{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:20:51Z","timestamp":1790749251212,"version":"4.1.0"},"reference-count":59,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Accidents caused by snakes constitute a serious public health problem in Latin America and worldwide. The situation in the Brazilian Amazon region is neglected, resulting in the highest incidence of cases per capita in the country. Furthermore, the distance from urban areas makes it difficult for the population to access timely and effective medical care, including antivenom treatment. The Brazilian Amazon is characterised by high ethnic and cultural diversity, yet it lacks robust epidemiological information that would allow for the development of surveillance and prevention policies. This study aimed to assess the epidemiological profile of individuals affected by snakebite accidents from 2007 to 2021 in a poorly studied region of the Brazilian Amazon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To assess the relationship between snakebite accidents, rainfall and river flood levels, cross\u2010correlation functions were employed. Data from the public healthcare system database was used for this analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results indicate that the study area experiences a snakebite rate 10 times greater than the Brazilian average and double that of other Amazonian regions. The most affected victims consist of adult males residing in rural areas, with snakebite accidents being more common during the rainy season. Viperid snakes were responsible for most bites, with the lower limbs being the most common location of injury. The data revealed a positive correlation between the number of snakebite accidents both rainfall and fluvial data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The accident peak coincides with the Brazil nut harvest season, a highly significant forest product for the economy of rural communities. Our data reinforces the need for public policies focused on environmental education and prevention, such as the use of boots and leg guards. These preventive measures have the potential to reduce the number of snakebites accidents by approximately 85%.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.14059","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T23:04:29Z","timestamp":1732057469000},"page":"1041-1050","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The Amazonian snakebite burden: Unveiling seasonal dynamics in a region with tenfold higher incidence compared to the Brazilian average"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6285-3745","authenticated-orcid":false,"given":"Jorge Emanuel Cordeiro","family":"Rocha","sequence":"first","affiliation":[{"name":"Universidade Federal do Oeste do Par\u00e1 Campus Oriximin\u00e1  Oriximin\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8454-5862","authenticated-orcid":false,"given":"Samuel Campos","family":"Gomides","sequence":"additional","affiliation":[{"name":"Universidade Federal do Oeste do Par\u00e1 Campus Oriximin\u00e1  Oriximin\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/537026a"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2009.11.020"},{"key":"e_1_2_7_4_1","first-page":"1","article-title":"Snakebite envenoming","volume":"3","author":"Guti\u00e9rrez JM","year":"2017","journal-title":"Nat Rev Dis Primer"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050218"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40409-015-0011-1"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2003000100002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0009044"},{"key":"e_1_2_7_9_1","first-page":"1","article-title":"Lista de r\u00e9pteis do Brasil: atualiza\u00e7\u00e3o de 2022","volume":"12","author":"Guedes TB","year":"2023","journal-title":"Herpetol Bras"},{"key":"e_1_2_7_10_1","article-title":"A profile of snake bites in Brazil, 2001 to 2012","volume":"4","author":"Bochner R","year":"2014","journal-title":"J Clin Toxicol"},{"key":"e_1_2_7_11_1","first-page":"224p","volume-title":"Serpentes Pe\u00e7onhentas e Acidentes Of\u00eddicos no Brasil","author":"Bernarde PS","year":"2014"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2010.07.006"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/0037-8682-0120-2019"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/0037-8682-0105-2013"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0003701","article-title":"Snakebites and scorpion stings in the Brazilian Amazon: identifying research priorities for a largely neglected problem","volume":"9","author":"Wen FH","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132237"},{"key":"e_1_2_7_17_1","article-title":"Scaling up antivenom for snakebite envenoming in the Brazilian Amazon: a cost\u2010effectiveness analysis","volume":"29","author":"Zimmerman A","year":"2024","journal-title":"Lancet Reg Health \u2010 Am"},{"issue":"1","key":"e_1_2_7_18_1","doi-asserted-by":"crossref","DOI":"10.52076\/eacad-v4i1.431","article-title":"Perfil epidemiol\u00f3gico dos acidentes botr\u00f3picos notificados na regi\u00e3o do Baixo Amazonas no per\u00edodo de 2019 a 2021","volume":"4","author":"Santos Carvalho GC","year":"2023","journal-title":"E\u2010Acad\u00eamica"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208532"},{"key":"e_1_2_7_20_1","unstructured":"IBGE Instituto Brasileiro de Geografia e Estat\u00edstica.Brasil\/Par\u00e1\/Oriximin\u00e1 [Internet]. 2021 [cited 2024 Oct 14]. 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