5 research outputs found

    Knowledge of health workers on snakes and snakebite management and treatment seeking behavior of snakebite victims in Bhutan.

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    BackgroundPublished information on snakebite is rare in Bhutan although remarkably higher number of snakebites and associated deaths are reported from other South Asian countries.Aims and methodologyStructured questionnaire was used to collect knowledge of health workers in snakebite management and health seeking behavior of snakebite victims as observed by health workers. Study was conducted in purposively sampled 10 Dzongkhags (district level administrative units) with higher incidence of snakebites.ResultHeath workers scored 27-91% (with an average of 63%, SD = 14) for 52 questions related to snake identification and snakebite management. Among 118 health workers interviewed, 23% had adequate knowledge on snakes and snakebite management while 77% had inadequate knowledge. Among 32 Doctors, 63% of them scored above or equal to 75%. Health workers from Sarpang scored higher (76%, SD = 11) than those from other Dzongkhags. Snakebite victim's visit to local (traditional) healers prior to seeking medical help from hospital was observed by 75 (63%) health workers. Fifty one percent of health workers observed patients treated with local methods such as the use of black stone called Jhhar Mauro (believed to absorb snake venom), application of honey, rubbing of green herbal paste made up of Khenpa Shing (Artemisia myriantha Wallich ex Besser var. paleocephala [Pamp] Ling) and consumption of fluid made up of Neem leaf (Azadirachta indica Juss). Use of tight tourniquet as a first aid to snakebite was observed by 80% of the health workers.ConclusionHealth workers lack confidence in snakebite management. Snakebite victims are likely to suffer from harmful local practices and traditional beliefs on local treatment practices. Empowering health workers with adequate knowledge on snakebite management and making locals aware in pre-hospital care of snakebites are needed to improve the pre- and in-hospital management of snakebite in Bhutan

    Ecological Niche Modelling of King Cobra, Ophiophagus Hannah (Cantor, 1836) in Nepal

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    The fragile ecosystem of greater Himalaya is home to diverse flora and fauna which are vulnerable to climate change impact. This study aimed to determine the suitable habitat of King Cobra Ophiophagus hannah (Cantor, 1836) in the current scenario and near-future scenario of the year 2040-2060 (RCP 2.6, RCP 4.5, and RCP 8.5). Geographic coordinates of its occurrence were obtained from published literature and environmental layers were obtained from worldclim.org and processed using ArcGIS and software R. The model was developed using MaxENT algorithms. The model was validated using the area under the curve (AUC) and True skill statistics (TSS), which showed that the model is very good (AUC =0.86) and (TSS=0.6). The results showed that altitude is a prime factor affecting the distribution of King Cobra in Nepal with a percent contribution of 31% followed by actual evapotranspiration 14.4% and least by Mean diurnal range (Bio2nep) 7%. The model predicted an area of 41,214 Km2 as suitable habitat for King Cobra in Nepal. The Chitwan National Park possesses a maximum suitable area (726.89 km2) followed by Chitwan-Buffer Zone (601.68 sq. Km2) and least by Sagarmatha National Park (1.73 km2) and Shey-Phoksundo-buffer zone (1.73 Km2). Our data indicate urban areas being the most suitable sites followed by open forest covers. The projection indicates contraction of 8% and 4% in a suitable area for RCP 4.5 and RCP 2.6 respectively, whereas RCP 8.5 showed expansion of 4%. Having probably suitable habitat in urban areas research proposes frequent awareness camping about conservation and protection of vulnerable King Cobra in Nepal
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