Keywords
Epidemiology
Health information systems
Spatial distribution
Pará
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Abstract
Objective: To describe the epidemiological profile of accidents caused by venomous animals reported in the state of Pará between 2022 and 2026, analyzing the distribution of cases according to sociodemographic variables, time to care, and health region. Methods: This is a cross-sectional, retrospective, and quantitative epidemiological study using secondary data from the Notifiable Diseases Information System (SINAN). The variables analyzed were sex, education level, age group, time between bite and care, and health region of notification. Results: During the period, Pará reported 48,754 cases, with a predominance of males (71.3%), the 20 to 39 age group (36.2%), and low education levels. The Baixo Amazonas (19.1%), Xingu (16.7%), and Metropolitana III (10.9%) health regions accounted for 46.7% of all notifications. Metropolitana III showed an increasing proportional trend (from 9.6% to 12.0%), while most cases (64.7%) received care within the first three hours, with growth in care provided within the first hour (from 30.3% to 38.1%). Conclusion/Final considerations: The study revealed the persistence of these accidents as a public health problem in Pará, with a profile linked to male occupational exposure and concentration in agro-extractive regions, in addition to the trend toward urbanization of risk in Metropolitana III. The improvement in time to care contrasts with the high incompleteness of education data, limiting further analyses on social determinants.
References
ALCÂNTARA JA, et al. Stepping into a dangerous quagmire: Macroecological determinants of Bothrops envenomings, Brazilian Amazon. PLOS ONE, 2018; 13(12): e0208532.
ALMEIDA ACC, et al. Associação ecológica entre fatores socioeconômicos, ocupacionais e de saneamento e a ocorrência de escorpionismo no Brasil, 2007-2019. Epidemiologia e Serviços de Saúde, 2021; 30(4).
BECK TP, et al. Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon. Toxicon: X, 2022; 16(1): 100137.
BELTRAME V, D’AGOSTINI FM. Acidentes com animais peçonhentos e venenosos em idosos registrados em municípios do estado de Santa Catarina, Brasil. Revista Brasileira de Ciências do Envelhecimento Humano, 2017; 14(3).
CAPIM LPS, et al. Temporal trend and epidemiological profile of accidents caused by venomous animals in the state of Pará, 2018-2022. Brazilian Journal of Biology, 2024; 84(1).
CHIPPAUX JP. Epidemiology of envenomations by terrestrial venomous animals in Brazil based on case reporting: from obvious facts to contingencies. Journal of Venomous Animals and Toxins Including Tropical Diseases, 2015; 21(13): 1–17.
DUARTE LL, et al. Urbanization impact on scorpion stings: An epidemiological study. Toxicon, 2024; 248(1): 108039.
FEITOSA MLB, et al. Functional traits as an indicator of urbanization impact on the scorpion assemblage in Neotropical forest. Canadian Journal of Zoology, 2025; 103(1): 1–7.
GONÇALVES MJF, ALECRIM WD. Non-planed Urbanization as a contributing Factor for Malaria Incidence in Manaus-Amazonas, Brazil. Revista de Salud Pública, 2004; 6(2): 156–166.
GUERRA CMN, et al. Análise de variáveis relacionadas à evolução letal do escorpionismo em crianças e adolescentes no estado de Minas Gerais no período de 2001 a 2005. Jornal de Pediatria, 2008; 84(6).
GUERRA-DUARTE C, et al. Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem. PLOS Neglected Tropical Diseases, 2023; 17(2): e0011069.
GUTTIERRES BD, et al. Análise epidemiológica dos acidentes por animais peçonhentos no estado do Rio de Janeiro entre 2019 e 2023. Revista de Medicina, 2025; 104(2).
KONSTANTYNER TCRDO, et al. Trend in the incidence rates of accidents with venomous animals in children and adolescents in Brazil (2007–2019). Revista Paulista de Pediatria, 2023; 41.
MACHADO C. Um panorama dos acidentes por animais peçonhentos no Brasil. Journal Health NPEPS, 2016; 1(1): 1–3.
MARTINS J, et al. Scorpion species of medical importance in the Brazilian Amazon: a review to identify knowledge gaps. The Journal of Venomous Animals and Toxins Including Tropical Diseases, 2021; 27.
MEYER SE, et al. Invasive Species Response to Natural and Anthropogenic Disturbance. Invasive Species in Forests and Rangelands of the United States, 2021; 1(2): 85–110.
NETO JB, DUCAS VD, FIGUEIREDO FS. Spatial Analysis in Areas with High Occurrence of Accidents Caused by Tityus serrulatus and Tityus bahiensis (Scorpiones: Buthidae) in Brazil. Wilderness & Environmental Medicine, 2023; 34(1): 63–71.
OLIVEIRA ATAL, et al. Acidentes com animais peçonhentos no Brasil: revisão de literatura. Revista Intertox de Toxicologia, Risco Ambiental e Sociedade, 2018; 11(3).
PUCCA MB, et al. Scorpions are taking over: the silent and escalating public health crisis in Brazil. Frontiers in Public Health, 2025; 13(1).
RECKZIEGEL GC, JÚNIOR VLP. Scorpionism in Brazil in the years 2000 to 2012. Journal of Venomous Animals and Toxins Including Tropical Diseases, 2014; 20(46).
ROCHA JEC, et al. Climatic and Social Drivers of Snakebite Incidence in Pará State, Brazilian Amazon. Tropical Medicine & International Health, 2026; 1(1).
SAUER S. Soy expansion into the agricultural frontiers of the Brazilian Amazon: The agribusiness economy and its social and environmental conflicts. Land Use Policy, 2018; 79(1): 326–338.
SILVA AM, BERNARDE PS, ABREU LC. Accidents with poisonous animals in Brazil by age and sex. Journal of Human Growth and Development, 2015; 25(1): 54.
SILVA HRS, et al. Caracterização epidemiológica de acidentes com animais peçonhentos entre 2012-2021: revisão sistemática. Revista Ciência Plural, 2023; 9(2): 1–28.
VAIYAPURI S, et al. Multifaceted community health education programs as powerful tools to mitigate snakebite-induced deaths, disabilities, and socioeconomic burden. Toxicon: X, 2023; 17(1): 100147.
ZECCHIN VJS, et al. Abundance of scorpions Tityus serrulatus and Tityus bahiensis associated with climate in urban area (Scorpiones, Buthidae). Indian Society of Arachnology, 2012; 1(2): 1–9.