Nature Communications ( IF 14.7 ) Pub Date : 2022-10-25 , DOI: 10.1038/s41467-022-33627-9 , Nicholas L. S. Roberts , Emily K. Johnson , Scott M. Zeng , Erin B. Hamilton , Amir Abdoli , Fares Alahdab , Vahid Alipour , Robert Ancuceanu , Catalina Liliana Andrei , Davood Anvari , Jalal Arabloo , Marcel Ausloos , Atalel Fentahun Awedew , Ashish D. Badiye , Shankar M. Bakkannavar , Ashish Bhalla , Nikha Bhardwaj , Pankaj Bhardwaj , Soumyadeep Bhaumik , Ali Bijani , Archith Boloor , Tianji Cai , Felix Carvalho , Dinh-Toi Chu , Rosa A. S. Couto , Xiaochen Dai , Abebaw Alemayehu Desta , Hoa Thi Do , Lucas Earl , Aziz Eftekhari , Firooz Esmaeilzadeh , Farshad Farzadfar , Eduarda Fernandes , Irina Filip , Masoud Foroutan , Richard Charles Franklin , Abhay Motiramji Gaidhane , Birhan Gebresillassie Gebregiorgis , Berhe Gebremichael , Ahmad Ghashghaee , Mahaveer Golechha , Samer Hamidi , Syed Emdadul Haque , Khezar Hayat , Claudiu Herteliu , Olayinka Stephen Ilesanmi , M. Mofizul Islam , Jagnoor Jagnoor , Tanuj Kanchan , Neeti Kapoor , Ejaz Ahmad Khan , Mahalaqua Nazli Khatib , Roba Khundkar , Kewal Krishan , G. Anil Kumar , Nithin Kumar , Iván Landires , Stephen S. Lim , Mohammed Madadin , Venkatesh Maled , Navid Manafi , Laurie B. Marczak , Ritesh G. Menezes , Tuomo J. Meretoja , Ted R. Miller , Abdollah Mohammadian-Hafshejani , Ali H. Mokdad , Francis N. P. Monteiro , Maryam Moradi , Vinod C. Nayak , Cuong Tat Nguyen , Huong Lan Thi Nguyen , Virginia Nuñez-Samudio , Samuel M. Ostroff , Jagadish Rao Padubidri , Hai Quang Pham , Marina Pinheiro , Majid Pirestani , Zahiruddin Quazi Syed , Navid Rabiee , Amir Radfar , Vafa Rahimi-Movaghar , Sowmya J. Rao , Prateek Rastogi , David Laith Rawaf , Salman Rawaf , Robert C. Reiner , Amirhossein Sahebkar , Abdallah M. Samy , Monika Sawhney , David C. Schwebel , Subramanian Senthilkumaran , Masood Ali Shaikh , Valentin Yurievich Skryabin , Anna Aleksandrovna Skryabina , Amin Soheili , Mark A. Stokes , Rekha Thapar , Marcos Roberto Tovani-Palone , Bach Xuan Tran , Ravensara S. Travillian , Diana Zuleika Velazquez , Zhi-Jiang Zhang , Mohsen Naghavi , Rakhi Dandona , Lalit Dandona , Spencer L. James , David M. Pigott , Christopher J. L. Murray , Simon I. Hay , Theo Vos , Kanyin Liane Ong
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Snakebite envenoming is an important cause of preventable death. The World Health Organization (WHO) set a goal to halve snakebite mortality by 2030. We used verbal autopsy and vital registration data to model the proportion of venomous animal deaths due to snakes by location, age, year, and sex, and applied these proportions to venomous animal contact mortality estimates from the Global Burden of Disease 2019 study. In 2019, 63,400 people (95% uncertainty interval 38,900–78,600) died globally from snakebites, which was equal to an age-standardized mortality rate (ASMR) of 0.8 deaths (0.5–1.0) per 100,000 and represents a 36% (2–49) decrease in ASMR since 1990. India had the greatest number of deaths in 2019, equal to an ASMR of 4.0 per 100,000 (2.3—5.0). We forecast mortality will continue to decline, but not sufficiently to meet WHO’s goals. Improved data collection should be prioritized to help target interventions, improve burden estimation, and monitor progress.
中文翻译：
1990 年至 2019 年全球蛇咬伤死亡率
蛇咬伤是可预防死亡的一个重要原因。世界卫生组织 (WHO) 设定了到 2030 年将蛇咬伤死亡率减半的目标。我们使用口头尸检和人口动态登记数据，按地点、年龄、年份和性别对因蛇导致的有毒动物死亡比例进行建模，并应用这些比例2019 年全球疾病负担研究中有毒动物接触死亡率估计值。 2019 年，全球有 63,400 人（95% 不确定性区间为 38,900-78,600 人）死于蛇咬伤，这相当于每 100,000 人中有 0.8 人死亡 (0.5-1.0) 的年龄标准化死亡率 (ASMR)，相当于 36% (2-1.0)。 49) 自 1990 年以来 ASMR 有所下降。印度 2019 年的死亡人数最多，相当于每 10 万人中有 4.0 人死亡 (2.3-5.0)。我们预测死亡率将继续下降，但不足以实现世卫组织的目标。应优先考虑改进数据收集，以帮助制定干预措施、改进负担估计和监测进展情况。
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