A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming

Snakebite envenoming is a common but neglected public health problem, particularly in impoverished rural regions of sub-Saharan Africa, Asia and Latin America. The only validated treatment for this condition is passive immunotherapy with safe and effective animal-derived antivenoms. However, there i...

Full description

Bibliographic Details
Main Authors: José María Gutiérrez, Thierry Burnouf, Robert A Harrison, Juan J Calvete, Ulrich Kuch, David A Warrell, David J Williams
Format: Article
Language:English
Published: The World Health Organization 2014-07-01
Series:Bulletin of the World Health Organization
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862014000700526&lng=en&tlng=en
_version_ 1797284159469649920
author José María Gutiérrez
Thierry Burnouf
Robert A Harrison
Juan J Calvete
Ulrich Kuch
David A Warrell
David J Williams,
author_facet José María Gutiérrez
Thierry Burnouf
Robert A Harrison
Juan J Calvete
Ulrich Kuch
David A Warrell
David J Williams,
author_sort José María Gutiérrez
collection DOAJ
description Snakebite envenoming is a common but neglected public health problem, particularly in impoverished rural regions of sub-Saharan Africa, Asia and Latin America. The only validated treatment for this condition is passive immunotherapy with safe and effective animal-derived antivenoms. However, there is a long-lasting crisis in the availability of these life-saving medications, particularly in sub-Saharan Africa and parts of Asia. We herein advocate a multicomponent strategy to substantially improve the availability of safe and effective antivenoms at the global level. This strategy is based on: (i) preparing validated collections of representative venom pools from the most medically dangerous snakes in high-risk regions of the world; (ii) strengthening the capacity of national antivenom manufacturing and quality control laboratories and their regulatory authorities and establishing new facilities in developing countries through technology transfer, as an integral part of efforts to develop their biological products industry; (iii) getting established laboratories to generate antivenoms for various regions of the world; and (iv) getting governments and relevant organizations to give snakebite envenoming due recognition within national and international public health policy frameworks. These ways of making antivenom available should be complemented by actions to improve health information systems, the accessibility of antivenoms, the training of medical and nursing staff, and community-based education. Such a multicomponent strategy involving stakeholders on many levels could help consolidate sustainable improvements in antivenom availability worldwide.
first_indexed 2024-03-07T17:44:02Z
format Article
id doaj.art-920f37f407864abc854b7a3e8cefa473
institution Directory Open Access Journal
issn 0042-9686
language English
last_indexed 2024-03-07T17:44:02Z
publishDate 2014-07-01
publisher The World Health Organization
record_format Article
series Bulletin of the World Health Organization
spelling doaj.art-920f37f407864abc854b7a3e8cefa4732024-03-02T15:24:15ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862014-07-0192752653210.2471/BLT.13.132431S0042-96862014000700526A multicomponent strategy to improve the availability of antivenom for treating snakebite envenomingJosé María GutiérrezThierry BurnoufRobert A HarrisonJuan J CalveteUlrich KuchDavid A WarrellDavid J Williams,Snakebite envenoming is a common but neglected public health problem, particularly in impoverished rural regions of sub-Saharan Africa, Asia and Latin America. The only validated treatment for this condition is passive immunotherapy with safe and effective animal-derived antivenoms. However, there is a long-lasting crisis in the availability of these life-saving medications, particularly in sub-Saharan Africa and parts of Asia. We herein advocate a multicomponent strategy to substantially improve the availability of safe and effective antivenoms at the global level. This strategy is based on: (i) preparing validated collections of representative venom pools from the most medically dangerous snakes in high-risk regions of the world; (ii) strengthening the capacity of national antivenom manufacturing and quality control laboratories and their regulatory authorities and establishing new facilities in developing countries through technology transfer, as an integral part of efforts to develop their biological products industry; (iii) getting established laboratories to generate antivenoms for various regions of the world; and (iv) getting governments and relevant organizations to give snakebite envenoming due recognition within national and international public health policy frameworks. These ways of making antivenom available should be complemented by actions to improve health information systems, the accessibility of antivenoms, the training of medical and nursing staff, and community-based education. Such a multicomponent strategy involving stakeholders on many levels could help consolidate sustainable improvements in antivenom availability worldwide.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862014000700526&lng=en&tlng=en
spellingShingle José María Gutiérrez
Thierry Burnouf
Robert A Harrison
Juan J Calvete
Ulrich Kuch
David A Warrell
David J Williams,
A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
Bulletin of the World Health Organization
title A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
title_full A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
title_fullStr A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
title_full_unstemmed A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
title_short A multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
title_sort multicomponent strategy to improve the availability of antivenom for treating snakebite envenoming
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862014000700526&lng=en&tlng=en
work_keys_str_mv AT josemariagutierrez amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT thierryburnouf amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT robertaharrison amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT juanjcalvete amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT ulrichkuch amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT davidawarrell amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT davidjwilliams amulticomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT josemariagutierrez multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT thierryburnouf multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT robertaharrison multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT juanjcalvete multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT ulrichkuch multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT davidawarrell multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming
AT davidjwilliams multicomponentstrategytoimprovetheavailabilityofantivenomfortreatingsnakebiteenvenoming