Risk factors and community local approaches against snakebites envenomation in Kilombero Valley, Tanzania

Paper Details

Research Paper 30/04/2022
Views (968)
current_issue_feature_image
publication_file

Risk factors and community local approaches against snakebites envenomation in Kilombero Valley, Tanzania

Sabas P Shange, Alex J Limwagu, Maganga Sambo, Elihaika G Minja, Esther G Kimaro, Beatrice Chipwaza, Nicodem J Govella
J. Biodiv. & Environ. Sci. 20(4), 96-104, April 2022.
Copyright Statement: Copyright 2022; The Author(s).
License: CC BY-NC 4.0

Abstract

Snakebite envenomation is among neglected tropical diseases that continue to pose public health challenges especially in rural and poor communities of Africa including Tanzania. This study explored the risk factors and local practices regarding snakebite among communities in Kilombero Valley, South-east Tanzania. Participants involved were snakebites victims ≥ 18 years, parents for those aged < 18 and relatives of the deceased victims. Participants were obtained through local leaders followed by snowballing technique. Structured questionnaire was used to investigate the risk factors, first aid, and management practices. Additionally, in-depth interviews with traditional healers explored the community practices on first aid and treatment provision upon exposure to snakebites. A total of 233 snakebite victims and 3 traditional healers were traced and interviewed. The majority of snakebite cases reported to occur in the evening (61%). Most snakebite cases occurred in rainy season (66%) and in the farms (33%). A large percentage of the victims (78%) reported having been bitten in the lower parts of the leg. Many snakebite victims (96.3%) received first aid with the use of a tourniquet above the wound (75%) as common approach. Over 50% of the victims reported seeking treatment from traditional healer, with easy access (65%) to traditional healers reported as motivation factor. Snakebite envenomation is common in the study area. Community awareness on the prevalent of snakebites and associated risks is essential. Additionally, one health approach integrating traditional healers into health systems may improve case management.

Avau B, Borra V, Vandekerckhove P, De Buck E. (2016). The Treatment of Snake Bites in a First Aid Setting: A Systematic Review. PLoS Neglected Tropical Diseases 10(10), 1-20. https://doi.org/ 10.1371/ journal.pntd.0005079

Bailey R. 2019. How Does Snake Venom Work? Thoughtco, 1. thoughtco.com/how-snake-venom

Chippaux JP. 2017. Snakebite envenomation turns again into a neglected tropical disease! Journal of Venomous Animals and Toxins Including Tropical Diseases 23(1), 1-2. https://doi.org/10.1186/s40409-

Das K. 2009. Medicinal Plants for Snake Bite Treatment – Future Focus. Ethnobotanical Leaflets 13(July), 508-521.

Gomes A, Das R, Sarkhel S, Mishra R, Mukherjee S, Bhattacharya S, Gomes A. 2010. Herbs and herbal constituents active against snake bite. Indian Journal of Experimental Biology 48(9), 865-878.

Gutiérrez JM, Calvete JJ, Habib AG, Harrison RA, Williams DJ, Warrell DA. 2017. Snakebite envenoming. Nature Reviews Disease Primers 3(1), 17063. https://doi.org/10.1038/nrdp.2017.63

Habib AG, Lamorde M, Dalhat MM, Habib ZG, Kuznik A. 2015. Cost-effectiveness of Antivenoms for Snakebite Envenoming in Nigeria. PLoS Neglected Tropical Diseases 9(1). https://doi.org/10.1371 /journal.pntd.0003381

Harrison RA, Hargreaves A, Wagstaff SC, Faragher B, Lalloo DG. 2009. Snake envenoming: A disease of poverty. PLoS Neglected Tropical Diseases 3(12).

Id JP, Smith J, Mciver L. 2019. Reviewing evidence of the clinical effectiveness of commercially available antivenoms in sub-Saharan Africa identifies the need for a multi-centre, multi-antivenom clinical trial. June. https://doi.org/10.1371 /journal. pntd.

Kipanyula MJ, Kimaro WH. 2015. Snakes and snakebite envenoming in Northern Tanzania: a neglected tropical health problem. The Journal of Venomous Animals and Toxins Including Tropical Diseases 21, 32.

Kularatne AM, Silva A, Maduwage K, Ratnayake I, Walathara C, Ratnayake C, Mendis S, Parangama R. 2014. Victims’ response to snakebite and socio-epidemiological factors of 1018 snakebites in a tertiary care hospital in Sri Lanka. Wilderness and Environmental Medicine. https:// doi.org /10.1016/j.wem.2013.10.009

Mahmood MA, Halliday D, Cumming R, Thwin KT, Myitzu M, White J, Alfred S, Warrell DA, Bacon D, Naing W, Aung H, Thein MM, Chit NN, Serhal S, Nwe MT, Aung PP, Peh CA. 2019. Inadequate knowledge about snakebite envenoming symptoms and application of harmful first aid methods in the community in high snakebite incidence areas of Myanmar. PLoS Neglected Tropical Diseases 13(2), 1-10.

