Demographic and epidemiological characteristics of scorpion envenomation and daily forecasting of scorpion sting counts in Touggourt, Algeria.

Kaouthar Boubekeur,Mohamed L'Hadj,Schehrazad Selmane

doi:10.4178/epih.e2020050

Abstract

OBJECTIVESThis study was conducted to provide better insights into the demographic and epidemiological characteristics of scorpion envenomation in an endemic area in Algeria and to identify the model that best predicted daily scorpion sting counts.METHODSDaily sting data from January 1, 2013 to August 31, 2016 were extracted from questionnaires designed to elicit information on scorpion stings from the two emergency medical service providers in Touggourt, Algeria. Count regression models were applied to the daily sting data.RESULTSA total of 4,712 scorpion sting cases were documented, of which 70% occurred in people aged between 10 years and 49 years. The male-to-female ratio was 1.3. The upper and lower limbs were the most common locations of scorpion stings (90.4% of cases). Most stings (92.8%) were mild. The percent of people stung inside dwellings was 68.8%. The hourly distribution of stings showed a peak between 10:00 a.m. and 11:00 a.m. The daily number of stings ranged from 0 to 24. The occurrence of stings was highest on Sundays. The incidence of scorpion stings increased sharply in the summer. The mean annual incidence rate was 542 cases per 100,000 inhabitants. The fitted count regression models showed that a negative binomial hurdle model was appropriate for forecasting daily stings in terms of temperature and relative humidity, and the fitted data agreed considerably with the actual data.CONCLUSIONSThis study showed that daily scorpion sting data provided meaningful insights; and the negative binomial Hurdle model was preferable for predicting daily scorpion sting counts.

Highlights

Some climate variables have been shown to affect the count of monthly scorpion stings [3,13,14], so we considered incorporating the available climate variables at the Touggourt meteorological station into the models
In order to take into account other factors that may contribute to scorpion sting accidents, a trend variable (Tr) was incorporated into the models
The percentage of people stung inside dwellings differs from province to province; in Biskra Province, situated in the central-eastern area, 46% of sting cases occurred inside dwellings, whereas in El Bayadh Province, in western Algeria, 65% of sting cases arose inside dwellings [16,17]

Summary

Introduction

Scorpion stings currently constitute a public health concern in many arid, semi-arid, or Saharan regions throughout the world. Second only to snakebites in terms of venomous animal-related human fatalities, scorpions are responsible for an estimated 3,000 deaths each year. These estimates are limited to the few countries that have a reliable system for scorpion sting epidemiological surveillance [1].

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