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Indian J Public Health. 2019 Apr-Jun;63(2):154-156. doi: 10.4103/ijph.IJPH_222_18.

Mortality due to mass Hymenoptera attacks: A serious but underrecognized public health problem in a mountainous state of India.

Author information

1
Professor and Head, Assistant Professor, Department of Nephrology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
2
Professor, Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Abstract

Most deaths related to Hymenoptera are a result of immediate hypersensitivity reactions causing anaphylaxis to one or few stings. However, if the patient is exposed to a large quantity of the venom due to mass/multiple stings, massive envenomation can cause death in nonallergic individuals. Thirty-nine cases of acute kidney injury (AKI) who followed mass attacks by Hymenoptera were seen over 15 years, with a reference period between 2003 and 2017. AKI was severe; most (85%) of them required dialysis and one-third died. Mass attacks by Hymenoptera have become a serious public health problem in tropics. There is no antivenom, and treatment in such cases is supportive. Early hospitalization is vital to reduce morbidity and mortality.

KEYWORDS:

Hymenoptera; mass envenomation; mortality; tropics

PMID:
31219067
DOI:
10.4103/ijph.IJPH_222_18
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