Resumo
Este estudo analisa os acidentes por animais peçonhentos entre 2012 e 2023 a partir dos dados do Sistema de Informação de Agravos de Notificação (SINAN) com enfoque nas diferenças entre populações indígenas e não-indígenas. A metodologia adotada é transversal e ecológica, incorporando análises descritivas estatísticas e a autocorrelação espacial de Moran para examinar padrões geográficos e identificar aglomerados de prevalência. Os resultados revelam a concentração das notificações na região Sudeste. Entre os grupos analisados, a população indígena apresentou a maior taxa de prevalência, com 2.654 casos por 100.000 habitantes, evidenciando uma vulnerabilidade significativa a acidentes por animais peçonhentos. Em relação à faixa etária, crianças e adolescentes indígenas mostraram-se particularmente suscetíveis. Quanto aos agentes causadores, escorpiões lideram entre os não-indígenas (57,3%), enquanto as serpentes são mais prevalentes entre os indígenas (56,6%). Sublinha-se a necessidade de políticas públicas e estratégias de prevenção que considerem as especificidades culturais e ambientais das populações vulnerabilizadas, enfatizando a importância de ações educativas e de saúde pública adaptadas às realidades locais.
Referências
BOUAZZA, A.; EL HIDAN, M. A.; AIMRANE, A.; KAHIME, K.; LANSARI, A.; LAARADIA, M. A.; LAHOUAOUI, H.; MOUKRIM, A. Climate Change Effects on Venomous Snakes: Distribution and Snakebite Epidemiology. In: Handbook of Research on Global Environmental Changes and Human Health. IGI Global, 2019.
CRUZ, E.; YASSUDA, C. R.; JIM, J.; BARRAVIERA, B. Programa de controle de surto de escorpião Tityus serrulatus, Lutz e Mello 1922, no município de Aparecida, SP (Scorpiones, Buthidae). Revista da Sociedade Brasileira de Medicina Tropical, v. 28, n. 2, p. 123-128, 1995. https://doi.org/10.1590/S0037-86821995000200007
DIXON, B.; McGOWAN, J.; GRANNIS, S. Electronic laboratory data quality and the value of a health information exchange to support public health reporting processes. AMIA - Annual Symposium proceedings, p. 322-330, 2011. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243173/. Acesso em 20 ago. 2024.
DUTTA, U. Indigenous Health Organizing at the Margins: Creating Access to Health by Building Health Infrastructure. Health Communication, v. 35, p. 1177-1189, 2020. https://doi.org/10.1080/10410236.2019.1622065
EMRAN, N.; LEZA, F. N. M.; ABDULLAH, N. Measuring Improvement in Access to Complete Data in Healthcare Collaborative Database Systems. In: Król, D., Nguyen, N., Shirai, K. (eds) Advanced Topics in Intelligent Information and Database Systems. ACIIDS 2017. Studies in Computational Intelligence, v. 710. Springer, Cham. 2017. https://doi.org/10.1007/978-3-319-56660-3_11
ENIANG, E.; IJEOMAH, H. Epidemiology of snake bites among selected communities in the enclave of Cross River National Park: Oban division, Nigeria. Journal of Agriculture, Forestry and the Social Sciences, v. 9, n. 2. 2012. https://doi.org/10.4314/JOAFSS.V9I2.8
FARIAS, A. S.; NASCIMENTO, E. F.; GOMES FILHO, M. R.; FELIX, A. C.; ARÉVALO, M. C.; ADRIÃO, A. A. X.; WEN, F. H.; CARVALHO, F. G.; MURTA, F.; MACHADO, V. A.; SACHETT, J.; MONTEIRO, W. M. Building an explanatory model for snakebite envenoming care in the Brazilian Amazon from the indigenous caregivers’ perspective. PLoS Neglected Tropical Diseases, v. 17, n. 3, 2023. https://doi.org/10.1371/journal.pntd.0011172.
FEITOSA, E.; SAMPAIO, V.; SALINAS, J.; QUEIROZ, A.; SILVA, I.; GOMES, A.; SACHETT, J.; SIQUEIRA, A.; FERREIRA, L.; SANTOS, M.; LACERDA, M.; MONTEIRO, W. Older Age and Time to Medical Assistance Are Associated with Severity and Mortality of Snakebites in the Brazilian Amazon: A Case-Control Study. PLoS ONE, v. 10, n. 7. 2015. https://doi.org/10.1371/journal.pone.0132237
GREEN, D.; RAYGORODETSKY, G. Indigenous knowledge of a changing climate. Climatic Change, v. 100, p. 239-242, 2010. https://doi.org/10.1007/S10584-010-9804-Y
GUERRA-DUARTE, C.; SAAVEDRA-LANGER, R.; MATAVEL, A.; OLIVEIRA-MENDES, B.; CHÁVEZ-OLÓRTEGUI, C.; PAIVA, A. Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem. PLoS Neglected Tropical Diseases, v. 17, 2023. https://doi.org/10.1371/journal.pntd.0011069.
INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA - IBGE. Sistema IBGE de Recuperação Automática (SIDRA). 2010. Disponível em: https://sidra.ibge.gov.br/pesquisa/censo-demografico/demografico-2022/universo-caracteristicas-dos-domicilios. Acesso em: 13 abr. 2024.
INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA - IBGE. Malha Municipal. 2022. Disponível em: https://www.ibge.gov.br/geociencias/organizacao-do-territorio/malhas-territoriais/15774-malhas.html. Acesso em: 14 nov. 2024.
JAYAWARDANA, S.; ARAMBEPOLA, C.; CHANG, T.; GNANATHASAN, A. Prevalence, vulnerability and epidemiological characteristics of snakebite in agricultural settings in rural Sri Lanka: A population-based study from South Asia. PLoS ONE, v. 15, n. 12. 2020. Available: https://doi.org/10.1371/journal.pone.0243991.
JUÁREZ-RAMÍREZ, C.; VILLALOBOS, A.; SAUCEDA-VALENZUELA, A.; NIGENDA, G. Barriers for indigenous women to access obstetric services within the framework of integrated health services networks. Gaceta Sanitaria, v. 34, n. 6. 2019. https://doi.org/10.1016/j.gaceta.2019.05.015.
LEITE, R. S.; TARGINO, I. T. G.; LOPES, Y. A. C. F.; BARROS, R. M.; VIEIRA, A. A. Epidemiology of snakebite accidents in the municipalities of the state of Paraíba, Brazil. Ciência & Saúde Coletiva, v. 18, n. 5, 2013. Available: https://doi.org/10.1590/S1413-81232013000500032.
MARTINEZ, P. A.; ANDRADE, M. A.; BIDAU, C. J. Potential effects of climate change on the risk of accidents with poisonous species of the genus Tityus (Scorpiones, Buthidae) in Argentina. Spat Spatiotemporal Epidemiol., v. 25, p. 67-72, jun. 2018. https://doi.org/10.1016/j.sste.2018.03.002.
MARTINEZ, P.; GUTIÉRREZ, J.; OLALLA‐TÁRRAGA, M.; AMADO, T. Venomous animals in a changing world. Global Change Biology, v. 28, p. 3750-3753, 2022. https://doi.org/10.1111/gcb.16175.
MARTINEZ, P. A.; TEIXEIRA, I. B. d. F.; SIQUEIRA-SILVA, T.; et al. Climate change-related distributional range shifts of venomous snakes: a predictive modelling study of effects on public health and biodiversity. Lancet Planet Health, v. 8, p. e163–e170, 2024. https://doi.org/10.1016/S2542-5196(24)00005-6.
MONTEIRO, W. M.; FARIAS, A. S.; VAL, F.; SILVA NETO, A. V.; SACHETT, A.; LACERDA, M.; SAMPAIO, V.; CARDOSO, D.; GARNELO, L.; VISSOCI, J. R. N.; SACHETT, J.; WEN, F. H. Providing Antivenom Treatment Access to All Brazilian Amazon Indigenous Areas: ‘Every Life has Equal Value’. Toxins, v. 12, 2020. https://doi.org/10.3390/toxins12120772.
MORENO-RUEDA, G.; PLEGUEZUELOS, J.; ALAMINOS, E. Climate warming and activity period extension in the Mediterranean snake Malpolon monspessulanus. Climatic Change, v. 92, p. 235-242, 2009. https://doi.org/10.1007/S10584-008-9469-Y.
MURTA, F.; STRAND, E.; FARIAS, A. S.; ROCHA, F.; SANTOS, A. C.; RONDON, E. A. T.; OLIVEIRA, A. P. S.; GAMA, H. S. S.; ROCHA, Y. V.; ROCHA, G. S.; FERREIRA, M.; MACHADO, V. A.; LACERDA, M.; PUCCA, M.; CERNI, F.; VISSOCI, J. R. N.; TUPETZ, A.; GERARDO, C. J.; MOURA-DA-SILVA, A. M.; WEN, F. H.; SACHETT, J.; MONTEIRO, W. “Two Cultures in Favor of a Dying Patient”: Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon. Toxins, v. 15, 2023. Available: https://doi.org/10.3390/toxins15030194. Accessed on: 25 ago. 2024.
NEEDLEMAN, R.; NEYLAN, I.; ERICKSON, T. Potential Environmental and Ecological Effects of Global Climate Change on Venomous Terrestrial Species in the Wilderness. Wilderness & Environmental Medicine, v. 29, p. 226-238, 2018a. https://doi.org/10.1016/j.wem.2017.11.004.
