Jaideep Menon, Omesh Kumar Bharti, M S Aravind, Himmatrao Saluba Bawaskar, Amarendra Mohapatra, Dileep Punde, Rahul Gajbhiye, B. N. Mohapatra, Chakradhar Majhi, Vikas Dhikav, M. Bhaskar, SunilKumar Raina, Sadanand Raut, Smita D. Mahale, Hrishikesh Munshi, Paramjeet Singh, Arun Joshi, Sadhana Awasthi, Subhash Chandra Bahuguna, Rajendra Kumar Soni, Arunabha Dasgupta, Subrata Baidya, Rajesh Sood, Rajesh Guleri, Dinesh Kumar, Suresh Yadav, Ramesh Kumar Sangwan, Joseph K. Joseph, P. V., Parul Tanwar, Sreekrishnan T. P, Sabarish B Nair, Siddhartha Debbarma, Surya K Sharma, Dipankar Biswas, Kaustubh Bora, Jagadish Mahanta, Swati Patki, Vanlalduhsaki Ralte, Mimi Ngente, Hmar Tlawmte Lalremsanga, Tana Takum, Nabam Peter, Taso Beyong, Joy Kumar Chakma, Geetha Menon, Rupinder Singh Dhaliwal, Swati Allen, Denny John, Priyanka Kadam, Srikanta Kanungo, Sanghamitra Pati
Snakebite, a neglected tropical disease is a major cause of mortality and morbidity in India, despite which reliable nationwide data are limited. To address this, we carried out a survey in 25 districts across 11 states, covering a 60 million population. The community-based study was led by frontline health workers who tracked cases and deaths, while field teams collected details on the bite, the type of snake, treatment received, and costs. Data were gathered continuously for a one-year period. Here we show that 7,094 snakebite cases were recorded, with a mortality rate of 0.33 per 100,000 population. Nearly half of the reported deaths occurred outside hospital settings. Bites were most common in males (64.1%), adults aged 30–39 years (20.9%), and during the monsoon season (62.1%). Most victims (86.4%) sought hospital care, 60.2% received anti-snake venom, and 17.2% experienced side effects to the anti-venom. Treatment placed a heavy financial burden on families; average out-of-pocket expenditure was INR 6,500, with higher costs in private hospitals (INR 27,400) compared to public facilities (INR 3,900). And 47.5% of the victims belonged to households below the poverty line. These findings show that faster access to hospitals, improved anti-venoms, and health insurance are urgently needed to prevent avoidable deaths. Snakebite envenoming is a significant public health problem in India, particularly in rural tropical and subtropical regions. Here, the authors report findings from a community-based cross-sectional study in India on the incidence, clinical outcomes, and costs associated with snake bites.