ArticleToxicon: X2022
Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.
Article in Toxicon: X, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed.
- Effectiveness, safety, and implementation outcomes of a decentralization program to deliver antivenoms in the Western Brazilian Amazonia: The SAVING program.PLoS neglected tropical diseases · 2026Article
- Ethical considerations in decentralizing antivenom treatment in indigenous territories of the Brazilian Amazonia.PLoS neglected tropical diseases · 2026Article
- Snakes and snakebites in the munduruku cosmology and medicine, central Brazilian Amazonia.PLoS neglected tropical diseases · 2026Article
- Snakebite Envenomations In The Brazilian Amazon: A Little Less Neglected.Revista da Sociedade Brasileira de Medicina Tropical · 2026Review
- Scorpionism in the Amazon: Evidence, Challenges and Actions for Controlling a Neglected Disease.Revista da Sociedade Brasileira de Medicina Tropical · 2026Review
- Mapping Evidence on the Regulations Affecting the Accessibility, Availability, and Management of Snake Antivenom Globally: A Scoping Review.Tropical medicine and infectious disease · 2025Review
- Decentralization of snakebite antivenom treatment to indigenous community health centers in the Brazilian Amazon: From demand to the first treatment (the SAVING Program).PLoS neglected tropical diseases · 2025Article
- The Versatility of Serine Proteases from BrazilianBiomolecules · 2025Review
- SERPENT-Brasil: a technological tool for snakebite management.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- Capacity of community health centers to treat snakebite envenoming in indigenous territories of the Brazilian Amazon.Toxicon : official journal of the International Society on Toxinology · 2024Article
- Development and validation of a minimum requirements checklist for snakebite envenoming treatment in the Brazilian Amazonia.PLoS neglected tropical diseases · 2024Article
- Scaling up antivenom for snakebite envenoming in the Brazilian Amazon: a cost-effectiveness analysis.Lancet regional health. Americas · 2024Article
- Snakebite envenomations and access to treatment in communities of two indigenous areas of the Western Brazilian Amazon: A cross-sectional study.PLoS neglected tropical diseases · 2023Article
- Special issue editorial: Resource mapping for the management of snakebite envenomation.Toxicon: X · 2023Article
- Article
- Building an explanatory model for snakebite envenoming care in the Brazilian Amazon from the indigenous caregivers' perspective.PLoS neglected tropical diseases · 2023Article
- Multifaceted community health education programs as powerful tools to mitigate snakebite-induced deaths, disabilities, and socioeconomic burden.Toxicon: X · 2023Article
- Article
- Snakebite drug discovery: high-throughput screening to identify novel snake venom metalloproteinase toxin inhibitors.Frontiers in pharmacology · 2023Article
Corrections and comments
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Authors and funding
21 authors.
Funding
Abstract
Snakebite envenomings (SBEs) and other envenomings triggered by venomous animals (VAEs) represent a significant disease burden in Brazil, with 29,152 SBEs reported in 2021 alone with nearly half of those occurring in the remote Brazilian Amazon. In 2021, Brazil recorded 240,294 envenomings from snakes, scorpions, spiders, and caterpillars. Therefore, there is an unequal distribution of SBEs with high morbidity and mortality in the Brazilian Amazon. The severity of SBEs increases when patients require more than 6 h to access antivenom treatment, a common issue for the rural and indigenous populations. Understanding currently available resources and practices in Amazon remote areas of Brazil can serve to inform future interventions and guide health care policies. This study aims to develop a resource map of existing healthcare resources for the Brazilian Amazon's clinical management of VAEs with emphasis in SBEs, which will aid future strategic interventions. Data collection included a literature review, secondary data collected by government departments and organizational records, GIS mapping activities, and expert input. Our framework was guided by the three levels of healthcare service ecosystem analysis (macro, meso, and micro). Our resource map lays out a comprehensive overview of antivenom access, the distribution landscape, differences in patient transportation, and barriers to access healthcare that face populations in the Brazilian Amazon.
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Registered trials
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.