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Summary Report Report submitted: January 2020 Summary Report for the High Level Meeting and Workshop on Snakebite in Nepal: The Challenges and the Needs 2-3 August 2019, Kathmandu, NEPAL Name of High Level Meeting and Workshop on Snakebite in Nepal: conference The Challenges and the Needs Theme Preparing for a Nepal where no one dies from snakebite Dates 2-3 August, 2019 Location, The inaugural ceremony was held at the Nepal Presidential Palace, venue Shital Niwas, Maharajgunj, Kathmandu, NEPAL on 2 August. The conference proper was held at the Hotel de l’Annapurna, Durbar Marg, Kathmandu, 2-3 August. Motivation This high-level meeting and workshop was a needs-driven first attempt to bring together all of the relevant players both from the global stage as well as from Nepal’s health community and ministries in the Government of Nepal. The purpose was to bring awareness among medical practitioners, policy makers, and the media to address the challenges of treatment and prevention of envenoming by snakes. The first day was a high-level consultative meeting and the second day workshop was dedicated to presentations and discussion. This conference gave a much-needed voice to those in danger of snakebite in Nepal and also reflected a global trend supported by the 71st World Health Assembly. In May 2018, the Assembly adopted a resolution formally providing the World Health Organization with a strong mandate to develop a comprehensive plan to support countries in implementing measures for access to effective treatment for those who get bitten by venomous snakes. Organizers Society of Internal Medicine of Nepal (SIMON), Snakebite Research Centre of the BP Koirala Institute of Health Sciences (Dharan), the Government of Nepal, Ministry of Health and Population the Epidemiology and Disease Control Division (EDCD). Conference Dr. Sanjib Kumar Sharma, Professor and Head of Internal Medicine, BP Koirala convener Institute of Health Sciences Dharan, Nepal, WHO Snakebite Envenoming Working Group; Board of Directors, Global Snakebite Initiative; Head of the Snakebite Research Centre BPKIHS, Dharan Conference Dr Isabella C Bassignana Khadka PhD, Rotary Club of Kathmandu Mid-Town, Coordinator Kathmandu, Nepal. Conference See this website for full conference details: http://snakebitenepal.org/ Web page The conference was also present on Facebook at: https://www.facebook.com/Snake-Bite-Nepal-2334263546811297/ Media Several Kathmandu-based media organizations covered the event. In addition to Coverage social media (Annex 1) and print media (Annex 2) Dr Sanjib Kumar Sharma was also interviewed by Dr Sameer Mani Dixit for the popular TV Talk show Good Morning Nepal and is available on Utube (https://www.youtube.com/watch?v=PiTB333ZaSo) with a recent total of 3.39K views. Summary Report for the High Level Meeting and Workshop on Page 1 of 49 Snakebite in Nepal: The Challenges and the Needs 2-3 August, Kathmandu, NEPAL About the The inaugural ceremony was graciously hosted by Hon’ble President of Nepal, inaugural Bidhya Devi Bhandari, at the Presidential Palace, Rastrapati Bhawan. Over 250 ceremony people attended the event; the hall was filled to capacity with standing room only. At the event, short speeches conveyed the main messages. See Annex 3. All major stakeholders attended the event. The audience consisted of: members of the diplomatic core (including Swiss Ambassador HE Ms Elizabeth von Capeller, Australian Ambassador HE Mr Peter Budd, the German Deputy Chief of Mission, among others); the Head of the WHO Nepal (Dr Jos Vandelaer); guest and international speakers as well as many regional experts from India; Ministry of Health and Population officials (about 20-25% of the audience) including the Health Minister Province Two, the Rotary District Governor and other District Officials as well as members of the Rotary Club of Kathmandu Mid-Town); environmental groups, wildlife and snake enthusiasts; representatives from the Nepal Army (including Gen. Sunil Kumar Singh and others); the Red Cross; medical doctors from Kathmandu, and the 45 young medical professionals Travel Grant recipients. Photo taken at the Inaugural Event. Front row (left to right): SIMON President Dr. Mahesh Raj Sigdel; Hon’ble Mohammad Lalbabu Raut, Chief Minister Province Two; Hon’ble President of Nepal Bidhya Devi Bhandari; and, Conference Convener Dr Sanjib Kumar Sharma. Back row: international and regional invited guests and speakers. Summary Report for the High Level Meeting and Workshop on Page 2 of 49 Snakebite in Nepal: The Challenges and the Needs 2-3 August, Kathmandu, NEPAL Who See Annex 7 for a full list of the conference participants. participated in the Some 20 international and regional experts on snakebite including: renowned conference? expert Prof. David Warrell (Oxford, UK), Prof David Williams (WHO Snakebite Roadmap and Chairman and Chief Executive Officer of the Global Snakebite Initiative), experts from India, Bangladesh, Germany, WHO, and many more. See profiles of invited speakers in Annex 5. 