African Society of Toxinology: a new opportunity for integrating the control of envenomations in Africa

Chippaux, J. P

In Africa, snakebites and scorpion stings have long been oppressive for indigenous peoples, frightening for foreign travelers and confusing for medical personnel... In many tropical countries, studies were performed to assess the importance and management of envenomations. Since the 18th century, many works have addressed Indian venomous snakes and treatment of their bites (1, 2). In Brazil, studies began in the late 19th century (3). In Africa, apart from some systematic zoological studies in the early or mid 20th century, sustained research commenced mainly after the end of the colonial era (4-8). However to date, the incidence and mortality in Africa remain poorly known, limiting the organization of management and prediction of therapeutic needs (9). The development of research on venomous animals, venoms and envenomation truly started in North Africa in the 1960s, followed in sub-Saharan Africa in the early 1970s. The number of published studies increased significantly over the past decade, particularly with regard to sub-Saharan Africa. Considering the publications indexed in major bibliographic databases either printed (Bulletin de l'Institut Pasteur since 1903, Tropical Diseases Bulletin since 1912, Bulletin Signalétique du CNRS since 1940) or online (Pascal since 1971, Medline since 1972), the number of publications, excluding books, increased almost fivefold compared to the 1970s showing the emergence of the first African teams involved in research toxinology (Figure 1). However, publishing articles is highly dependent on congresses which are opportunities to present works completed by researchers and explain why the level of publications is so irregular from one year to the next... In addition, it should be emphasized that the clinical and epidemiological studies represent more than two thirds of published works.(AU)