NEEDLEMAN, R.; NEYLAN, I.; ERICKSON, T. Environmental and Ecological Effects of Climate Change on Venomous Marine and Amphibious Species in the Wilderness. Wilderness & Environmental Medicine, v. 29, p. 343-356, 2018b. https://doi.org/10.1016/j.wem.2018.04.003.
NELSON, S. E.; WILSON, K. Understanding barriers to health care access through cultural safety and ethical space: Indigenous people's experiences in Prince George, Canada. Social Science & Medicine, v. 218, p. 21-27, 2018. https://doi.org/10.1016/j.socscimed.2018.09.017
NGUYEN, N.; SUBHAN, F.; WILLIAMS, K.; CHAN, C. B. Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review. Healthcare, v. 8, 2020. https://doi.org/10.3390/healthcare8020112.
NUCKOLS, J.; WARD, M.; JARUP, L. Using Geographic Information Systems for Exposure Assessment in Environmental Epidemiology Studies. Environmental Health Perspectives, v. 112, p. 1007-1015, 2004. https://doi.org/10.1289/ehp.6738.
OLIVERO, P.; OVIEDO-DIEGO, M.; VRECH, D.; MATTONI, C.; PERETTI, A. Sensitivity of genital and somatic traits of scorpions to developmental instability caused by increasing urbanization: A 20-year experiment. Ecological Indicators, v. 122, p. 107272, 2021. https://doi.org/10.1016/j.ecolind.2020.107272.
PIERINI, S., WARRELL, D., PAULO, A., & THEAKSTON, R. High incidence of bites and stings by snakes and other animals among rubber tappers and Amazonian Indians of the Juruá Valley, Acre State, Brazil Toxicon: official journal of the International Society on Toxinology, 34 2, 225-36. 1996. https://doi.org/10.1016/0041-0101(95)00125-5.
SCHNEIDER, M.; VUČKOVIĆ, M.; MONTEBELLO, L.; SARPY, C.; HUANG, Q.; GALAN, D.; MIN, K.; CÂMARA, V.; LUIZ, R. Snakebites in Rural Areas of Brazil by Race: Indigenous the Most Exposed Group. International Journal of Environmental Research and Public Health, v. 18, 2021. https://doi.org/10.3390/ijerph18179365.
SILVA, A. M.; COLOMBINI, M.; MOURA-DA-SILVA, A. M.; SOUZA, R. M.; MONTEIRO, W. M.; BERNARDE, P. S. Epidemiological and clinical aspects of snakebites in the upper Juruá River region, western Brazilian Amazonia. Acta Amazonica, 2020. https://doi.org/10.1590/1809-4392201901561.
SILVA, J.; FONSECA, W.; SILVA, A.; AMARAL, G.; ORTEGA, G.; OLIVEIRA, A.; CORREA, R.; OLIVEIRA, I.; MONTEIRO, W.; BERNARDE, P. Venomous snakes and people in a floodplain forest in the Western Brazilian Amazon: Potential risks for snakebites. Toxicon: Official Journal of the International Society on Toxinology, v. 187. 2020. https://doi.org/10.1016/j.toxicon.2020.09.007.
SINAN. Sistema de Informação de Agravos de Notificação. Dados abertos. c2024. Disponível em: https://datasus.saude.gov.br/informacoes-de-saude-tabnet/. Acesso em 23 ago. 2024
VENUGOPALAN, A.; VIJAYKUMAR, S.; SREEKUMAR, G.; KARUNANITHI, K.; PRASAD, B.; SREEKRISHNAN, T. P.; KUMAR, G. K. Venomous snakebite — Significance of the bite site and local reaction. IP International Journal of Forensic Medicine and Toxicological Sciences, 2021. https://doi.org/10.18231/J.IJFMTS.2021.012.
VINE, M.; DEGNAN, D.; HANCHETTE, C. Geographic information systems: their use in environmental epidemiologic research. Environmental Health Perspectives, 1997. https://doi.org/10.1289/EHP.97105598.
ZACARIAS, D.; LOYOLA, R. Climate change impacts on the distribution of venomous snakes and snakebite risk in Mozambique. Climatic Change, v. 152, p. 195-207, 2018. https://doi.org/10.1007/s10584-018-2338-4
ZANETTA, S.; GERMINO, C.; RODRIGUES, I.; WARAGAIA, A. Urbanization and increased cases of scorpionism in Brazilian cities. European Journal of Public Health, v. 30, 2020. https://doi.org/10.1093/eurpub/ckaa166.163
YING, B.; RONG, Z.; XIAO, J. A Data Integration Approach to E-Healthcare System. In: 2007 1st International Conference on Bioinformatics and Biomedical Engineering, p. 1129-1132, 2007, Wuhan, China. https://doi.org/10.1109/ICBBE.2007.292.
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Copyright (c) 2024 Maurício Polidoro, Francisco de Assis Mendonça, Daniel Canavese de Oliveira, André Baniwa, Claudia Tereza Franco, Suliete Gervásio Monteiro