173 Nepali participants registered, consisting of: Nepal government officials: many policy makers from the Ministry of Health and other government agencies. Representatives from the Nepal Army, the Nepal Red Cross, and the Nepal Office of the World Health Organization. Representatives from several animal and wildlife organizations. 45 young medical doctors and paramedics from the Terai region. These are the hard working first responders, our front-line workers, who deal with the consequences of snakebite on a daily basis. Medical doctors and medical students from Kathmandu area who have an interest in expanding their understanding of the different aspects of the snakebite problem. This photo shows Prof David Warrell giving the conference keynote address at the Hotel de l’Annapurna. Summary Report for the High Level Meeting and Workshop on Page 3 of 49 Snakebite in Nepal: The Challenges and the Needs 2-3 August, Kathmandu, NEPAL Travel grants The conference was able to fund 45 modest travel grants (25,000 Npr) for young for young medical officers from the snakebite-prone areas in the south to allow them to medical travel to Kathmandu to attend the conference. The Travel Grants were funded officers in-part by members of the Rotary Club of Kathmandu Mid-Town, by the Rotary Club of Higashi-Osaka Nishi (Japan) and by Gov. of Australia through the Embassy in Kathmandu. The young recipients were especially interested and grateful to have been included. See Annex 7 for full list of names. Photo of Travel Grant recipients with international speakers and conference organizers. What In an innovative approach to medical education, the organizers were able to additional arrange that the medical students who participated could be awarded 9.33 CPD benefit did points by the Nepal Medical Council. This is a new approach to enhancing and these young enriching the breadth of medical education in Nepal. doctors receive? Certificate of participation Summary Report for the High Level Meeting and Workshop on Page 4 of 49 Snakebite in Nepal: The Challenges and the Needs 2-3 August, Kathmandu, NEPAL Who helped to Civil society and international goodwill rallied for this occasion. Many groups fund the expressed their goodwill and concern for the poorest people of Nepal by meeting? generously donating to help run the conference, these included the following: Government of Australia: For the past three years the Government of Australia (through Direct Aid Program) has partnered with the BP Koirala Institute of Health Sciences (Dharan) to train doctors and paramedics in snakebite treatment and they have also contributed significantly to this conference. Travel for two Australian scientists (Prof David Williams and Ms Diana Barr from the Univ. of Melbourne) was sponsored through the Australian Public Diplomacy fund and they also contributed to supporting some Travel Grants. The Swiss Agency for Development and Cooperation (SDC) has had a long-standing interest in helping to eradicate the problem of snakebite in Kathmandu. A few years ago they funded the first publication on identifying poisonous snakes in Nepal and they again contributed generously to this meeting. The Grande City Hospital (through generous contribution by Founder Dr. Roop Jyoti) has been a partner and notable donor since the early days of planning for this meeting; they are committed to help solve the problem of snakebite in Nepal. The Rotary Club of Kathmandu Mid-Town and the Rotary Club of Higashiosaka Nishi (Japan) have contributed to funding travel grants for young Terai-based doctors and paramedics. Similarly, the BP Koirala Foundation (Government of India) sponsored two India-based researchers to attend. Many more assisted through corporate social responsibility, such as VINS Bioproducts, Hotel Annapurna, Osho Travel and Tours to name a few. A copy of the poster on display at the Hotel de l’Annapurna during the conference Aug. 2-3, 2019 Summary Report for the High Level Meeting and Workshop on Page 5 of 49 Snakebite in Nepal: The Challenges and the Needs 2-3 August, Kathmandu, NEPAL Scientific The conference format consisted of both traditional lectures (followed by program questions) as well as ‘workshop’ sessions in which questions/comments and interactive dialog between the invited speakers and the participants was encouraged. Please see Annex 4 for the detailed program, Annex 5 for profile of invited speakers, and Annex 6 for the submitted abstracts. Conference Throughout the two days of the conference