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The Global Snakebite Crisis—A Public Health Issue Misunderstood, Not Neglected
Wilderness & Environmental MedicineVol. 20Issue 1p43–56Published in issue: March, 2009- Ian D. Simpson
- Robert L. Norris
Cited in Scopus: 25The global problem of venomous snakebite continues to attract attention despite it being described as a “neglected” issue. The current focus of the World Health Organization (WHO) remains anti– snake venom quality, although “availability and sustainability” of supply are consistently described as the key issues. Sustainability of antivenom supply has been elusive, with cost and pricing in developing countries being cited as the major reasons. The current WHO approach fails to explore the cost issue, but rather focuses on quality improvements, which may well adversely affect the costs of a product already perceived to be ‘unaffordable.’ The reference to cost and price indicates a marketing-based perspective may well give more relevant solutions to the snakebite crisis. - Concepts
Venomous Snakebite in Mountainous Terrain: Prevention and Management
Wilderness & Environmental MedicineVol. 18Issue 3p190–202Published in issue: September, 2007- Jeff J. Boyd
- Giancelso Agazzi
- Dario Svajda
- Arthur J. Morgan
- Silvia Ferrandis
- Robert L. Norris
Cited in Scopus: 23The prevention and management of venomous snakebite in the world's mountains present unique challenges. This paper presents a series of practical, clinically sound recommendations for management of venomous snakebite in a mountain environment. The authors performed an extensive review of current literature using search engines and manual searches. They then fused the abundant knowledge of snakebite with the realities of remote first aid and mountain rescue to develop recommendations. A summary is provided of the world's most troublesome mountain snakes and the mechanisms of toxicity from their bites.