학술논문
Snakebites in 'Invisible Populations': A cross-sectional survey in riverine populations in the remote western Brazilian Amazon.
Document Type
article
Author
Guilherme Kemeron Maciel Salazar; Joseir Saturnino Cristino; Alexandre Vilhena Silva-Neto; Altair Seabra Farias; João Arthur Alcântara; Vinícius Azevedo Machado; Felipe Murta; Vanderson Souza Sampaio; Fernando Val; André Sachett; Paulo Sérgio Bernarde; Marcus Lacerda; Fan Hui Wen; Wuelton Monteiro; Jacqueline Sachett
Source
PLoS Neglected Tropical Diseases, Vol 15, Iss 9, p e0009758 (2021)
Subject
Language
English
ISSN
1935-2727
1935-2735
57296928
1935-2735
57296928
Abstract
In the Brazilian Amazon, long distances, low healthcare coverage, common use of ineffective or deleterious self-care practices, and resistance to seeking medical assistance have an impact on access to antivenom treatment. This study aimed to estimate snakebite underreporting, and analyze barriers that prevent victims from obtaining healthcare in communities located in 15 municipalities on the banks of the Solimões, Juruá and Purus Rivers, in the remote Western Brazilian Amazon. Information on the participants' demographics, previous snakebites, access to healthcare, time taken to reach medical assistance, use of self-care practices, and the reason for not accessing healthcare were collected through semi-structured interviews. In the case of deaths, information was collected by interviewing parents, relatives or acquaintances. A total of 172 participants who reported having suffered snakebites during their lifetime were interviewed. A total of 73 different treatment procedures was reported by 65.1% of the participants. Participants living in different river basins share few self-care procedures that use traditional medicine, and 91 (52.9%) participants reported that they had access to healthcare. Living in communities along the Juruá River [OR = 12.6 (95% CI = 3.2-49.7; p