Incidence and characteristics of snakebite envenomations in the New York state between 2000 and 2010.
OBJECTIVE
We sought to evaluate the incidence of reported venomous snakebites in the state of New York between 2000 and 2010.


METHODS
Data were collected retrospectively from the National Poison Data System (NPDS) and then reviewed for species identification and clinical outcome while using proxy measures to determine incidence of envenomation.


RESULTS
From 2000 to 2010 there were 473 snakebites reported to the 5 Poison Control Centers in the state of New York. Venomous snakes accounted for 14.2% (67 of 473) of these bites. Only 35 bites (7%) required antivenom. The median age of those bitten by a venomous snake was 33. Most victims were male.


CONCLUSIONS
Although not rare, venomous snakebites do not occur commonly in New York State, with a mean of just 7 bites per year; fortunately most snakebites reported are from nonvenomous snakes. Yet even nonvenomous bites have the potential to cause moderately severe outcomes. Medical providers in the state should be aware of their management.
Department of Emergency Medicine, State University of New York Upstate Medical Center, Syracuse, NY (Drs Joslin, Marraffa, and Mularella). Electronic address: joslinj@upstate.edu.
Jeremy D
JD
Joslin
Department of Emergency Medicine, State University of New York Upstate Medical Center, Syracuse, NY (Drs Joslin, Marraffa, and Mularella).
Jeanna M
JM
Marraffa
Department of Emergency Medicine, Beth Israel Medical Center, New York, NY (Dr Singh).
Harinder
H
Singh
Department of Emergency Medicine, State University of New York Upstate Medical Center, Syracuse, NY (Drs Joslin, Marraffa, and Mularella).
Joshua
J
Mularella
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003435:Crotalid Venoms / Q000037:antagonists & inhibitors*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009518:New York / Q000453:epidemiology; D012189:Retrospective Studies; D012909:Snake Bites / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy; D017819:Viperidae; D055815:Young Adult
D000997:Antivenins; D003435:Crotalid Venoms
New York; Northeast; envenomations; snakebites