Are there snakes in bhutan
With her wildlife rehabilitation studies knowledge, Jamie nursed the snake for four nights and five days until she released it into the wild on 24 April, last week. She was put through to Jigme Tshelthrim Wangyal. Snakes in Bhutan are usually killed by farmers as and when spotted in homes, fields or along footpaths and roads. Some have superstitious beliefs that the same snake would return to take human lives if spared.
Jamie, in her early thirties who has spent years of her life dedicated to ease the sufferings of the many stray animals which end up run-down by vehicles, or just exposed to the cruel elements which devour them in the most horrid manners work tirelessly for the survival of all the resident animals despite acute financial constraints. She has altruistically taken up the self-chosen duty to care and share for two hundred animals in a shelter in Lango, Paro which is almost a five years old facility.
She moved to Paro in Your email address will not be published. Save my name, email, and website in this browser for the next time I comment. We would like to thank Arjun Nepal and Tulashi Ghale for helping in data collection from Samtse and Sarpang, respectively.
Suggestions from Dr. Amod Ghimire and Geoff Coombe were helpful in shaping the questionnaires. Sangay Wangchuk, Dr. Kaka Tshering, and Dechen Tshomo of Ugyen Wangchuck Institute for Conservation and Environmental Research for providing guidance to obtain research grant to conduct field studies, planning logistic during data collection, and applying for route permit to travel to various hospitals in the study area.
The time given by all respondents in this study is highly appreciated. Abstract Background Published information on snakebite is rare in Bhutan although remarkably higher number of snakebites and associated deaths are reported from other South Asian countries.
Aims and methodology Structured questionnaire was used to collect knowledge of health workers in snakebite management and health seeking behavior of snakebite victims as observed by health workers. Conclusion Health workers lack confidence in snakebite management. Author summary Snakebites affect people globally including Bhutan and snakes are source of fear and excitement.
Introduction Rural, agro-based livelihood of Asian and African community contributes to increased snake—human interactions [ 1 ]. Methods We conducted multi-center study to access level of knowledge of health workers using structured questionnaire S1 File.
Download: PPT. Fig 1. Study Dzongkhags with average annual percent of snakebite cases reported in each Dzongkhag per year in Bhutan. Statistical method Scores for individuals were recorded and summed in MS Excel spreadsheets.
Inclusion and exclusion criteria We selected nurses and medical staff engaged in emergency department of sampled health institutions. Table 1. Age, professional experience, and snakebite case managed by health worker. Table 9. Responses on a query about lab test applicable for snakebites. Table Fig 2. Mean of score by the source of expertise with an error bar. Fig 3. Plastic rope used as a tight tourniquet by a patient brought to Phuntsholing General Hospital.
Fig 4. Shiny fluid is honey applied by a patient brought to Phuntsholing General Hospital. Discussion Snake-human conflicts cause hundreds of snakebites which are emergency medical conditions in Bhutan.
Health seeking behavior Consumption of Artemisia extract in snakebite treatment is unique and was sighted in a case at Phuntsholing General Hospital. Limitations of the study We were ignorant about the level of knowledge of care givers in remote areas of Bhutan. Conclusion The level of knowledge of health workers in Bhutan on snake identification and snakebite management was inadequate. Supporting information. S1 File. Structured Questionnaire used in survey. S2 File. Informed Consent Form.
S1 Table. Socio-demographic features of respondents. S2 Table. Cross tabulation of socio-demographic variables with level of knowledge. S3 Table. Difference in mean score among Dzongkhags. S4 Table. S5 Table. ANOVA of knowledge score among different source of expertise. S6 Table. Mean Score by years of experience. S7 Table. Mean score by age. S8 Table. Mean Score per averaged number of snakebite managed by health workers. S1 Fig. Boiga multifasciata Photo by Sunil Sapkota. S2 Fig. Ptyas mucosa Photo by Sunil Sapkota.
