Snakebites in Tamil Nadu, India

  • Rajendiran Chinnasamy
  • Senthilkumaran Subramanian
  • Thirumalaikoluandusubramanian Ponniah
Reference work entry
Part of the Toxinology book series (TOXI, volume 2)


Snakebite is prevalent all over India including the state of Tamil Nadu. It is observed in all ages and more among men and women involved in agricultural and plantation works. Often encountered snakebites in Tamil Nadu are in the order of viper group, krait, and cobra. Sea snake bites are extremely rare.

The challenges faced by the state toward the management of snakebite were related to community, policy, transport, governance, and therapy. The government has overcome these challenges through the Tamil Nadu Health Systems Project. The health-care professionals and providers were trained to provide appropriate treatment and care. The success was evidenced by early health-seeking behavior; provision of free transport facilities and specific treatment at primary, secondary, and tertiary health institutions as per guidelines; reduced bite-to-needle time, referral rate, morbidity, and mortality; and increased consumption of anti-snake venom. During the period April 2011 to March 2013, the overall referral rate and death rate were 3–5 and 0.6 % respectively in non-teaching hospitals/health centers, and consumption of anti-snake venom of the state during that period was 435,815 vials (10 ml). The services and supply of materials toward treatment are monitored at district and state level, and difficulties or deficiencies encountered were rectified.

The symptoms, signs, complications, diagnostic aspects, treatment, snakebite in special situations including pregnancy, prevention, community aspects, and futurology are discussed. The political commitment, effective bureaucracies, and good governance at health department have saved the lives of many snakebite victims.


Venomous Snake Snake Bite Snake Envenom Tamil Literature Antivenom Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Rajendiran Chinnasamy
    • 1
    • 2
  • Senthilkumaran Subramanian
    • 3
  • Thirumalaikoluandusubramanian Ponniah
    • 4
  1. 1.Institute of Internal MedicineMadras Medical College and Rajiv Gandhi Government General HospitalChennaiIndia
  2. 2.Billroth HospitalsChennaiIndia
  3. 3.Department of Emergency and Critical Care MedicineSri Gokulam Hospitals and Research InstituteSalemIndia
  4. 4.Department of Internal MedicineChennai Medical College Hospital and Research CentreTrichirapalliIndia

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