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Situation of snakebite, antivenom market and access to antivenoms in Asean countries

Bibliographic Data

ID21881683
AuthorsChanthawat Patikorn (0000-0003-3502-4718, Chulalongkorn University), Ahmad Khaldun Ismail (0000-0003-3213-0240, National University of Malaysia), Syafiq Asnawi Zainal Abidin (0000-0002-8249-7668, Monash University Malaysia), Francis Bonn Blanco (Asian Hospital and Medical Center), Jörg Blessmann (Bernhard Nocht Institute for Tropical Medicine), Khamla Choumlivong (Mahosot Hospital), John David Comandante (Philippine General Hospital), Uyen Vy Doan (Cho Ray Hospital), Zainalabidin Mohamed @ Ismail (Emergency and Trauma Department, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia), Zainalabidin Mohamed Ismail (Hospital Tengku Ampuan Afzan), Yi Yi Khine (Nephrology Department, Thingangyun Sanpya General Hospital (TSGH), Yangon, Myanmar), Tri Maharani (0000-0002-2599-4086, Kementerian Kesehatan Republik Indonesia), Myat Thet Nwe (0000-0001-7136-8636, Myanmar Snakebite Project, Mandalay, Myanmar), Reza Murad Qamruddin (Malacca General Hospital), Ruth Sabrina Safferi (Institut Penyelidikan Veterinar), Emelia Santamaria (Health Emergencies and Disasters (HEAD) Study Group, National Institutes of Health, University of the Philippines-Manila, Manila, Philippines), Emelia B Santamaria (Philippine General Hospital), Patrick Joseph G Tiglao (Department of Emergency Medicine, Eastern Visayas Regional Medical Center, Tacloban City, Philippines), Patrick Joseph Tiglao (0009-0001-1432-3308, Philippine General Hospital), Satariya Trakulsrichai (0000-0002-8313-026X, Mahidol University), Taksa Vasaruchapong (0000-0001-8197-0356, Thai Red Cross Society), Nathorn Chaiyakunapruk (0000-0003-4572-8794, Monash University Malaysia), Suthira Taychakhoonavudh (0000-0002-0620-0762, Chulalongkorn University, corresponding author), Iekhsan Othman (0000-0001-9225-3678, Monash University Malaysia)
Year2022
Volume7
Issue3
Pagese007639
Publication date2022-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-007639
PMID35296460
OpenAlexW4220965670
LanguageEN
Citations received4
References cited29

INTRODUCTION: Snakebite envenoming is a neglected tropical disease posing public health challenges globally. The Association of Southeast Asian Nations (ASEAN) countries are among the tropical regions with disproportionately high incidence of snakebite. Hence, this study aimed to review the situation of snakebite, antivenom market and access to antivenoms in ASEAN. METHODS: This mixed-methods study included comprehensive literature review and in-depth interviews with key informants to assess the situation of management system of snakebite, antivenom market and access to antivenoms in seven ASEAN countries, including Malaysia, Thailand, Indonesia, Philippines, Vietnam, Lao PDR and Myanmar. Data were analysed by a framework method. RESULTS: ASEAN have developed various strategies to improve outcomes of snakebite victims. Five domestic antivenom manufacturers in the region produce up to 288 375 vials of antivenoms annually with the value of US$13 058 053 million which could treat 42 213 snakebite victims. However, there remain challenges to be addressed especially the lack of snakebite-related informatics system, inadequate antivenoms at the healthcare facilities and when the majority of snakebite victims seek traditional healers instead of conventional treatment. CONCLUSION: Improving the situation of snakebite and antivenom is not only about the availability of antivenom, but the whole landscape of surrounding management and supporting system. The assessment of the situation of snakebite and antivenom is crucial for countries or regions where snakebites are prevalent to recognise their current standpoint to inform the development of strategies to achieve the goal set by the WHO of halving the global burden of snakebite by 2030

Antivenom · Biology · Business · Disease · Envenomation · Environmental health · Geography · Pathology · Public health · Tropical disease · Healthcare and Venom Research · Medicine · Rabies epidemiology and control · Venomous Animal Envenomation and Studies

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Unique citing works4
Citations per year1
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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