Bhargava Saurabh, Kaur Ramanjeet, Singh Rajvinder
Department of Genetics, M.D. University, Rohtak 124001, Haryana, India.
J Forensic Leg Med. 2018 Feb;54:9-13. doi: 10.1016/j.jflm.2017.12.004. Epub 2017 Dec 20.
Varieties of venomous snakes inhabit in the world which accidentally take thousands of human lives every year. This severe medical emergency constantly persuades national and international health agencies to look at efficient epidemiological profiling of snake-bite cases for the proper management of this sympathetic problem. Establishing the accurate database of snake-bite in humans from different localities of India may perhaps lack certainty due to few inevitable reasons such as consideration of this problem as less emergent problem in disparity to pesticide poisoning, difficulty in the accessibility to rural and tribal areas where chances of snake-bite remain ceiling, lack of inspiring models of snake-bite management training, reduced reporting system, and pitiable maintenance of hospital data in India. Therefore, the present modest study was carried out to explore valuable information regarding snake-bite problem in Haryana. Factual data on snake-bite incidences happened from 2011 to 2015 were collected from government hospitals and medical institutes of Haryana. This retrospective study disclosed a few characteristic points related to the frequency of snake-bite cases, gender involved, anti-snake venom (ASV) treatment, and numbers of deaths with snake-bite. Records revealed a total of 6555 cases of snake-bite including 130 deaths reported in Haryana during the study period. A significant variation in the occurrence of snake-bite cases was also recorded in different areas of Haryana. There was a huge database of recorded snake-bite cases from government medical institute but district wise survey disclosed the maximum number of snake-bite incidences, especially amongst males from Panchkula. The present study has provided a more updated and comprehensive record of snake-bite from Haryana during 2011-2015. A huge burden of snake-bite amongst human was found in Haryana; hence, the findings of this study purposely enlighten people about the size of this problem in the selected region. However, this study also remained limited due to lack of information on a few important parameters and availability of homogeneous data.
世界上有各种各样的毒蛇，每年意外导致数千人死亡。这种严重的医疗紧急情况不断促使国家和国际卫生机构对蛇咬伤病例进行有效的流行病学分析，以便妥善处理这一棘手问题。由于一些不可避免的原因，在印度不同地区建立准确的人类蛇咬伤数据库可能缺乏确定性，比如与农药中毒相比，人们认为这个问题不那么紧急；难以进入农村和部落地区，而这些地区蛇咬伤的几率仍然很高；缺乏鼓舞人心的蛇咬伤管理培训模式；报告系统不完善；以及印度医院数据维护不佳。因此，本项适度规模的研究旨在探索有关哈里亚纳邦蛇咬伤问题的有价值信息。从哈里亚纳邦的政府医院和医疗机构收集了2011年至2015年期间发生的蛇咬伤事件的实际数据。这项回顾性研究揭示了一些与蛇咬伤病例的频率、涉及的性别、抗蛇毒血清（ASV）治疗以及蛇咬伤死亡人数相关的特征点。记录显示，在研究期间，哈里亚纳邦共报告了6555例蛇咬伤病例，其中130人死亡。哈里亚纳邦不同地区的蛇咬伤病例发生率也存在显著差异。政府医疗机构有大量记录在案的蛇咬伤病例数据库，但按地区进行的调查显示，蛇咬伤发生率最高的是潘切库拉的男性。本研究提供了2011 - 2015年期间哈里亚纳邦蛇咬伤情况的更最新、更全面的记录。在哈里亚纳邦发现人类面临着巨大的蛇咬伤负担；因此，本研究结果特意让人们了解该选定地区这一问题的严重程度。然而，由于缺乏一些重要参数的信息以及同质数据的可用性，本研究也存在局限性。
