01840nas a2200193   4500000000100000008004100001653003900042653001500081653001700096653001700113653001000130100001400140245009800154856009500252300001000347490000600357520126900363022001401632       2007                            d10aNeglected tropical diseases (NTDs)10aSnakebites10aEpidemiology10aField survey10aNepal1 aPandey DP00aEpidemiology of snakebites based on field survey in Chitwan and Nawalparasi districts, Nepal.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3550019/pdf/13181_2009_Article_BF03160933.pdf  a164-80 v33 a<p><strong>INTRODUCTION: </strong>Snake envenomation is a major public health issue in the rural tropics, but there is no accurate figure of incidence of snakebite. Few studies have looked at the epidemiology of venomous snakebite in Nepal.</p>

<p><strong>METHODS: </strong>Using data collection sheets, enumerators randomly sampled, visited, and interrogated 20% of the population from each district.</p>

<p><strong>RESULTS: </strong>Of the 2,186 snakebite cases studied in two districts from April to September 2005, 66% were from Nawalparasi and 34% from Chitwan. 54% were males. 56% of patients consulted traditional healers. Most bites occurred in those 10-20 years of age and in those engaged in outdoor and agricultural (farmers) activities, but I should note that 15% occurred during sleep. Extremity bites accounted for 94%, with 66% in the lower extremities and 28% in the upper extremities. Of the total cases, 58% were nonenvenomations and 42% were envenomations. Of the total venomous cases, 27% died; which is 12% of the total snakebites (2,186). The majority of bites occurred in the summer.</p>

<p><strong>CONCLUSIONS: </strong>This epidemiological study vividly depicted the health hazards of snakebites in two areas of rural Nepal.</p>
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