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...
Main Authors: | , , , , , , |
---|---|
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 |