National Action Plan for Prevention and Control of Snakebite Envenoming (NAP-SE)

Union Health Secretary launched a National Action Plan for Prevention and Control of Snakebite Envenoming (NAP-SE) in India.

  • With a vision to reduce snakebite deaths by halve by 2030, NAPSE provides a broad framework for states to develop their own action plan for management, prevention and control of snakebites through the ‘One Health’ approach.
  • The activities envisaged under human, wildlife, tribal and Animal health component will be undertaken by concerned stakeholders at all levels.
  • Snakebite envenoming is a potentially life-threatening disease following the bite of a venomous snake. Venomous snake bites can result in medical issues which can be deadly or lead to permanent impairment if timely and appropriate treatment is not given.
  • The majority of snakebite envenomation deaths and catastrophic sequelae can be avoided with prompt availability to safe and effective antivenoms, timely transport and referral.
  • In India, around 50,000 deaths occur of an estimated 3-4 million snakebites annually which accounts for half of all snakebite deaths globally.
  • Only a small proportion of snake bite victims across countries report to the clinics and hospitals and actual burden of snake bite is grossly underreported.
  • As per the Central Bureau of Health Investigation (CBHI) reports (2016-2020), the average annual frequency of snakebite cases in India is around 3 lakhs and about 2000 deaths occur due to snakebite envenoming.
  • In India, around 90% of snakebites are caused by the ‘big four’ among the crawlers – common krait, Indian cobra, Russell’s viper and saw scaled viper.
  • Administration of polyvalent anti-snake venom (ASV) containing antibodies against cobra, Russell’s viper, common krait and saw scaled viper is effective in 80% of the snakebite cases, however, lack of trained human resources and health facilities to treat snakebite patients remains a cause of concern.
  • Also, the unavailability of data on incidence, morbidity, mortality, socio-economic burden, treatment patterns etc. are the major hindrances in planning for mitigation of snakebite in India

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