162 Access to a Health Care Facility Impacts Mortality in Brazilian Snake Envenomation: A Geospatial Information Systems Analysis

Annually, snake envenomation causes 95,000 deaths and 400,000 permanent disabilities worldwide with low- and middle-income countries suffering the greatest burden. People with the greatest risk of envenomation and resultant morbidity and mortality lack access to adequate health care, including treatment with antivenom. In Brazil between 2001 and 2012, 28% of the 1,192,667 injuries and 54% of 2,664 deaths from terrestrial venomous animals were attributed to snake envenomation. While the majority of envenomations across the country are from the genus Crotalinae, time to treatment varies within and between Brazil's five geographical regions.

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