In Sri Lanka, the saw-scaled viper (Echis carinatus) is distributed in the arid, dry and sandy coastal plains and in a prospective study we describe its bites in the Jaffna peninsula. Of the 304 snake bite admissions to the Jaffna Hospital in 2009, 217 (71.4%) were bitten by either venomous species or envenomed by unidentified snakes. There were 99 (45.6%) reported saw-scaled viper bites, of which 26 were confirmed cases. The length of the offending snakes ranged from 228-310mm and bites mainly occurred in the nearby islands. The median age of the confirmed cases was 34 years (range 1.5-72 years); occupations included housewives (8, 31%), school children (4, 15%) and farmers (2, 8%). In 18 patients (69%), bites occurred in daylight and in 8 (31%) within or near the compounds. The fingers were bitten in 8 (31%) and toes/foot in 11 (42%) cases. There were 2 (8%) dry bites and 19 patients (73%) developed local swelling; one patient developed haemorrhagic blisters. In 24 patients (92%), blood incoagulability manifested between 40 and 1095min after the bite, and three patients (12%) developed spontaneous bleeding. One patient (4%) developed mild acute renal dysfunction. The median time for correction of coagulopathy was 802min (range 180-1669min) with Indian polyvalent antivenom. All recovered. The saw scaled viper is responsible for most venomous bites in the Jaffna peninsula.

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We report on a 19-year-old boy with visible muscle spasms admitted to the hospitals 24 hours after spider bite. He was treated effectively with intravenous calcium gluconate followed by oral calcium supplements and made a full recovery 48 hours after the incident. Although no specific treatment exists in Srilanka, it has been suggested that calcium supplements may be beneficial to relieve the muscle spasms. Our patient made a full recovery with calcium supplements suggesting the treatment with calcium is beneficial in relieving the pain and muscle spasms caused by Sri-Lankan Ornamental Tarantula Poecilotheria fasciata

We carried out a descriptive study over one year on 62 fishermen stung by jellyfish while fishing. Most were aged under 60 years. The timing of the sting was mostly between midnight and 4am (32%). Clinical symptoms were mainly localised pain and burning (80%), itching (67%) and shortness of breath (42%). Almost all patients received antihistamines (97%) and steroids (87%). None of them needed intensive care; they needed only 1-2 days in hospital. Jellyfish identified in fishing nets were Catostylus mosaicus, Cynea capillata and moon jellyfish.

A scorpion species proved to be lethal to humans was recently recorded from Jaffna Peninsula (9°40'0''N 80°0'0''E, mean annual temperature 26.2°C), in the northern dry zone of Sri Lanka. This species is morphologically different from all other known scorpions in Sri Lanka. The species was identified as Hottentotta tamulus (Scorpiones: Buthidae), which is commonly found in Maharashtra, India, the closest mainland to Sri Lanka. Small children and housewives were most of the victims. Soon after sting, the patient develops intense pain at the site of sting followed by numbed sensation. Dominant clinical effects include excessive sweating, agitation and palpitation. Blood pressure of the victim goes up, and if not promptly treated leads to acute heart failure. There is a high risk of spreading of this species to the rest of the country due to transport of goods and sand from the area.