Ayesiga Innocent, Gmanyami Jonathan Mawutor, Akaka Alex, Kubwimana Olivier, Ternor Joshua Naatey, Hashim Ukasha Musa, Gyabaah Gertrude Ahenewaa, Turzin Justice Kwadwo, Kahwa Ivan
Departm ent of Research, Ubora Foundation Africa, Kampala 759125, Uganda.
Global Health and Infectious Diseases Research Group, Kumasi Centre for Collaborative Research in Tropical Medicine, Kumasi GA107, Ghana.
Trans R Soc Trop Med Hyg. 2025 Mar 7;119(3):304-309. doi: 10.1093/trstmh/trae062.
Sub-Saharan Africa (SSA) is affected by the high direct and indirect costs of snakebite envenomation. With >30% of global mortality, different economic barriers still exist, and effective strategies must be employed to avert the burden and promote quality of life. With the WHO target of reducing the number of snakebites by one-half by 2030, different aspects concerning snakebite envenomation economics must be evaluated, and potential strategies must be developed. Strategies such as exploring the different snakebite prevention interventions, and the costs associated with these interventions, must be prioritized through extensive research and targeted surveys. Information obtained from these surveys can be used to draft effective policies to minimize snakebite envenomation incidence, reduce the economic burden associated with envenomation and improve the quality of life of people at risk. In this narrative review, we evaluate the different aspects concerning the health economics of snakebite envenomation and explore the financial capacity of SSA countries to mitigate envenomation. Additionally, we propose multiple steps that could be undertaken to mitigate the financial burden of envenomation in SSA. Furthermore, we propose critical research strategies to minimize direct and indirect costs arising from snakebite envenomation in the region.
撒哈拉以南非洲地区(SSA)受到蛇咬伤中毒高昂的直接和间接成本的影响。该地区的蛇咬伤中毒死亡率占全球的30%以上,不同的经济障碍依然存在,因此必须采用有效的策略来减轻负担并提高生活质量。鉴于世界卫生组织设定的到2030年将蛇咬伤数量减半的目标,必须评估蛇咬伤中毒经济学的不同方面,并制定潜在策略。诸如探索不同的蛇咬伤预防干预措施及其相关成本等策略,必须通过广泛研究和针对性调查加以优先考虑。从这些调查中获得的信息可用于起草有效的政策,以尽量减少蛇咬伤中毒的发生率,减轻与中毒相关的经济负担,并改善高危人群的生活质量。在这篇叙述性综述中,我们评估了蛇咬伤中毒卫生经济学的不同方面,并探讨了撒哈拉以南非洲地区国家减轻中毒的财政能力。此外,我们提出了可以采取的多个步骤,以减轻撒哈拉以南非洲地区中毒的财政负担。此外,我们提出了关键的研究策略,以尽量减少该地区蛇咬伤中毒产生的直接和间接成本。