- 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
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Archives 2005
Myanmar Health Sciences Research Journal
Volume 17, Number 2
TITLE: Incidence, case fatality rate and treatment-seeking behaviour of the snakebite victims from two townships of Myanmar.
AUTHOR: Tun Pe; Aye Aye Myint; Sunn-Htut; Sann Mya; Khin Aye Kyu; Maung Maung Toe
SOURCE: Myanmar Health Sciences Research Journal. 2005; 17(2): 72-80
ABSTRACT: A community-based study of incidence, case fatality rate and treatment-seeking behaviour of snakebite victims was carried out in Taungdwingyi (TDG) and Kyaukpadaung (KPD) townships. A house-to-house visit was conducted by an assigned midwife and a structured questionnaire was asked to the victims or next of kin if the victim was dead. The incidence of snakebite for 4 yrs (1999-2002) is 1381 (746TDG +635KPD) with yearly incidence increases from 29 to 100/100000 in KPD and in TDG from 76 to 115/100000 (1999 to 2001) and 72/100000 in 2002.The average case fatality rate remains high in both townships (12.9%KPD and 19.3%TDG). Age specific morbidity and mortality is highest in age group 21-30yrs in TDG. High morbidity and mortality of snakebites is observed during ploughing and harvesting seasons. The snakes responsible for most bites are Russell's viper, cobra and green pit viper. Occasional bites by king cobra, kraits and nonpoisonous snakes were recalled. Conjunctivitis following spitting of venom into eyes by a spitting cobra in TDG was also recalled. Majority of them were farmers and bitten on lower limbs (79%) while engaged in farming. No longer recommended wound treatments are still in practice. Majority (64%) of the victims sought treatment from traditional healers in KPD and that of TDG at hospital (79%). Among the hospital admissions, primary cases had a better prognosis compared to secondary and no hospital admissions in TDG (p<0.001). Pre hospital antivenom was given in 31% of the victims from TDG. In spite of health education, only a few (25/1381) wore boots as a prophylaxis. The high mortality and morbidity rates of snakebite could be attributed to lack of use of prophylaxis against snakebite, incorrect treatment seeking behaviour and attitude of the victims, which call for further implementation of the health education programme.
SUBJECT HEADINGS: Incidence. Mortality. Patient Acceptance of Health Care. Snake Bites.
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