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CANNING SUBDIVISIONAL HOSPITAL 24-PARAGANAS( S), W.B.

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CANNING SUBDIVISIONAL HOSPITAL 24-PARAGANAS( S), W.B. Dr. Dayal Bandhu Majumdar www.kalachkrait.webs.com. Number of snake bites in 2012. Total Number : 1225. Non Venomous Bites : 1157. Venomous Bites : 68. Neurotoxic Bites : 65. Hemotoxic Bites: 3. Number of Deaths : 10.

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canning subdivisional hospital 24 paraganas s w b

CANNING SUBDIVISIONAL HOSPITAL24-PARAGANAS( S), W.B.

Dr. DayalBandhuMajumdar

www.kalachkrait.webs.com

number of snake bites in 2012
Number of snake bites in 2012.
  • Total Number : 1225.
  • Non Venomous Bites : 1157.
  • Venomous Bites : 68.
  • Neurotoxic Bites : 65.
  • Hemotoxic Bites: 3.
  • Number of Deaths : 10.
status of the hospital
Status of the HOSPITAL
  • 2nd tier Govt. Hospital.
  • Number of M.Os: 22.
  • All the M.Os are treating S.Bite Cases.
  • No ICU or ITU.
  • No Mechanical Ventilator.
  • No Dialysis unit.
  • Blood Bank for Whole Blood only.
  • No. Laboratory for 24 hrs coverage.
treatment policy
TREATMENT POLICY
  • By Syndromic approach only.
  • Snakes brought to Hospital: 30 only ( out of 1225 bites).
  • Vast individual variation on ASV Dosage.
  • Transferred to Kolkata for Mechanical Ventilation only.
  • 10 patients died before transfer.
cause of deaths
Cause of Deaths
  • Total Deaths ( in 2012) : 10.
  • Respiratory failure in all cases.
  • 7 due to terminal stage reporting.
  • 3 ( ? ) Due to ASV failure; all Krait bites.
asv brand used
ASV Brand USED
  • Free Supply from State Govt. Central Store.
  • Manufacturers :
  • Biological E.
  • VINS.
  • Bharat Serum.
asv reaction
ASV REACTION
  • Reaction in 3 cases only ( in 68).
  • No Death from Reaction.
  • One Bronchospasm.
  • Two Urticarial Rashes .
  • Preventive Adrenaline not used.
  • Reaction Managed without Inj. Adrenaline.
area covered
AREA COVERED
  • 8 Blocks of the Sunderban Area.
  • Population covered : 2 Million.
  • Mostly Primary cases.
  • Referred cases from Primary Health Centers also.
  • Door to Door Survey revealed 23% Hospital attendance only.
mysterious c krait
Mysterious C. Krait
  • 80% of the Venomous S. Bites.
  • 100% in the Floor Bed ( in Night).
  • 95% Presented with Pain Abdomen.
  • Other Symptoms: Vomiting, fainting Attack, Arthalgia. Hemiperesis or quadriperesis.
  • No H/O Bite in many cases.
  • All had Bilateral ptosis in different times.
exceptions
Exceptions
  • Very few Russell’s Viper in the area.
  • No Spectale Cobra ( NajaNaja).
  • All Cobras are NajaKauthia.
  • Plenty of Common Kraits(Bungaruscaeruleus).
  • No Banded Krait ( BungarusFasciatus).
  • No Sawscled Vipers.
green pit vipers
GREEN PIT VIPERS
  • Present only in the islands of Sunderbans.
  • Practically non-venomous.
  • Causes local swellings only.
slide14

THANK YOU

www.kalachkrait.webs.com

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