Temporal trend and epidemiological profile of accidents involving venomous animals in the State of Rio de Janeiro, Brazil (2012-2021)

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2024.207227

Keywords:

Venomous animals, Arachnidism, Scorpion sting, Snakebite

Abstract

Introduction: Accidents involving venomous animals have significant clinical implications. In Brazil, accidents caused by scorpions (59%), spiders (13.6%), and snakes (10.9%) are the most
frequently reported, although proportions vary by region. This study describes the temporal trends and epidemiological characteristics of accidents involving venomous animals in the State of Rio de Janeiro. Methods: This is an ecological (time series) study of accidents caused by venomous animals over the last 10 years (2012 to 2021) in Rio de Janeiro. Data were collected from the Brazilian Notifiable Diseases Information System. We estimated incidence rates and analyzed time series using Joinpoint regression, according to geographical region, age, and type of animal. Results: From 2012 to 2021, 17,891 accidents involving venomous animals were reported, with rates increasing from 8.4 to 10.7 per 100,000 inhabitants. Snakes were responsible for the highest number of cases (33.4%), followed by scorpions (27.2%) and spiders (27.0%). Snakebite cases remained stable, while cases of arachnidism and scorpion envenomation increased, marking them as the main types of accidents. The regions with the highest rates were Centro-Sul (65.5 per 100,000 inhabitants), Baía da Ilha Grande (62.3), Médio Paraíba (45.3), and Serrana (43.5). Males and the 40 to 59 age group predominated, but all age groups showed an increase, with a more pronounced rise among children and adolescents. Most accidents were classified as
mild, although 51 deaths were recorded.
Conclusions: Rio de Janeiro has relatively low rates of accidents involving venomous animals,
but some regions have values higher than the national average. Snakebite accidents remained
stable, except in the adolescent group. Accidents involving scorpions and spiders showed an
upward trend.

Downloads

Download data is not yet available.

Author Biographies

  • Gabriela Henriques Fernandes, Universidade Federal Fluminense, Faculdade de Medicina, Niterói, (RJ), Brasil

    Graduanda do Curso de Medicina

  • Sara Sabadine Lorencini , Universidade Federal Fluminense, Faculdade de Medicina, Niterói, (RJ), Brasil

    Graduanda do Curso de Medicina

  • Billy McBenedict, Universidade Federal Fluminense, Faculdade de Medicina, Niterói, (RJ), Brasil

    Doutor em Microbiologia e Graduando do Curso de Medicina

  • Sandra Costa Fonseca, Universidade Federal Fluminense, Instituto de Saúde Coletiva, Departamento de Epidemiologia, Niterói, (RJ), Brasil.

    Mestre em Medicina e Doutorando em Medicina

  • Ezequias Batista Martins, Universidade Federal Fluminense, Faculdade de Medicina, Niterói, (RJ), Brasil

    Mestre em Medicina e Doutorando em Medicina

References

da Graça Salomão M, de Oliveira Luna KP, Machado C. Epidemiologia dos acidentes por animais peçonhentos e a distribuição de soros: estado de arte e a situação mundial. RevSalud Publica (Bogota). 2018;20(4):523-529.https://doi.org/10.15446/rsap.V20n4.70432

Ministério da Saúde do Brasil, Secretaria de Vigilância em Saúde. Acidentes de trabalho por animais peçonhentos entre trabalhadores do campo, floresta e águas, Brasil 2007 a 2017. BoletimEpidemiológico [Internet]. 2019; 50(11):1–14.

Schneider MC, Min K-d, Hamrick PN, Montebello LR, Ranieri TM, Mardini L, et al. Overview of snakebite in Brazil: Possible drivers and a tool for risk mapping. PLoSNeglTropDis. 2021; 15(1): e0009044.https://doi.org/10.1371/journal.pntd.0009044

World Health Organization. Snakebite envenoming: a strategy for prevention and control.[Internet]. Geneva: WHO; 2019. [Acessoemjunho 2022]Available from: https://apps.who.int/iris/handle/10665/324838.

Gutiérrez, J., Calvete, J., Habib, A., Harrison, R., Williams, D., and Warrell, D. Snakebite envenoming. Nat RevDis Primers 3, 17063 (2017). https://doi.org/10.1038/nrdp.2017.63

Ministério da Saúde do Brasil, Secretaria de Vigilância em Saúde. Acidentes ofídicos no Brasil, 2018. Boletim Epidemiológico [Internet] nº 09, volume 51, Mar. 2020.

Ministério da Saúde. Secretaria de Vigilância em Saúde. Coordenação Geral de Vigilância de Zoonoses e Doenças de Transmissão Vetorial do Departamento de Imunização e Doenças Transmissíveis. Acidentes ofídicos no Brasil em 2021. Boletim Epidemiológico. Volume 53, nº36. Set, 2022; 53(36):10-19.

