Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh

Abstract

ObjectiveThis study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh.Design and settingA cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June 2013 to September 2013.ParticipantsA total of approximately 1.17 million individuals across all age and gender profiles were included in the survey. The participants had to be residents of the seven subdistricts and have provided consent to participate in the study.Primary and secondary outcome measuresAnimal-related injury characteristics and demographic information was collected in the study. Frequency, proportion and 95% CIs of variables such as type of animal, type of animal attack, activity of the person prior to attack and the seasonality of the injury were reported. Data was then statistically analysed for associations between injury and sociodemographic characteristics.ResultsThe incidence rate of fatal and non-fatal animal-related injuries across all ages were 0.7 (95% CI 0.4 to 1.4) and 1635.3 (95% CI 1612.0 to 1658.0) per 100 000 populations, respectively. Non-fatal animal-related injury rates were highest among adults 18 years and older (1820.6 per 100 000 population (1777.2 to 1865.1)), and in males across all age groups. The most common animal injury was wasp/hornet/bee sting (49%), followed by cow/buffalo (25%), dog bite (9%) and snake bites (9%).ConclusionsAnimal-related injuries are an important public health issue in rural Bangladesh. The incidence of animal-related morbidities was found high in the study area. Males, school-going and productive age groups were at high risk. Immediate attention should be given to prevent these events.

Global Estimates on Biological Risks at Work

“…Data from Bangladesh, covering a population of 1.17 million, reported 1635 animal injuries per100,000, with a rate of 0.7 fatal animal injuries per 100,000 [ 25 ]. WHO estimated 55,000 fatalities worldwide related to animal injuries at work and outside work.…”

Wasp-stung rat model translationally expresses the coagulopathy manifestations of human wasp patients

“…1 However, along increasing expansion of urban to rural areas and the seasonal operation of agriculture, the proportion of systemic symptoms caused by mass and severe wasp-stung is gradually increased, especially in summer and autumn season. 2,3 In rural areas of New World and Africa, massive stings and envenomations by Apoidea may lead hundreds or more casualties but there are insufficient clinical records to be accessed for deep insight in these areas. Of all Apoidea venoms, the envenomation by wasp-stung is the most clinically threatening that causes kidney and other organ failure and death in 20–200 stings, and this stung events typically occurred in subtropical and tropical Asia.…”

“…It has been strongly suggested non-occlusive mesenteric ischemia. 2 From a retrospective investigation of 1091 multiple wasp stings hospitalized patients in the multicenter of China, the analytical results have exhibited 21.0% AKI, 24.1% rhabdomyolysis, 19.2% hemolysis, 30.1% liver injury, and 22.5% coagulopathy, respectively. 10 One case report presented a patient with coagulation abnormalities induced by wasp-stung anaphylaxis with a prolongation on the activated partial thromboplastin time (APTT) and significant increase the anti-Xa activity (equivalent to a therapeutic heparin range), but the medical records of this patient showed without any heparin treatment.…”

Phenotypic and Transcriptomics Analyses Reveal Underlying Mechanisms in a Mouse Model of Corneal Bee Sting

“…According to multiple surveys, hymenopterous insects, including ants, bees, and wasps, cause over 100 million injuries annually worldwide, among which bee stings account for almost 50% [ 1 , 2 , 3 ]. The majority of bee sting sites are focused on exposed skin of the head, face, and limbs.…”