Evidence map›Paper›PMID 34501955›Full record

ArticleInternational journal of environmental research and public health2021

Snakebites in Rural Areas of Brazil by Race: Indigenous the Most Exposed Group.

Maria Cristina Schneider, Myriam Vuckovic, Lucia Montebello, Caroline Sarpy, Quincy Huang, Deise I Galan, Kyung-Duk Min, Volney Camara, Ronir Raggio Luiz

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 8% of its field
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. One Health and Neglected Zoonotic Diseases.Pathogens (Basel, Switzerland) · 2025
    Article
  8. Review
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  15. Epidemiological, Mitigation and Economic Impact of Zoonoses.International journal of environmental research and public health · 2021
    Article
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

9 authors at 4 institutions in 3 countries.

Maria Cristina SchneiderDepartment of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0001-8575-8002
Myriam VuckovicDepartment of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA.
Lucia MontebelloDepartment of Immunization and Transmissible Diseases, Ministry of Health of Brazil, Brasilia 70723-040, DF, Brazil.
Caroline SarpyDepartment of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA.
Quincy HuangDepartment of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA.
Deise I GalanDepartment of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA.
Kyung-Duk MinInstitute of Health and Environment, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea.
Volney CamaraInstitute of Collective Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro 21941-598, RJ, Brazil.ORCID 0000-0002-6596-6653
Ronir Raggio LuizInstitute of Collective Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro 21941-598, RJ, Brazil.ORCID 0000-0002-7784-9905
Georgetown University · USUniversidade Federal do Rio de Janeiro · BRMinistério da Saúde · BRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Animal stings are environmental hazards that threaten millions annually and cause a significant socioeconomic impact. Snakebite envenoming affects 2.7 million people globally every year, mostly the poorest and rural communities, with approximately 27,000 annual cases in Brazil. This study's objective is to identify the most exposed racial group for snakebites in rural areas of Brazil and analyze possible differences in the outcome of an accident. A retrospective epidemiological study was conducted using a database of rural snakebite cases from Brazil's Ministry of Health (2017). Descriptive analysis and a regression model were performed to examine the association of bad outcomes after a snakebite with several covariables. While mixed-race individuals presented the highest number of cases (61.79%), indigenous and white populations were the racial groups with the highest and lowest exposure rates (194.3 and 34.1 per 100,000 population, respectively). The fatality rate was 3.5 times higher in the indigenous population compared to the white population. In the multivariable model, the number of hours between the accident and health care received and the case classification suggested an association with a bad outcome. Snakebite is prominent in Brazil, particularly among indigenous groups. Antivenom is available in the Brazilian Health System; however, efforts need to be made for decentralization.

Indexed as

Snake BitesAnimalsBrazilHumansPopulation GroupsRetrospective StudiesSnakesBrazilcomplicationsenvenomationracesnakebitetime between accident and health care

Identifiers

PMID34501955
PMCPMC8431164
OpenAlexW3198741136

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.