posted on 2023-01-06, 15:42authored byNLS Roberts, EK Johnson, SM Zeng, EB Hamilton, A Abdoli, F Alahdab, V Alipour, R Ancuceanu, CL Andrei, D Anvari, J Arabloo, M Ausloos, AF Awedew, AD Badiye, SM Bakkannavar, A Bhalla, N Bhardwaj, P Bhardwaj, S Bhaumik, A Bijani, A Boloor, T Cai, F Carvalho, DT Chu, RAS Couto, X Dai, AA Desta, HT Do, L Earl, A Eftekhari, F Esmaeilzadeh, F Farzadfar, E Fernandes, I Filip, M Foroutan, RC Franklin, AM Gaidhane, BG Gebregiorgis, B Gebremichael, A Ghashghaee, M Golechha, S Hamidi, SE Haque, K Hayat, C Herteliu, OS Ilesanmi, MM Islam, J Jagnoor, T Kanchan, N Kapoor, EA Khan, MN Khatib, R Khundkar, K Krishan, GA Kumar, N Kumar, I Landires, SS Lim, M Madadin, V Maled, N Manafi, LB Marczak, RG Menezes, TJ Meretoja, TR Miller, A Mohammadian-Hafshejani, AH Mokdad, FNP Monteiro, M Moradi, VC Nayak, CT Nguyen, HLT Nguyen, V Nuñez-Samudio, SM Ostroff, JR Padubidri, HQ Pham, M Pinheiro, M Pirestani, Z Quazi Syed, N Rabiee, A Radfar, V Rahimi-Movaghar, SJ Rao, P Rastogi, DL Rawaf, S Rawaf, RC Reiner, A Sahebkar, AM Samy, M Sawhney, DC Schwebel, S Senthilkumaran, MA Shaikh, VY Skryabin, AA Skryabina, A Soheili, MA Stokes, R Thapar, MR Tovani-Palone, BX Tran
Snakebite envenoming is an important cause of preventable death. The World Health Organization (WHO) set a goal to halve snakebite mortality by 2030. We used verbal autopsy and vital registration data to model the proportion of venomous animal deaths due to snakes by location, age, year, and sex, and applied these proportions to venomous animal contact mortality estimates from the Global Burden of Disease 2019 study. In 2019, 63,400 people (95% uncertainty interval 38,900–78,600) died globally from snakebites, which was equal to an age-standardized mortality rate (ASMR) of 0.8 deaths (0.5–1.0) per 100,000 and represents a 36% (2–49) decrease in ASMR since 1990. India had the greatest number of deaths in 2019, equal to an ASMR of 4.0 per 100,000 (2.3—5.0). We forecast mortality will continue to decline, but not sufficiently to meet WHO’s goals. Improved data collection should be prioritized to help target interventions, improve burden estimation, and monitor progress.
Funding
This study was primarily funded by the Bill & Melinda Gates Foundation. M Ausloos and C Herteliu are partially supported by a grant from the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. F Carvalho and E Fernandes acknowledge Fundação para a Ciência e a Tecnologia, I.P., in the scope of the project UIDP/04378/2020 and UIDB/ 04378/2020 of the Research Unit on Applied Molecular Biosciences UCIBIO, and the project LA/P/0140/2020 of the Associate Laboratory Institute for Health and Bioeconomy i4HB; and FCT/MCTES (Ministério da Ciência, Tecnologia e Ensino Superior) through the project UIDB/ 50006/2020
History
Citation
GBD 2019 Snakebite Envenomation Collaborators. Global mortality of snakebite envenoming between 1990 and 2019. Nat Commun 13, 6160 (2022). https://doi.org/10.1038/s41467-022-33627-9