@article{fdi:010061434, title = {{E}pidemiology of snakebite in {E}urope : comparison of data from the literature and case reporting}, author = {{C}hippaux, {J}ean-{P}hilippe and {S}az-{P}arkinson, {Z}. and {A}mate {B}lanco, {J}. {M}.}, editor = {}, language = {{ENG}}, abstract = {{A} better assessment of the incidence and mortality due to envenomation should improve the antivenom supply and consequently management of snakebites. {C}urrently, in most countries, notification of snakebite is insufficient and irregular. {A}n alternative is to consider data from the literature to estimate the incidence and mortality. {T}he gaps and bias resulting from this method can be corrected using a meta-analytic model adjusted with a randomized coefficient, which provides an average incidence and mortality taking into account the relative weight and representativeness of each sample. {T}he aim of the present study is to compare the results of the application of the meta-analytic model with the national notifications of snakebites in different {E}uropean countries. {T}o achieve this goal, a questionnaire was sent to health services of all {E}uropean countries asking for the incidence, mortality and some parameters defining the population at risk of snakebites in {E}urope. {N}otifications were compared with the results of a recently published meta-analysis of literature data. {R}esults showed an acceptable agreement, although significant differences in the incidence of snakebites occurred in some countries. {T}he discussion emphasizes the limitations regarding notifications and underlines the potential biases that restrict the reliability of data from the literature. {F}inally, pending reliable notification of snakebites in all {E}uropean countries, analyzing data from the literature is likely to be an acceptable and simple solution.}, keywords = {{S}nakebite ; {E}nvenomation ; {E}urope ; {I}ncidence ; {M}ortality ; {M}anagement ; {EUROPE}}, booktitle = {}, journal = {{T}oxicon}, volume = {76}, numero = {}, pages = {206--213}, ISSN = {0041-0101}, year = {2013}, DOI = {10.1016/j.toxicon.2013.10.004}, URL = {https://www.documentation.ird.fr/hor/fdi:010061434}, }