
It is capital for all the diseases,snake bite is just one of it.
TSR The Urbanist•Namma Bengaluru•4 hours ago
Life and Death is a routine process and there has to be an ecological balance...Death can be in many ways and one is destined for some mode..
Mohan•5 hours ago
Our mortality rate is dipping. Somehow we need to find ways to reduce population
Pradeep•Unknown•5 hours ago
India is also ''mosquito bite capital'', ''bee bite capital'' and ''dog bite capital'' to name a few others!
Smolensk•5 hours ago
Hindus don''t eat Beef. So Snakes are angry.
Hemadri Ray•5 hours ago
After collection of snake venom got banned, the effectiveness of anti venom injections against local variants of venomous species has declined.
TRUTH BE TOLD•You can't handle the Truth!!!•5 hours ago
45000 death is a country of over 1 billion is nothing!!! Dont make everything a big deal and brand India as this capital of the world and that capital of the world. Looks like many people are interested in tagging India highlighting all the wrongness which infact are negligible. A lot of these statistics have infact improved over the years which they fail to acknowledge.