Michael GC, Grema BA, Aliyu I, Alhaji MA, Lawal TO, Ibrahim H, Fikin AG, Gyaran FS, Kane KN, Thacher TD, Badamasi AK, Ogwuche E. 2018. Knowledge of venomous snakes, snakebite first aid, treatment, and prevention among clinicians in northern Nigeria: A cross-sectional multicentre study. Transactions of the Royal Society of Tropical Medicine and Hygiene 112(2), 47-56. https://doi.org/10.1093/trstmh/try028

Newman WJ, Moran NF, Theakston RDG, Warrell DA, Wilkinson D. 1997. Traditional treatments for snake bite in a rural African community. Annals of Tropical Medicine and Parasitology 91(8), 967-969. https://doi.org /10.1080 /00034989760392

Ochola FO, Okumu MO, Muchemi GM, Mbaria JM, Gikunju JK. 2018. Epidemiology of snake bites in selected areas of Kenya. The Pan African Medical Journal 29, 217.

Omara T, Kagoya S, Openy A, Omute T, Ssebulime S, Kiplagat KM, Bongomin O. 2020. Antivenin plants used for treatment of snakebites in Uganda: Ethnobotanical reports and pharmacological evidences. Tropical Medicine and Health 48(1), 1-16. https://doi.org/10.1186/s41182-019-0187-0

Parker-Cote J, Meggs WJ. 2018. First aid and pre-hospital management of venomous snakebites. Tropical Medicine and Infectious Disease 3(2). https://doi.org/10.3390/tropicalmed3020045

Pc (The Planning Commission), Rco (Regional Commissioner’s Office Morogoro). 1997. Morogoro region socio-economic profile. United Republic of Tanzania 1(1), 235-240.

Schioldann E, Mahmood MA, Kyaw MM, Halliday D, Thwin KT, Chit NN, Cumming R, Bacon D, Alfred S, White J, Warrell D, Peh CA. 2018. Why snakebite patients in Myanmar seek traditional healers despite availability of biomedical care at hospitals? Community perspectives on reasons. PLOS Neglected Tropical Diseases 12(2), e0006299.

Silva A, Marikar F, Murugananthan A, Agampodi S. 2014. Awareness and perceptions on prevention, first aid and treatment of snakebites among Sri Lankan farmers: A knowledge practice mismatch? Journal of Occupational Medicine and Toxicology 9(1), 1-3. https://doi.org/10.1186/1745-6673-9-20

Warrell DA. 2010. WHO/SEARO Guidelines for the clinical management of snake bites in the Southeast Asian region. The Southeast Asian Journal of Tropical Medicine and Public Health 30 Suppl 1, 1-85.

World Health Organization. 2010. Guidelines for the Prevention and Clinical Management of Snakebite in Africa. World Health Organization, 145. http://www.afro.who.int/fr/groupes-organiques-et-programmes/dsd/medicaments-essentiels/edm-publications/2731-guidelines-for-the-prevention-and-clinical-management-of-snakebite-in-africa.html

Related Articles

Overemphasis on blue carbon leads to biodiversity loss: A case study on subsidence coastal wetlands in southwest Taiwan

Yih-Tsong Ueng, Feng-Jiau Lin, Ya-Wen Hsiao, Perng-Sheng Chen, Hsiao-Yun Chang, J. Biodiv. & Environ. Sci. 27(2), 46-57, August 2025.

An assessment of the current scenario of biodiversity in Ghana in the context of climate change

Patrick Aaniamenga Bowan, Francis Tuuli Gamuo Junior, J. Biodiv. & Environ. Sci. 27(2), 35-45, August 2025.

Entomofaunal diversity in cowpea [Vigna unguiculata (L.) Walp.] cultivation systems within the cotton-growing zone of central Benin

Lionel Zadji, Roland Bocco, Mohamed Yaya, Abdou-Abou-Bakari Lassissi, Raphael Okounou Toko, J. Biodiv. & Environ. Sci. 27(2), 21-34, August 2025.

Biogenic fabrication of biochar-functionalized iron oxide nanoparticles using Miscanthus sinensis for oxytetracycline removal and toxicological assessment

Meenakshi Sundaram Sharmila, Gurusamy, Annadurai, J. Biodiv. & Environ. Sci. 27(2), 10-20, August 2025.

Bacteriological analysis of selected fishes sold in wet markets in Tuguegarao city, Cagayan, Philippines

Lara Melissa G. Luis, Jay Andrea Vea D. Israel, Dorina D. Sabatin, Gina M. Zamora, Julius T. Capili, J. Biodiv. & Environ. Sci. 27(2), 1-9, August 2025.

Effect of different substrates on the domestication of Saba comorensis (Bojer) Pichon (Apocynaceae), a spontaneous plant used in agroforestry system

Claude Bernard Aké*1, Bi Irié Honoré Ta2, Adjo Annie Yvette Assalé1, Yao Sadaiou Sabas Barima1, J. Biodiv. & Environ. Sci. 27(1), 90-96, July 2025.

Determinants of tree resource consumption around Mont Sangbé national park in western Côte d’Ivoire

Kouamé Christophe Koffi, Serge Cherry Piba, Kouakou Hilaire Bohoussou, Naomie Ouffoue, Alex Beda, J. Biodiv. & Environ. Sci. 27(1), 71-81, July 2025.