Snakebite victims utilized three main different healing systems: 1) self-care using miscellaneous techniques 2) official medical healthcare generally combined with traditional practices and 3) self-care using traditional practices combined with Western medicines. We found an unexpectedly high underreporting of snakebite cases and associated deaths. Only one of these received medical assistance. Four deaths from complications arising from the snakebite were reported, and three of these were from communities on the banks of the Juruá River. The main reasons for not accessing healthcare were the pprioritization of traditional treatments (70.4%), and the failure to recognize the situation as being potentially severe (50.6%). Living in communities along the Juruá River and the use of traditional medicine were variables that were independently associated to the lack of access to healthcare. Participants living in different river basins share few self-care procedures that use traditional medicine, and 91 (52.9%) participants reported that they had access to healthcare.
A total of 73 different treatment procedures was reported by 65.1% of the participants. A total of 172 participants who reported having suffered snakebites during their lifetime were interviewed. In the case of deaths, information was collected by interviewing parents, relatives or acquaintances. Information on the participants’ demographics, previous snakebites, access to healthcare, time taken to reach medical assistance, use of self-care practices, and the reason for not accessing healthcare were collected through semi-structured interviews. This study aimed to estimate snakebite underreporting, and analyze barriers that prevent victims from obtaining healthcare in communities located in 15 municipalities on the banks of the Solimões, Juruá and Purus Rivers, in the remote Western Brazilian Amazon. In the Brazilian Amazon, long distances, low healthcare coverage, common use of ineffective or deleterious self-care practices, and resistance to seeking medical assistance have an impact on access to antivenom treatment. , * and Jacqueline Sachett, Conceptualization, Data curation, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Writing – review & editing # Wuelton Monteiro, Conceptualization, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Visualization, Writing – original draft, # Marcus Lacerda, Conceptualization, Funding acquisition, Writing – review & editing,įan Hui Wen, Conceptualization, Methodology, Writing – review & editing, Paulo Sérgio Bernarde, Visualization, Writing – review & editing, Vanderson Souza Sampaio, Formal analysis, Writing – review & editing,įernando Val, Conceptualization, Writing – review & editing,Īndré Sachett, Data curation, Formal analysis, Software, Vinícius Azevedo Machado, Data curation, Formal analysis, Supervision, Validation,įelipe Murta, Validation, Writing – review & editing, João Arthur Alcântara, Investigation, Visualization, Joseir Saturnino Cristino, Investigation, Visualization,Īlexandre Vilhena Silva-Neto, Formal analysis, Software, Visualization,Īltair Seabra Farias, Project administration, Supervision, Writing – original draft, Guilherme Kemeron Maciel Salazar, Investigation, Visualization,
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