Souza TC, Farias BES, Bernarde PS, Chiaravalotti Neto F, Frade DDR, Brilhante AF, et al. Tendência temporal e perfil epidemiológico dos acidentes por animais peçonhentos no Brasil, 2007-2019. EpidemiolServSaude. 2022; 31(3): e2022025.http://doi.org/10.1590/S2237-96222022000300009

Mota da Silva A, Bernarde PS, Abreu LC. Accidents with poisonous animals in Brazil by age and sex. J Hum Growth Dev. 2015; 25(1): 54-62.http://dx.doi.org/10.7322/JHGD.96768

Ministério da Saúde. Secretaria de Vigilância em Saúde. Coordenação Geral de Vigilância de Zoonoses e Doenças de Transmissão Vetorial do Departamento de Imunização e Doenças Transmissíveis. Panorama dos acidentes causados por aranhas no Brasil, de 2017 a 2021. Boletim Epidemiológico [Internet] nº 31, volume 53, ago. 2022.

Brasil. Informações de Saúde (TABNET) – DATASUS. Acidentes por animais peçonhentos. Notificações registradas no Sistema de Informação de agravos de Notificação (SINAN). Available from: < http://tabnet.datasus.gov.br/cgi/tabcgi.exe/sinannet/cnv/animaisbr.def>. Acesso em: 26 ago. 2022.

Cheung R, andMachado C. Acidentes por animais peçonhentos na região dos Lagos, Rio de Janeiro, Brasil. J Health NPEPS. 2017; 2(Supl.1):73-87. https://periodicos.unemat.br/index.php/jhnpeps/article/view/1775

Vieira GPS, Machado C. Acidentes por animais peçonhentos na região serrana, Rio de Janeiro, Brasil. J Health NPEPS. 2018; 3(1):211-227.

Machado, C, Bochner, R and Fiszon, JT. Epidemiological profile ofsnakebites in Rio de Janeiro, Brazil, 2001-2006. J VenomAnimToxinclTropDis. 2012; 18 (2): 217-24.https://doi.org/10.1590/S1678-91992012000200012

Estado do Rio de Janeiro. Secretaria de Saúde. Informações SUS. Dados demográficos. População estimada residente. Availablefrom:https://sistemas.saude.rj.gov.br/tabnetbd/dhx.exe?populacao/pop_populacao_estimada.def.

Statistical Methodology and Applications Branch. Joinpoint Regression Program. National Cancer Institute (2022).

Kim HJ, Fay MP, Feuer EJ, Midthune DN. Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000;19(3):335-51.DOI: 10.1002/(sici)1097-0258(20000215)19:3<335::aid-sim336>3.0.co;2-z

Pereira R, Goncalves C (2022). geobr: Download Official Spatial Data Sets of Brazil. R package version 1.7.0.

R Core Team (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria.URL https://www.R-project.org/.

Konstantyner TCRO, Martins CB, Góis AFT, Castro BVC, and Konstantyner T. Trend in the incidence rates of accidents with venomous animals in children and adolescents in Brazil (2007-2019). Rev Paul Pediatr. 2022;41: e2021272. https://doi.org/10.1590/1984-0462/2023/41/2021272

van Oirschot J, Ooms GI, Waldmann B, and Kadam P. Snakebite incidents, prevention, and care during COVID-19: Global key-informant experiences. Toxicon X. 2021;9-10:100075. https://dx.doi.org/10.1016/j.toxcx.2021.100075

Alves EC, Sachett JAG, Sampaio VS, Sousa JDB, Oliveira SS, Nascimento EFD, et al. Predicting acute renal failure in Bothrops snakebite patients in a tertiary reference center, Western Brazilian Amazon. PLoS One. 2018; 13(8):e0202361. doi: 10.1371/journal.pone.0202361.

Reckziegel GC, and Pinto VL Jr. Scorpionism in Brazil in the years 2000 to 2012. J Venom Anim Toxins Incl Trop Dis. 2014; 20:46. https://doi.org/10.1186/1678-9199-20-46

Chippaux JP. Epidemiology of envenomations by terrestrial venomous animals in Brazil based on case reporting: from obvious facts to contingencies. J VenomAnimToxinsInclTropDis. 2015;21:13.https://doi.org/10.1186/s40409-015-0011-1

Santos MS, Silva CG, Neto BS, Grangeiro Júnior CR, Lopes VH, Teixeira Júnior AG, et al. Clinical and Epidemiological Aspects of Scorpionism in the World: A Systematic Review. WildernessEnviron Med. 2016; 27(4):504-18. DOI: 10.1016/j.wem.2016.08.003.

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Manual de controle de escorpiões 2009. [Internet]. Brasília: Ministério da Saúde; 2009. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/manual_controle_escorpioes.pdf Acesso

Ribeiro MA, Nunes NS. Geografia do Estado do Rio de Janeiro. Volume único. [Internet] Rio de Janeiro: Fundação CECIERJ, 2019. [cited 2023 Jan 02]. Available from: https://canal.cecierj.edu.br/022020/6a6bfdba31d1653c8e1cb37b757a531a.pdf

Downloads

Published

2024-10-08

Issue

Section

Original Articles

How to Cite

1.
Fernandes GH, Lorencini SS, McBenedict B, Fonseca SC, Martins EB. Temporal trend and epidemiological profile of accidents involving venomous animals in the State of Rio de Janeiro, Brazil (2012-2021). Medicina (Ribeirão Preto) [Internet]. 2024 Oct. 8 [cited 2026 Jan. 10];57(1):e-207227. Available from: https://revistas.usp.br/rmrp/article/view/207227