{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T04:13:02Z","timestamp":1793679182115,"version":"4.5.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The municipality of Barcelos, located in the middle Rio Negro region, is home to various venomous snakes (ie, members of the Viperidae and Elapidae families). This study describes the epidemiology of incidents involving venomous animals in the remote municipality of Barcelos.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective epidemiological study to identify population groups vulnerable to envenomation by snakes, spiders, and\/or scorpions in the middle Rio Negro (Barcelos) basin, Amazonas, Brazil. To determine the percentage of incidents, we calculated the occurrence and number of deaths. Data were collected from the Barcelos Reference Hospital from 2010 to 2024. The type and number of antivenom vials used in the treatment of patients were quantified according to the Strategic Inputs Information System (SIES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 511 people were envenomated by venomous animals, 402 of them by snakes. Yanomami individuals were the most affected by snakebites (62.4%). Envenomations by\n                      <jats:italic toggle=\"yes\">Bothrops<\/jats:italic>\n                      spp. caused 7 deaths, while those caused by spiders and scorpions were mostly mild. Among the snakebite survivors, 38 had their occupations identified at the time of the incident: 25 worked in the extraction of piassaba fibers (\n                      <jats:italic toggle=\"yes\">Leopoldinia piassaba<\/jats:italic>\n                      ) and 13 were chestnut fruit collectors (\n                      <jats:italic toggle=\"yes\">Bertholletia excelsa<\/jats:italic>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Between 2010 and 2024, vulnerable groups to snakebites, such as Yanomami people, were the most affected in the middle Rio Negro region. Amerindians who sought medical care at the Barcelos referral hospital received antivenom treatment and intensive care when necessary. Emergency medical services and therapeutic serums are crucial to saving lives in the Rio Negro region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032251393145","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T17:49:32Z","timestamp":1764956972000},"page":"205-214","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Epidemiology of Envenomings by Venomous Animals in the Municipality of Barcelos (middle Rio Negro), Amazonas, Brazil"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1018-2066","authenticated-orcid":false,"given":"Jonas Gama","family":"Martins","sequence":"first","affiliation":[{"name":"Instituto Nacional de Pesquisas da Amaz\u00f4nia (INPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3588-6229","authenticated-orcid":false,"given":"Lirio","family":"Diogo da Silva Reis","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas (UEA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1874-6625","authenticated-orcid":false,"given":"Lourena Braga","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas (UEA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9656-0591","authenticated-orcid":false,"given":"Saymom Miller","family":"Fernandes Soares","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas (UEA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6376-8970","authenticated-orcid":false,"given":"Lourayne Braga","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas (UEA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9706-4817","authenticated-orcid":false,"given":"Luan Felipe da Silva","family":"Frade","sequence":"additional","affiliation":[{"name":"Universidade Federal do Par\u00e1 (UFPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6080-5826","authenticated-orcid":false,"given":"Bruno Rafael Ribeiro","family":"de Almeida","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Par\u00e1 (UEPA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4405-281X","authenticated-orcid":false,"given":"Pedro Pereira","family":"de Oliveira Pardal","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Entomologia M\u00e9dica e Animais Pe\u00e7onhentos, N\u00facleo de Medicina Tropical, Universidade Federal do Par\u00e1 (UFPA), Bel\u00e9m, PA, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8538-4642","authenticated-orcid":false,"given":"Rudi Emerson","family":"de Lima Proc\u00f3pio","sequence":"additional","affiliation":[{"name":"Universidade do Estado do Amazonas (UEA)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"issue":"6","key":"e_1_3_4_2_2","first-page":"37","article-title":"Epidemiological and clinical aspects of snake accidents in the municipalities of the State of Amazonas, Brazil","volume":"32","author":"Borges C","year":"1999","unstructured":"Borges C, Sadihiro M, dos Santos MC. 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