Divergences between the Brazilian national information systems for recording deaths from venomous animals

Abstract

Background: This paper aims to highlight and analyze discrepancies in reporting of deaths due to venomous animals in Brazil, from 2001 to 2015, between two national information systems: The Notifiable Diseases Information System ( Sistema de Informação de Agravos de Notificação - SINAN) and the Mortality Information System ( Sistema de Informações sobre Mortalidade - SIM). Methods: Descriptive and comparative study of the SINAN and SIM information systems, was conducted via the following steps: collecting the death notices from SINAN and SIM; constructing tables and comparative graphics; and, only in scorpion sting fatalities, analyzing the distribution of deaths by age group as described in the specialized literature. Results: While SINAN identifies strong growth in the number of deaths from scorpion stings, SIM shows greater increase in the number of reported deaths from bee stings, especially in the South and Southeast regions. Notably, bees are the sole etiological agent that received more reports in SIM than in SINAN for every year in the period studied. The age-group distribution of the data on deaths from scorpion stings reinforced the indication of problems occurring in their registration in SINAN, especially since 2007, which may have an effect on analyses based on these data. Conclusion: Comparative analysis of these databases permits identification of important differences between profiles presented by these systems, which have equal relevance for Brazil as a whole and for its regions. These differences may influence the construction of various scenarios.

A Novel Apilic Antivenom to Treat Massive, Africanized Honeybee Attacks: A Preclinical Study from the Lethality to Some Biochemical and Pharmacological Activities Neutralization

“…They described that Afribumab 1 and 2 alone reduced the cytotoxic activities of honeybee venom components, and the mixture of both antibodies improved this inhibition [30,37]. Most of these observations are in agreement with our present data, showing the necessity of developing a specific treatment, a safe agent that can counteract and stop the deleterious effects caused by a massive, Africanized honeybee attack, which is a health problem in Brazil and other countries in the Americas [6,8,[13][14][15][16][17].…”

A Novel Apilic Antivenom to Treat Massive, Africanized Honeybee Attacks: A Preclinical Study from the Lethality to Some Biochemical and Pharmacological Activities Neutralization

“…They described that Afribumab 1 and 2 alone reduced the cytotoxic activities of honeybee venom components, and the mixture of both antibodies improved this inhibition [30,37]. Most of these observations are in agreement with our present data, showing the necessity of developing a specific treatment, a safe agent that can counteract and stop the deleterious effects caused by a massive, Africanized honeybee attack, which is a health problem in Brazil and other countries in the Americas [6,8,[13][14][15][16][17].…”

WITHDRAWN: Strategic Point Coverage for Scorpion Accident Care: Methodological Considerations and Application in São Paulo State, Brazil

“…Despite this, several challenges persist, including variations in data completeness and consistency, the frequent need for preprocessing, and the absence of a unique patient identifier, which hinders database integration. This can lead to inconsistencies, such as discrepancies between SINAN and SIM death records, indicating reporting failures (39, 19, 40,41).…”

Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem

“…Even though SINAN is a very important asset to study the epidemiology of scorpionism and other medical conditions in Brazil, inconsistencies in the available database concerning envenoming numbers have been found [ 14 – 16 ]. In addition, there is evident underreporting of scorpionism cases.…”

A Novel Apilic Antivenom to Treat Massive, Africanized Honeybee Attacks: A Preclinical Study from the Lethality to Some Biochemical and Pharmacological Activities Neutralization

“…They described that Afribumab 1 and 2 alone reduced the cytotoxic activities of honeybee venom components, and the mixture of both antibodies improved this inhibition [30,37]. Most of these observations are in agreement with our present data, showing the necessity of developing a specific treatment, a safe agent that can counteract and stop the deleterious effects caused by a massive, Africanized honeybee attack, which is a health problem in Brazil and other countries in the Americas [6,8,[13][14][15][16][17].…”

WITHDRAWN: Strategic Point Coverage for Scorpion Accident Care: Methodological Considerations and Application in São Paulo State, Brazil

“…Despite this, several challenges persist, including variations in data completeness and consistency, the frequent need for preprocessing, and the absence of a unique patient identifier, which hinders database integration. This can lead to inconsistencies, such as discrepancies between SINAN and SIM death records, indicating reporting failures (39, 19, 40,41).…”

Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem

“…Even though SINAN is a very important asset to study the epidemiology of scorpionism and other medical conditions in Brazil, inconsistencies in the available database concerning envenoming numbers have been found [ 14 – 16 ]. In addition, there is evident underreporting of scorpionism cases.…”

A Novel Apilic Antivenom to Treat Massive, Africanized Honeybee Attacks: A Preclinical Study from the Lethality to Some Biochemical and Pharmacological Activities Neutralization

“…They described that Afribumab 1 and 2 alone reduced the cytotoxic activities of honeybee venom components, and the mixture of both antibodies improved this inhibition [30,37]. Most of these observations are in agreement with our present data, showing the necessity of developing a specific treatment, a safe agent that can counteract and stop the deleterious effects caused by a massive, Africanized honeybee attack, which is a health problem in Brazil and other countries in the Americas [6,8,[13][14][15][16][17].…”

WITHDRAWN: Strategic Point Coverage for Scorpion Accident Care: Methodological Considerations and Application in São Paulo State, Brazil

“…Despite this, several challenges persist, including variations in data completeness and consistency, the frequent need for preprocessing, and the absence of a unique patient identifier, which hinders database integration. This can lead to inconsistencies, such as discrepancies between SINAN and SIM death records, indicating reporting failures (39, 19, 40,41).…”

Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem

“…Even though SINAN is a very important asset to study the epidemiology of scorpionism and other medical conditions in Brazil, inconsistencies in the available database concerning envenoming numbers have been found [ 14 – 16 ]. In addition, there is evident underreporting of scorpionism cases.…”