{"id":1270,"date":"2020-12-02T00:00:00","date_gmt":"2020-12-02T00:00:00","guid":{"rendered":"https:\/\/protherics2.aazzxx.com\/insights\/breaking-the-vicious-circle-of-snakebites-in-the-developing-world\/"},"modified":"2022-11-28T10:24:40","modified_gmt":"2022-11-28T10:24:40","slug":"breaking-the-vicious-circle-of-snakebites-in-the-developing-world","status":"publish","type":"insights","link":"https:\/\/serb.com\/nl\/insights\/breaking-the-vicious-circle-of-snakebites-in-the-developing-world\/","title":{"rendered":"Breaking the vicious circle of snakebites in the developing world"},"content":{"rendered":"<p>For years, Dr. Cellou Bald\u00e9 has treated snakebite patients out of a small, two-bedroom home in Guinea. Inside, there are six inpatient cots but no sheets. The kitchen is used as a triage area. The power goes out daily, which means Dr. Bald\u00e9 and his staff often assess patients by flashlight or the light of the moon.<\/p>\n<p>Despite these conditions, of the roughly 700 patients who arrive each year \u2013 sometimes traveling days to get there \u2013 the mortality rate is less than 5%, a vast difference when compared with the approximately 30% regionwide.<\/p>\n<p>The clinic is successful because of Dr. Bald\u00e9\u2019s expertise as a herpetologist \u2013 but also because he and his team have deployed evidence-based medicine and effective, field-stable antivenoms. His success in Guinea has attracted the support and commitments needed&nbsp;<a href=\"https:\/\/www.snakebitefoundation.org\/projects-1\" target=\"_blank\" rel=\"noopener noreferrer\"><b>to build a new clinic<\/b><\/a>&nbsp;with significant modern improvements. More on that below. Unfortunately, others throughout the developing world are not so lucky. They remain trapped in what organizations like the Asclepius Snakebite Foundation (ASF) \u2013 whose efforts in Guinea are led by Dr. Bald\u00e9 \u2013 call a vicious circle of snakebites.<\/p>\n<p><b>The vicious circle of snakebites in the developing world<\/b><\/p>\n<p>If you get a snakebite in many parts of the developing world, chances are that you will first go to a local healer \u2013 in part because of the logistical challenges of transporting patients, and in part because most perceive hospitals as overly expensive.<\/p>\n<p>If the bite is dry or non-venomous, the traditional healer\u2019s treatment may appear effective. If not, symptoms will likely get worse, forcing you to go to a hospital hours or even days after the bite. Once there, other challenges may present themselves: many hospitals aren\u2019t equipped with the proper antivenoms; even if they are, doctors are often unable to save the life or limb of a patient, as the clinician may not be properly trained to handle the condition of a patient who arrives long after the bite occurred.<\/p>\n<p>These poor outcomes only reaffirm the decision to see local healers, which then hampers hospitals\u2019 abilities to buy antivenom at scale and discourages doctors and nurses from seeking out training. Thus the vicious circle starts all over again.<\/p>\n<p>This tragic cycle helps explain why snakebites have recently been declared a top-priority tropical disease by the World Health Organization, and why they result in 30,000 \u2013 50,000 deaths and over 100,000 disabilities a year in Africa alone.<\/p>\n<p><b>Breaking the circle, one step at a time<\/b><\/p>\n<p>The ASF, in partnerships with physicians like Dr. Bald\u00e9, hopes to break this vicious circle through a combination of research, treatment, and training. They understand the power of quality antivenoms, the importance of treating a bite early, and the need for specialized training.<\/p>\n<p>With a donation from BTG Specialty Pharmaceuticals, Dr. Bald\u00e9 and ASF will be able to save the lives of more snakbite victims. BTG is helping to fund the construction of an entirely&nbsp;<a href=\"https:\/\/www.snakebitefoundation.org\/projects-1\" target=\"_blank\" rel=\"noopener noreferrer\">new medical and educational facility<\/a>&nbsp;for Dr. Bald\u00e9 team in Guinea, replete with a more open layout, fresh water, adequate supply storage, and a stable power supply. Other critical improvements will include additional beds, individual rooms for patient privacy, dedicated storage rooms for maintaining medications and equipment, and a dedicated resuscitation bay to facilitate initial assessment, stabilization, and team-based resuscitation of critically ill snakebite patients.<\/p>\n<p>While one clinic won\u2019t eradicate the vicious circle of snakebites in the developing world, we\u2019re proud to play a part in this ongoing fight.<\/p>\n<p>To learn more about ASF \u2013 and join us in supporting the great work they\u2019re doing to combat snakebites \u2013 please visit:&nbsp;<a href=\"https:\/\/www.snakebitefoundation.org\/\">https:\/\/www.snakebitefoundation.org\/&nbsp;<\/a><\/p>\n\n\n<figure class=\"wp-block-image size-full is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"471\" src=\"https:\/\/serb.com:443\/wp-content\/uploads\/2020\/12\/ASF-New-Guinea-Clinic.png\" alt=\"\" class=\"wp-image-1341\" srcset=\"https:\/\/serb.com\/wp-content\/uploads\/2020\/12\/ASF-New-Guinea-Clinic.png 750w, https:\/\/serb.com\/wp-content\/uploads\/2020\/12\/ASF-New-Guinea-Clinic-300x188.png 300w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><figcaption>Dr. Cellou Bald\u00e9 and his team. Courtesy of Asclepius Snakebite Foundation<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full is-style-default\"><img loading=\"lazy\" decoding=\"async\" width=\"598\" height=\"421\" src=\"https:\/\/serb.com:443\/wp-content\/uploads\/2020\/12\/Planning-Clinic.png\" alt=\"\" class=\"wp-image-1342\" srcset=\"https:\/\/serb.com\/wp-content\/uploads\/2020\/12\/Planning-Clinic.png 598w, https:\/\/serb.com\/wp-content\/uploads\/2020\/12\/Planning-Clinic-300x211.png 300w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><figcaption>Plans for the new clinic in Guinea. Courtesy of Asclepius Snakebite Foundation<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>For years, Dr. Cellou Bald\u00e9 has treated snakebite patients out of a small, two-bedroom home in Guinea. Inside, there are six inpatient cots but no sheets. The kitchen is used as a triage area. 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