Chippaux Jean-Philippe auteur aut IRD Postigo J.R. auteur aut IRD text journalArticle eng text/pdf born digital access No information has been yet published on snakebite in Bolivia. The country includes very different ecological situations leading to various epidemiological risks. A study has been carried out to evaluate the incidence and location of snakebite, particularly in relation with altitude, in order to improve management. Investigations on snakebite epidemiology were based on a) cases treated in health facilities as reported by health authorities and b) household surveys carried out in areas with high variations of altitude, in various regions of Bolivia. An average of 700 bites was treated each year in Bolivia (national annual incidence=8 bites per 100,000 people) with a great disparity between districts. Household surveys showed annual incidences ranged from 30 to 110 bites per 100,000 inhabitants depending on location. Annual mortality ranged 0.1-3.9 per 100,000 people. A significant and constant inverse correlation was shown between snakebite incidence and altitude, which may be explained by both snake and human distributions and activities. Notification of snakebite is useful for improving patient management and informing antivenom distribution. It should also involve the report of deaths and clinical details of envenomation. specialized SERPENT EPIDEMIOLOGIE MORTALITE MORBIDITE INCIDENCE MILIEU RURAL ALTITUDE VARIATION SAISONNIERE VARIATION SPATIALE MORSURE ENVENIMATION BOLIVIE LA PAZ BOLIVIE 050MEDECI 84 28-35 2014 1879-3150 https://www.documentation.ird.fr/hor/fdi:010061646 10.1016/j.toxicon.2014.03.007 1879-3150 [F B010061646] https://www.documentation.ird.fr/hor/fdi:010061646 https://www.documentation.ird.fr/intranet/publi/depot/2014-05-19/010061646.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2014-05-19 2015-09-28 fdi:010061646 fre