Objective:To describe and compare the epidemiological features of scorpionism during six years(2005–2010)in two regions of Morocco:Marrakesh-Tensift-Al Haouz and Souss-Massa-Draa.Methods:Clinical and epidemiological ...Objective:To describe and compare the epidemiological features of scorpionism during six years(2005–2010)in two regions of Morocco:Marrakesh-Tensift-Al Haouz and Souss-Massa-Draa.Methods:Clinical and epidemiological data were obtained from medical records of the Moroccan Poison Control Center during 2005–2010.The data comprised demographics,sting characteristics and clinical severity classes.Digital maps were produced for envenomation and death incidence with the distribution of all scorpion species present on the studied area.Results:A total of 75313 scorpion sting cases were notified.The incidence of scorpion stings was 244 cases/100000 population/year and was significantly higher at Marrakesh-Tensift-Al Haouz than Souss-Massa-Draa.The general lethality rate was on an average of 0.28%with a higher rate in Marrakesh-Tensift-Al Haouz compared to Souss-Massa-Draa.There was a different distribution of cases between genders in the two studied regions.With respect to age groups,adults(more than 15 years)were affected most compared to children.When analyzed according to the incidence in each province,the highest envenomation incidence was observed in Chichaoua.Concerning lethality,the highest lethality incidence was observed in the Kelaa.Based on this study,we could distinguish three zones:low scorpion stings occurrence without death,high incidence with low lethality and high scorpion stings rate with high lethality.Conclusions:Our data clearly demonstrate the correlation between scorpion stings incidence and the percentage of rural population in the different provinces.Additionally,the lethality incidence could be linked to the scorpion species of the studied area.展开更多
Objective:To study the incidence and epidemiology of scorpion sting cases that were referred to the health services centers of Behbahan County,Khuzistan Province,southwestern Iran,during the two yeare(2007-2008).Metho...Objective:To study the incidence and epidemiology of scorpion sting cases that were referred to the health services centers of Behbahan County,Khuzistan Province,southwestern Iran,during the two yeare(2007-2008).Methods:In this descriptive retrospective research,the data has come from files of scorpion-stung patients referring to the health services centers of Behbahan during study period.A special scorpion sting sheet was prepared and completed for every case of scorpion sting.Analysis of 3441 case sheets received during this period was carried out.The frequencies of medical and entomo-epidemiologic parameters were turned to the percentage position.Results:A total of 3441 cases of scorpion stings were reported during the two-year period from 2007 to 2008.The average incidence of scorpion stings was 8.8‰in the two years.The frequency of cases was higher during August,September,June and July that 2056 cases of scorpion stings were reported.Most stings were occurred during summer.Nearly 51.3%of the cases were men.All cases had received antivenin.Majority of scorpion sting cases(56.5%)lived in the rural areas.The most common sting site was the hand.About 74.4%have received the antivenin 0-6 h after the sting.The early injection of the antivenin is very important.The most of the cases of scorpion stings(59%)were occurred by yellow scorpions.Conclusions:Surveillance for cases of scorpion stings must begin at all regions of Behbahan County.Treatment of cases of scorpion stings is conducted according to a protocol set by the Ministry of Health,Treatment and Medical Education.This protocol included directions for lines of treatment and the dose of antivenin recommended.Thereafter all cases are referred to hospital for further observation and management.展开更多
基金Supported by the Laboratory of Ecology and Environment L2E(CNRST,URAC 32,and CNERS)the National Centre for Studies and Research on the Sahara(Contract N°06/ERACNERS).
文摘Objective:To describe and compare the epidemiological features of scorpionism during six years(2005–2010)in two regions of Morocco:Marrakesh-Tensift-Al Haouz and Souss-Massa-Draa.Methods:Clinical and epidemiological data were obtained from medical records of the Moroccan Poison Control Center during 2005–2010.The data comprised demographics,sting characteristics and clinical severity classes.Digital maps were produced for envenomation and death incidence with the distribution of all scorpion species present on the studied area.Results:A total of 75313 scorpion sting cases were notified.The incidence of scorpion stings was 244 cases/100000 population/year and was significantly higher at Marrakesh-Tensift-Al Haouz than Souss-Massa-Draa.The general lethality rate was on an average of 0.28%with a higher rate in Marrakesh-Tensift-Al Haouz compared to Souss-Massa-Draa.There was a different distribution of cases between genders in the two studied regions.With respect to age groups,adults(more than 15 years)were affected most compared to children.When analyzed according to the incidence in each province,the highest envenomation incidence was observed in Chichaoua.Concerning lethality,the highest lethality incidence was observed in the Kelaa.Based on this study,we could distinguish three zones:low scorpion stings occurrence without death,high incidence with low lethality and high scorpion stings rate with high lethality.Conclusions:Our data clearly demonstrate the correlation between scorpion stings incidence and the percentage of rural population in the different provinces.Additionally,the lethality incidence could be linked to the scorpion species of the studied area.
基金Supported by Research Affairs of Ahvaz Jundishapour University of Medical Sciences with project number 87S51.
文摘Objective:To study the incidence and epidemiology of scorpion sting cases that were referred to the health services centers of Behbahan County,Khuzistan Province,southwestern Iran,during the two yeare(2007-2008).Methods:In this descriptive retrospective research,the data has come from files of scorpion-stung patients referring to the health services centers of Behbahan during study period.A special scorpion sting sheet was prepared and completed for every case of scorpion sting.Analysis of 3441 case sheets received during this period was carried out.The frequencies of medical and entomo-epidemiologic parameters were turned to the percentage position.Results:A total of 3441 cases of scorpion stings were reported during the two-year period from 2007 to 2008.The average incidence of scorpion stings was 8.8‰in the two years.The frequency of cases was higher during August,September,June and July that 2056 cases of scorpion stings were reported.Most stings were occurred during summer.Nearly 51.3%of the cases were men.All cases had received antivenin.Majority of scorpion sting cases(56.5%)lived in the rural areas.The most common sting site was the hand.About 74.4%have received the antivenin 0-6 h after the sting.The early injection of the antivenin is very important.The most of the cases of scorpion stings(59%)were occurred by yellow scorpions.Conclusions:Surveillance for cases of scorpion stings must begin at all regions of Behbahan County.Treatment of cases of scorpion stings is conducted according to a protocol set by the Ministry of Health,Treatment and Medical Education.This protocol included directions for lines of treatment and the dose of antivenin recommended.Thereafter all cases are referred to hospital for further observation and management.
