Awareness and perceptions on prevention, first aid and treatment of snakebites among Sri Lankan farmers: a knowledge practice mismatch?

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• 作者：Anjana Silva (1)
  Faiz Marikar (2)
  Arumugam Murugananthan (3)
  Suneth Agampodi (4)
  
  1. Department of Parasitology ; Faculty of Medicine and Allied Sciences ; Rajarata University of Sri Lanka ; Saliyapura ; 50008 ; Anuradhapura ; Sri Lanka
  2. Department of Biochemistry ; Faculty of Medicine and Allied Sciences ; Rajarata University of Sri Lanka ; Saliyapura ; 50008 ; Anuradhapura ; Sri Lanka
  3. Division of Parasitology ; Department of Pathology ; Faculty of Medicine ; University of Jaffna ; Jaffna ; Sri Lanka
  4. Department of Community Medicine ; Faculty of Medicine and Allied Sciences ; Rajarata University of Sri Lanka ; Saliyapura ; 50008 ; Anuradhapura ; Sri Lanka
  
• 关键词：Snakebite ; Farming ; Prevention
• 刊名：Journal of Occupational Medicine and Toxicology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：9
• 期：1
• 全文大小：133 KB
• 参考文献：1. Kasturiratne, A, Wickremasinghe, AR, de Silva, N, Gunawardena, NK, Pathmeswaran, A, Premaratna, R, Savioli, L, Lalloo, DG, de Silva, HJ (2008) The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med 5: pp. e218 CrossRef
  2. Warrell, DA (2010) Snake bite. Lancet 375: pp. 77-88 CrossRef
  3. Kasturiratne, A, Pathmeswaran, A, Fonseka, MMD, Lalloo, DG, Brooker, S, de Silva, HJ (2005) Estimates of disease burden due to land鈥搒nake bite in Sri Lankan hospitals. Southeast Asian J Trop Med Public Health 36: pp. 733-740
  4. Guti茅rrez, JM, Theakston, RD, Warrell, DA (2006) Confronting the neglected problem of snake bite envenoming: the need for a global partnership. PLoS Med 3: pp. e150 CrossRef
  5. De Silva, A, Ranasinghe, L (1983) Epidemiology of snakebite in Sri Lanka. Ceylon Med J 28: pp. 144-154
  6. Alirol, E, Sharma, SK, Bawaskar, HS, Kuch, U, Chappuis, F (2010) Snake bite in south Asia: a review. PLOS Negl Trop Dis 4: pp. e603 CrossRef
  7. Warrell, DA (2010) Guidelines for the Clinical Management of the Snakebites. World Health Organization, New Delhi
  8. Kularatne, SAM (2003) Epidemiology and clinical picture of the Russell鈥檚 viper (Daboia russelii russelii) bite in Anuradhapura, Sri Lanka: a prospective study of 336 patients. Southeast Asian J Trop Med Public Health 34: pp. 855-862
  
• 刊物主题：Occupational Medicine/Industrial Medicine;
• 出版者：BioMed Central
• ISSN：1745-6673

文摘

Background Snakebite is a global health problem associated with high morbidity and mortality. In Sri Lanka, snakebite is mainly an occupational health hazard associated with farming. Understanding awareness and perceptions in risk populations on the preventive measures, first aid and treatment for snakebite becomes pivotal in designing snakebite prevention and control programs. Using an investigator assisted self completed questionnaire, we assessed the awareness and perceptions of 176 part-time and full-time, Chena and paddy farmers from three dry zone districts of Sri Lanka where agriculture is the main economic activity. Findings High percentages of the participants were aware of practices that minimize snakebites in houses and outside, available treatments and most of the recommended first aid measures. Western medical treatment was preferred by the vast majority of the farmers over the traditional treatment. Conclusion Some of the protective measures that the farmers were aware of are not practiced generally in Sri Lanka, suggesting a knowledge-practice mismatch. We suggest studies to understand the effects of socioeconomic and cultural determinants on snakebite prevention in Sri Lanka.