CANNING SUBDIVISIONAL
HOSPITAL
24-PARAGANAS( S), W.B.
Dr. Dayal Bandhu Majumdar
www.kalachkrait.webs.com
Number of snake bites in 2012.
Total Number : 1225.
Non Venomous Bites : 1157.
Venomous Bites : 68.
Neurotoxic Bites : 65.
Hemotoxic Bites: 3.
Number of Deaths : 10.
TREATMENT PROTOCOL
Status of the HOSPITAL
2nd tier Govt. Hospital.
Number of M.Os: 22.
All the M.Os are treating S.Bite Cases.
No ICU or ITU.
No Mechanical Ventilator.
No Dialysis unit.
Blood Bank for Whole Blood only.
No. Laboratory for 24 hrs coverage.
TREATMENT POLICY
By Syndromic approach only.
Snakes brought to Hospital: 30 only
( out of 1225 bites).
Vast individual variation on ASV
Dosage.
Transferred to Kolkata for
Mechanical Ventilation only.
10 patients died before transfer.
Cause of Deaths
Total Deaths ( in 2012) : 10.
Respiratory failure in all cases.
7 due to terminal stage reporting.
3 ( ? ) Due to ASV failure; all Krait
bites.
ASV Brand USED
Free Supply from State Govt.
Central Store.
Manufacturers :
1) Biological E.
2) VINS.
3) Bharat Serum.
ASV REACTION
Reaction in 3 cases only ( in 68).
No Death from Reaction.
One Bronchospasm.
Two Urticarial Rashes .
Preventive Adrenaline not used.
Reaction Managed without Inj. Adrenaline.
AREA COVERED
8 Blocks of the Sunderban Area.
Population covered : 2 Million.
Mostly Primary cases.
Referred cases from Primary Health
Centers also.
Door to Door Survey revealed 23%
Hospital attendance only.
COMMON KRAIT
Mysterious C. Krait
80% of the Venomous S. Bites.
100% in the Floor Bed ( in Night).
95% Presented with Pain Abdomen.
Other Symptoms: Vomiting, fainting
Attack, Arthalgia. Hemiperesis or
quadriperesis.
No H/O Bite in many cases.
All had Bilateral ptosis in different
times.
Exceptions
Very few Russell’s Viper in the area.
No Spectale Cobra ( Naja Naja).
All Cobras are Naja Kauthia.
Plenty of Common Kraits(Bungarus
caeruleus).
No Banded Krait ( Bungarus Fasciatus).
No Sawscled Vipers.
GREEN PIT VIPERS
Present only in the islands of Sunderbans.
Practically non-venomous.
Causes local swellings only.
www.kalachkrait.webs.com