International Journal of Environmental Research and Public Health Article Snakebites in Rural Areas of Brazil by Race: Indigenous the Most Exposed Group Maria Cristina Schneider 1,2,* , Myriam Vuckovic 1, Lucia Montebello 3, Caroline Sarpy 1, Quincy Huang 1, Deise I. Galan 1, Kyung-Duk Min 4, Volney Camara 2 and Ronir Raggio Luiz 2 1 Department of International Health, School of Nursing and Health Studies, Georgetown University, Washington, DC 20057, USA;
[email protected] (M.V.);
[email protected] (C.S.);
[email protected] (Q.H.);
[email protected] (D.I.G.) 2 Institute of Collective Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro 21941-598, RJ, Brazil;
[email protected] (V.C.);
[email protected] (R.R.L.) 3 Department of Immunization and Transmissible Diseases, Ministry of Health of Brazil, Brasilia 70723-040, DF, Brazil;
[email protected] 4 Institute of Health and Environment, Graduate School of Public Health, Seoul National University, Seoul 08826, Korea;
[email protected] * Correspondence:
[email protected]; Tel.: +1-240-4912444 Abstract: Animal stings are environmental hazards that threaten millions annually and cause a significant socioeconomic impact. Snakebite envenoming affects 2.7 million people globally every year, mostly the poorest and rural communities, with approximately 27,000 annual cases in Brazil. This study’s objective is to identify the most exposed racial group for snakebites in rural areas of Citation: Schneider, M.C.; Vuckovic, Brazil and analyze possible differences in the outcome of an accident. A retrospective epidemiological M.; Montebello, L.; Sarpy, C.; Huang, study was conducted using a database of rural snakebite cases from Brazil’s Ministry of Health Q.; Galan, D.I.; Min, K.-D.; Camara, (2017).