Increase in the risk of snakebites incidence due to changes in humidity levels: A time series study in four municipalities of the state of Rondônia.

Autor:	Ferreira AAFE; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Reis VPD; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Boeno CN; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Evangelista JR; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Santana HM; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Serrath SN; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Lopes JA; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Rego CMA; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Tavares MNM; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Paloschi MV; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Nery NM; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil., Dantas ADS; Agência Estadual de Vigilância em Saúde, Coordenação Estadual de Acidentes por Animais Peçonhentos, Porto Velho, RO, Brasil., Rodrigues MMS; Fundação Oswaldo Cruz, Laboratório de Análise e Visualização de Dados, Porto Velho, RO, Brasil., Zuliani JP; Fundação Oswaldo Cruz, Laboratório de Imunologia Celular Aplicada à Saúde, Porto Velho, RO, Brasil.; Universidade Federal de Rondônia, Departamento de Medicina, Porto Velho, RO, Brasil.
Jazyk:	angličtina
Zdroj:	Revista da Sociedade Brasileira de Medicina Tropical [Rev Soc Bras Med Trop] 2020 Feb 21; Vol. 53, pp. e20190377. Date of Electronic Publication: 2020 Feb 21 (Print Publication: 2020).
DOI:	10.1590/0037-8682-0377-2019
Abstrakt:	Introduction: Snakebites represent a serious global public health problem, especially in tropical countries. In Brazil, the incidence of snakebites ranges from 19 to 22 thousand cases per 100000 persons annually. The state of Rondônia, in particular, has had an increasing incidence of snakebites. Methods: A retrospective cross-sectional study on snakebites was conducted from January 2007 to December 2018. Brazil's Information System for Notifiable Diseases was queried for all snakebites reported in Porto Velho, Ariquemes, Cacoal, and Vilhena. Data on land surface temperatures during the day and night, precipitation, and humidity were obtained using the Google Earth Engine. A Bayesian time series model was constructed to describe the pattern of snakebites and their relationship with climate data. Results: In total, 6326 snakebites were reported in Rondônia. Accidents were commonly caused by Bothrops sp. (n=2171, 81.80%). Snakebites most frequently occurred in rural areas (n=2271, 85.5%). Men, with a median age of 34 years (n=2101, 79.1%), were the most frequent bitten. Moderate clinical manifestation was the most common outcome of an accident (n=1101, 41.50%). There were clear seasonal patterns with respect to rainfall, humidity, and temperature. Rainfall and land surface temperature during the day or night did not increase the risk of snakebites in any city; however, changes in humidity increased the risk of snakebites in all cities. Conclusion: This study identified the population exposed to snakes and the influence of anthropic and climatic factors on the incidence of snakebites. According to climate data, changes in humidity increased the risk of snakebites.
Databáze:	MEDLINE
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