01767nas a2200241   4500000000100000008004100001260001200042653002700054653000900081653002400090653002600114653001400140653002600154100001900180700001300199700001600212245005000228856022000278300001100498490000900509520099300518022001401511       2021                            d  c07/202110aChronic health effects10aCost10aPhysical disability10aPsychological effects10aSnakebite10aSocio-economic burden1 aKasturiratne A1 aLalloo D1 ade Silva JH00aChronic health effects and cost of snakebite.  uhttps://reader.elsevier.com/reader/sd/pii/S2590171021000102?token=38F86F902FCB3A146EF3D3862EA26FBF24C3B58C6A869946FA28DD5DC1BE2B4627239037DAE20807F7844FD43EE658AA&originRegion=eu-west-1&originCreation=20210809085522  a1000740 v9-103 a<p>The burden of disability among survivors and the socio-economic impact of snakebite have not been adequately researched. We reviewed original research articles, case reports and small case series relating to chronic physical, mental and psycho-social disability and economic burden of snakebite. Both physical and psychological health problems seem common in snakebite survivors and can lead to disability and loss of productivity. Chronic physical health effects, musculoskeletal disability being the commonest, can be largely attributed to limited and delayed access to optimal treatment of acute envenoming. The economic burden is considerable, and includes health system costs, out-of-pocket expenditure and opportunity costs, with regional variations. Health systems should be more responsive to needs and circumstances of bite victims, and a more holistic approach should be developed in the treatment of snakebite which incorporates the management of chronic health effects.</p>  a2590-1710