S3 Fig. Bungarus fasciatus Photo provided by Vivek Sharma. S4 Fig. Daboia russelii Photo provided by Vivek Sharma. S5 Fig. Trimeresurus albolabris Photo Provided by Narayan Sapkota. S6 Fig. Amphiesma stolatum Photo by Sunil Sapkota.
S7 Fig. Amphiesma platyceps Photo by Sunil Sapkota. S8 Fig. Python molurus bivittatus Photo by Sunil Sapkota. S9 Fig. Bangarus niger Photo by Sunil Sapkota. S10 Fig. Ptyas nigromarginata Photo by Sunil Sapkota. S11 Fig. Naja kaouthia Photo by Sunil Sapkota. S12 Fig. Xenochrophis piscator Photo by Sunil Sapkota.
S13 Fig. Oligodon juglandifer Photo by Sunil Sapkota. S14 Fig. Rhabdophis subminiatus Photo by Narayan Sapkota. S15 Fig. Pseudoxenodon macrops Photo by Sunil Sapkota. S16 Fig. Ovophis monticola Photo by Dhan B. S17 Fig. Naja naja Photo provided by Vivek Sharma. S18 Fig. Lycodon aulicus Photo by Sunil Sapkota. S19 Fig. Ophiophagus Hannah Photo by Sunil Sapkota. S20 Fig. Bangarus lividus Photo downloaded from raptilefacts.
References 1. Warrell DA. Guidelines for the management of snake-bites. View Article Google Scholar 2. Guidelines of Management of Snake bite. Sapkota S. Knowledge of health workers, health seeking behavior of snakebite victims and retrospective study of snakebites in Bhutan. Royal University of Bhutan. View Article Google Scholar 4.
J Threat Taxa. View Article Google Scholar 5. Population and Housing Census of Bhutan. Available from: www. Department of Forest and Park Services. Bhutan National Forest Inventory Report. Wangyal JT. The status of herpetofauna of Bhutan. J Bhutan Ecol Soc. View Article Google Scholar 8. Tshewang S, Letro L. View Article Google Scholar 9. Reptiles of Bhutan. Punakha: College of Natural Resources; Herpetol Notes.
View Article Google Scholar Elsevier; Ministry of Health. Annual Health Bulletin Guidelines for the management of snake bites. Chippaux J-P. WHO Guidelines for the production, control and regulation of snake antivenom immunoglobulins. Clinical review Treatment of bites by adders and exotic venomous snakes. The timing is right to end snakebite deaths in South Asia. Snake bite in south asia: A review. J Curr Adv Med Res. Vulnerability to snakebite envenoming: a global mapping of hotspots.
Snakebite envenoming. In: Factsheet [Internet]. Wilderness Environ Med. Snake envenoming: A disease of poverty. Assessment of knowledge about snakebite management amongst healthcare providers in the provincial and two district hospitals in Savannakhet Province, Lao PDR.
Nagoya J Med Sci. Stemmett G, Van Vuuren M. Knowledge and management of snake bite by general practitioners in rural Free State and Northern Cape. South African Fam Pract. A survey of snakebite management knowledge amongst select physicians in hong kong and the implications for snakebite training. Simpson ID. A study of the current knowledge base in treating snake bite amongst Doctors in the high-risk countries of India and Pakistan: does snake bite treatment training reflect local requirements?
Inclusion of incorrect information on snakebite first aid in school and university teaching materials in Nepal. Knowledge of venomous snakes, snakebite first aid, treatment, and prevention among clinicians in northern Nigeria: A cross-sectional multicentre study. Health seeking behavior following snakebites in Sri Lanka: Results of an island wide community based survey. Impact of snake bites and determinants of fatal outcomes in Southeastern Nepal.
Am J Trop Med Hyg. Adv Clin Toxicol. Impact of first aid training in management of snake bite victims in Madi valley. J Nepal Health Res Counc. Pandey D. Pandey DP. Epidemiology of snakebites based on field survey in Chitwan and Nawalparasi districts, Nepal.
J Med Toxicol. Healthcare-seeking behaviour and use of traditional healers after snakebite in Hlabisa sub-district, KwaZulu Natal.
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