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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?

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Incidence of Snakebite in Four Townships of Yangon Region

The true incidence of snakebite in Myanmar is unknown. The current data are based on hospital returns to Ministry of Health and Sports and they are likely to be under-reported. A community-based survey is useful to know the current burden of snakebite and thus for planning and formulating str

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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   2020

Myanmar   Health   Sciences   Research   Journal

Volume   32,  Number   1

TITLE:   Incidence of Snakebite in Four Townships of Yangon Region
AUTHOR:   Khin Thida Thwin, Han Win,Myo Myo Mon, Myat Sandar Aung & Sandar Kyi
SOURCE:   Myanmar Health Sciences Research Journal, 2020; 32(1):86-91
ABSTRACT:  

The true incidence of snakebite in Myanmar is unknown. The current data are based on hospital returns to Ministry of Health and Sports and they are likely to be under-reported. A community-based survey is useful to know the current burden of snakebite and thus for planning and formulating strategies and specific interventions to combat snakebite related health problems in Myanmar. Thus, the present study was conducted in four townships of Yangon Region to determine the community incidence of snakebite before proceeding to nationwide population-based surveys. It was conducted in Dagon Myothit (East), Thongwa, Hlegu and Taikkyi townships by applying multi-stage cluster sampling in 2018. All males and females older than 5 years from the sampled households were eligible for the study. Respondents were interviewed using pretested questionnaire. The respondent had to answer for every member who spent the past one year in the selected household. Information was collected on 7,145 individuals from 2,018 households (70% from villages and 30% from urban wards). They included 47% males and 53% females with the mean age of 34.3 (18.6) years. Median family number was 4 and median family income was 200,000 kyats per month. There were 20 snakebites reported and two people died of snakebite. Annual incidence of snakebite and envenoming were 280 (95% CI: 176-424) and 168 (95% CI: 91-286) per 100,000 population respectively. Among the victims, there were 11 males (55%) and 9 females (45%) and their mean age was 34.4±11.9 years. Similar proportion of snakebite episodes happened in the morning, afternoon and during night times. Most of the bites occurred on the legs (90%). First aid treatment was practiced in 55% of patients and 45% applied tourniquets. After being bitten, 90% sought care from the formal health system as their first point of contact. This study informed a higher incidence of snakebite compared to health services data and to previous population-based surveys in Myanmar.