Climate change maladaptation for health: Agricultural practice against shifting seasonal rainfall affects snakebite risk for farmers in the tropics

Goldstein, Eyal; Erinjery, Joseph J.; Martín, Gerardo; Kasturiratne, Anuradhani; Ediriweera, Dileepa Senajith; Somaweera, Ruchira; Silva, Hithanadura Janaka de; Diggle, Peter J.; Lalloo, David G.; Murray, Kris A.; Iwamura‏, Takuya

doi:10.1016/j.isci.2023.105946

Cited by 5 publications

(4 citation statements)

References 61 publications

(117 reference statements)

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“…53 Environmental aspects and differences in exposure may influence these results, including the growing awareness of the impact of climate change on snakebite. 5,90,91 Snakebite infection may require surgical intervention, such as surgical debridement for extensive skin and soft-tissue necrosis, 9 as reported in most cases (67%) in the present review. Unfortunately, the studies indicating the need for surgery lack details regarding the specific type of interventions and other related characteristics.…”

Section: Snakebite-associated Infectionsmentioning

confidence: 66%

Snakebite-Associated Infections: A Systematic Review and Meta-Analysis

Bonilla-Aldana,

Ulloque-Badaracco

et al. 2024

The American Journal of Tropical Medicine and Hygiene

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ABSTRACT. Snakebites still constitute a significant public health problem in developing countries and are considered a neglected tropical condition by the WHO. Snake accidents are associated with substantial morbidity and mortality and may produce secondary complications, such as severe infections. The objective of this systematic review was to determine the prevalence of snakebite infections and characterize the bacteria isolated from these infections. A systematic literature review in five databases was carried out to assess the prevalence of snakebite infection. A meta-analysis was performed using a random-effects model to calculate the pooled prevalence and 95% CIs. Cochran’s Q test and the I2 statistic were used to assess between-study heterogeneity. The pooled prevalence of infection due to snakebite was 27.0% (95% CI: 22.0–32.0%), with high heterogeneity among studies (I2 = 99.7%). The prevalence was higher in Asia (32%) than in the Americas (21%). Snakebite infections required surgical interventions in 68% (95% CI: 37.0–98.0%). The leading group of pathogens identified corresponded to Gram-negative bacteria (63%), particularly Morganella morganii (32%), but also, Gram-positive cocci (40%), especially Enterococcus spp. (23%) and Staphylococcus aureus (15%). However, multiple other pathogens, including anaerobes, were found. A high prevalence of snakebite-associated infection has been described, primarily due to M. morganii, with the corresponding implications for empirical therapy. Rational use of antimicrobials is recommended, and this should guide initial empirical treatment. Moreover, isolation and identification of the possible bacteria present in snakebite wounds is recommended in all cases to confirm or rule out associated infection.

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Section: Snakebite-associated Infectionsmentioning

confidence: 66%

Snakebite-Associated Infections: A Systematic Review and Meta-Analysis

Bonilla-Aldana,

Ulloque-Badaracco

et al. 2024

The American Journal of Tropical Medicine and Hygiene

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“…In the Sundarbans the private capital is forging complex nexuses with institutions, the state, and the media across scales to misappropriate resilience in particular and development in general. Although it is increasingly been critiqued at a theoretical level (see Chandler and Reid 2016, Mahdiani and https://www.ecologyandsociety.org/vol29/iss2/art15/ Ungar 2021, , Goldstein et al 2023, O'Grady and Shaw 2023, this study offers specific instances of and insights into how disaster capitalism (Klein 2007) not only shapes autonomous (mal)adaptation but does it consensually. In the earlier section, we stressed fostering freedom of choice, but deconstructing wicked ways in which autonomous adaptation choices are facilitated and shaped is also important.…”

Section: Misappropriation Of Resilience By the Market: Resisting Disa...mentioning

confidence: 96%

Health threats of climate change: from intersectional analysis to justice-based radicalism

Ghosh,

Dutta

2024

E&S

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Intersectional impacts of climatic changes are producing unforeseen physical and mental health challenges such as acute depression, stress, severe malnutrition, cervical cancer, sexually transmitted diseases for the poor and marginalized women and children. Conducted in the Indian Sundarbans, a social-ecological system critically stressed by climate change, this study disentangles, uncovers, and highlights obscured ways in which sudden and slow-onset eco-climatic shifts induced by climatic changes interact with existing patterns of social-ecological (mis)governance, gender inequity, power structures and struggles, therein, patriarchal policies and neoliberal markets. Coping mechanisms of the communities are shaped by complex, multi-layered, and scalar processes that involve institutional failures, private markets, and neoliberal governance patterns, which in turn are resulting in severely negative health consequences for women and children. Employing a justice lens and an agent-based coproduction of knowledge helps to move beyond the obscured causalities for specific health threats to foster an agenda for action. At the local scale, this framework identifies diverse and novel ways in which development policies and governance across domains must synergize to enhance specific capacities of women and children, allowing them to make right adaptation choices that bolster their long-term resilience. Theoretically, it uncovers how the global resilience agenda is increasingly being dominated by disaster capitalism that is producing negative health consequences at the local levels. Private capital, in conjunction with or through alliances with the state, identify weaknesses of resilience governance as profiteering opportunities and promote "adaptation" products and services through a hegemonic process. Despite producing maladaptation in the Sundarbans, the hegemony ensures that the pattern is reinstated and reproduced consensually. This pushed the responsibility of maladaptation into individual domains. Repoliticizing and affirmatively sabotaging this resilience design seems essential, which future studies should aim for.

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“…This must include consideration and anticipation of the harmful effects that may result. The phenomenon of 'maladaptation' can be seen, for example, in attempts to address climatechange-related food insecurity through altered agricultural practices, which can lead to unintended negative consequences such as increased exposure to snakebite [80].…”

Section: Plos Climatementioning

confidence: 99%

Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs

McIver,

Beavon,

Malm

et al. 2024

PLOS Clim

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This mixed-methods study focuses on the evidence of the health impacts of climate change on populations affected by humanitarian crises, presented from the perspective of Médecins Sans Frontières (MSF)–the world’s largest emergency humanitarian medical organisation. The Sixth Assessment Report from the Intergovernmental Panel on Climate Change (IPCC) was used as the basis of a narrative review, with evidence gaps highlighted and additional literature identified relevant to climate-sensitive diseases and health problems under-reported in–or absent from–the latest IPCC report. An internal survey of MSF headquarters staff was also undertaken to evaluate the perceived frequency and severity of such problems in settings where MSF works. The findings of the survey demonstrate some discrepancies between the health problems that appear most prominently in the IPCC Sixth Assessment Report and those that are most relevant to humanitarian settings. These findings should be used to guide the direction of future research, evidence-based adaptations and mitigation efforts to avoid the worst impacts of climate change on the health of the world’s most vulnerable populations.

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Climate change maladaptation for health: Agricultural practice against shifting seasonal rainfall affects snakebite risk for farmers in the tropics

Cited by 5 publications

References 61 publications

Snakebite-Associated Infections: A Systematic Review and Meta-Analysis

Snakebite-Associated Infections: A Systematic Review and Meta-Analysis

Health threats of climate change: from intersectional analysis to justice-based radicalism

Impacts of climate change on human health in humanitarian settings: Evidence gaps and future research needs

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