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Incidence of Snakebite in Four Townships of Yangon Region

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Is Community Intervention Effective for Improving Maternal, Newborn and Child Health Care in Hard-to-Reach Areas of Chin State, Myanmar?

To tackle the maternal, newborn and child health (MNCH) care needs is a challenging situation in remote and hard-to-reach areas. Intervention activities focusing on strengthening community health care network through community participation and supporting Basic Health Staffs for MNCH ser

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Aims of MHSR Journal

• To serve as an important medium for the publication of original research in the field of medical science and health research, thus filling gaps in health knowledge for effective utilization of research findings
• To impart current medical knowledge and updated scientific information obtained from research to health professionals for better and appropriate health care management
• To disseminate recent basic, applied and social research findings among health personnel of different strata for enhancing worldwide health development

Archives   2007

Myanmar   Health   Sciences   Research   Journal

Volume   19,  Number   3

TITLE:   Epidemiological study of snakebites cases admitted to two township hospitals of Ayeyarwady Division.
AUTHOR:   Aye Aye Myint; Tun Pe; Swe Win
SOURCE:   Myanmar Health Sciences Research Journal. 2007; 19(3): 136-140
ABSTRACT:   Snakebite is endemic in rice growing divisions of Myanmar including Ayeyawady Division. The average case fatality rate (CFR) of poisonous snakebite of the whole country is 7.43%. Ayeyawady Division has the highest case fatality rate (CFR) in the country. In order to determine the morbidity,mortality and the causes of high CFR of snakebite in Ayeyawady Division, a retrospective analysis of case notes of snakebite victims admitted to Mawlamyainggyun and Einme hospitals of Ayeyawady Division for the last 6 years (2001-2006) was carried out. Total number of snakebite cases in Mawlamyainggun was 129 and that of Einme 48. Majority of the victims were male and bitten on lower limbs. Russell’s viper bite accounted for 33.3% and cobra 10-17%. Majority (79-87.5%) of Russell’s viper bite cases had systemic envenoming at admission and 44 -75% of them had systemic complications. TheCFR of poisonous snakebites of Mawlamyainggune was 26.2%(17/65) and that of Einme 45.45% (10/22).TheCFR of Russell’s viper bite was 66% if the victims arrived hospitals within 6 hr after the bites and it increases with delay in arrival time. A long hour of travel [9.30 hrs (Mawlamyainggyun) and 8.29 hrs (Einme) (median)] to get to the hospitals leading to development of systemic envenoming and complications were contributing factors in causing high CFR. Since other contributing factors like use of protective wears and effective first aid measure, prehospital antivenom and means of transportation of the victims were not available in the record, a prospective study of snakebite cases admitted to township hospitals is needed.
SUBJECT HEADINGS:   Snake Bites.
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