Scorpion bites in the district of Sidi Bouzid: epidemiological study and organization of control
Saidi, M.; el Fahem, A.; Ben Abdellah, N.
La Tunisie Medicale 71(5): 269-272
1993
ISSN/ISBN: 0041-4131 PMID: 8212346 Document Number: 421452
In the Sidi Bouzid district of Tunisia envenomation by Androctonus and Buthus scorpions is very common and affects about 2% of the population, with 14-20 deaths every year. Analysis of the records shows that in 1988 most stings were on the legs and occurred during the night in the hot summer season when the scorpions are active. The most severe symptoms were shown by the very young, those stung on the head or neck and patients whose treatment had been delayed. The regional health-care service has now established a system of collection points to expedite the treatment of cases in remote areas. These points are staffed by trained "agents de renfort" drawn from the local communities, who are supplied with transport, hydrocortisone, syringes and needles so that every case can be treated promptly and, if necessary, taken to a health centre where scorpion antivenom and supportive treatment are available. Attempts are also being made to increase awareness of the dangers of scorpion stings. [These are all sensible, practical and economical measures for dealing with a rural problem.] L.G. Goodwin.