Venomous snakebite risk and its implications in Zacatecas State, Mexico 2007-2017

Zacatecas is a Mexican state from where there are few studies about biodiversity, venomous ophidians and people's experience of snakebites. In the state, there are 12 species of venomous snakes distributed in three genera: Crotalus, Micruroides and Micrurus, which could represent some risk for the locals. The objective of this study was to make use of Geographic Information Systems (GIS) and programming to determine the relationship between population variables and the number of snakebites registered by the Zacatecas Health Services (SSZ) from 2007 to 2017 at the municipal level. Climatic, social and biological variables were used to gain a better understanding of the situation. It was found that men working in livestock breeding, agriculture, subsistence hunting or mining are more vulnerable, especially if older than 65. The municipalities of Concepción del Oro, Villa de Cos, El Plateado de Joaquín Amaro, Loreto and Ojocaliente exhibit the highest risk, while special monitoring must be conducted in Guadalupe, Fresnillo and Zacatecas due to their high population density, as well as in Valparaíso on account of its rich venomous ophidian fauna. Additionally, it is suggested to carry out preventive actions and detailed data gathering about snakebites to guarantee information quality. This study constitutes the first formal, detailed work about the epidemiological panorama of envenoming caused by the bite of a snake (ophidiotoxicosis) in Zacatecas from which further investigation and modelling may derive.