Evidence map›Paper›PMID 32633232›Full record

ArticleeLife2020

Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study.

Wilson Suraweera, David Warrell, Romulus Whitaker, Geetha Menon, Rashmi Rodrigues, Sze Hang Fu, Rehana Begum, Prabha Sati, Kapila Piyasena, Mehak Bhatia and 2 more

Abstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of variables associated with snakebite risk in spatial and temporal analyses.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Pooled it
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  12. Effects of organized guarding on mortality from human-elephant conflict in northeast India.Conservation biology : the journal of the Society for Conservation Biology · 2026
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  15. Eburicoic Acid fromJournal of inflammation research · 2026
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  17. Examining the Role of Treatment-seeking Behavior in Snakebite Mortality: A Narrative Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Review
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  19. Article
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67 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Wilson SuraweeraCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.ORCID 0000-0001-9673-5746
David WarrellNuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Romulus WhitakerCentre for Herpetology/Madras Crocodile Bank, Vadanemmeli Village, Chennai, India.
Geetha MenonIndian Council of Medical Research, Ansari Nagar, New Delhi, India.
Rashmi RodriguesDepartment of Community Health, St. John's Medical College, St. John's National Academy of Health Sciences, Bangalore, India.
Sze Hang FuCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Rehana BegumCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Prabha SatiCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Kapila PiyasenaCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Mehak BhatiaCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Patrick BrownCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.
Prabhat JhaCentre for Global Health Research, Unity Health Toronto, and Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.ORCID 0000-0001-7067-8341

Funding

CIHR FDN154277
6 · The paper itself

Abstract

The World Health Organization call to halve global snakebite deaths by 2030 will require substantial progress in India. We analyzed 2833 snakebite deaths from 611,483 verbal autopsies in the nationally representative Indian Million Death Study from 2001 to 2014, and conducted a systematic literature review from 2000 to 2019 covering 87,590 snakebites. We estimate that India had 1.2 million snakebite deaths (average 58,000/year) from 2000 to 2019. Nearly half occurred at ages 30-69 years and over a quarter in children < 15 years. Most occurred at home in the rural areas. About 70% occurred in eight higher burden states and half during the rainy season and at low altitude. The risk of an Indian dying from snakebite before age 70 is about 1 in 250, but notably higher in some areas. More crudely, we estimate 1.11-1.77 million bites in 2015, of which 70% showed symptoms of envenomation. Prevention and treatment strategies might substantially reduce snakebite mortality in India.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornMaleMiddle AgedSeasonsSnake BitesYoung Adultantivenom envenomation snakecase fatalityepidemiologyglobal healthhumanIndiamillion death studymortality risk incidencesnakebite

Identifiers

PMID32633232
PMCPMC7340498

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.