Reframing India's Approach to Snakebite Envenomation Through a One Health Approach

Authors

DOI:

https://doi.org/10.56450/JEFI.2026.v4i02.010

Keywords:

Snake Bites, One Health, Public Health Policy

Abstract

Snakebite envenomation remains a neglected public health challenge in India. More than 1,000,000 snakebites occur annually, causing approximately 58,000 deaths,[2] and disability in nearly four times as many people.[1] The World Health Organization (WHO) has set a target of reducing snakebite-related deaths by 50% by 2030.[3] India has aligned its national response through the launch of the National Action Plan for Prevention and Control of Snakebite Envenoming (NAPSE) in 2024.[4] Achieving this goal, however, requires moving beyond a predominantly biomedical response to adopting a one-health framework which consider human, animal and environmental aspects of the problem together to find comprehensive solutions.

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References

1. Menon JC, Bharti OK, Aravind MS, Bawaskar HS, Mohapatra A, Punde D, et al. Cross-sectional survey of the incidence, mortality and socioeconomic burden of snakebite envenoming in India. Nat Commun. 2025;16(1):1-8 https://doi.org/10.1038/s41467-025-64849-2 .

2. Suraweera W, Warrell D, Whitaker R, Menon G, Rodrigues R, Fu SH, et al. Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study. eLife. 2020;9:e54076. https://doi.org/10.7554/eLife.54076 .

3. World Health Organization. Snakebite envenoming: A strategy for prevention and control. Geneva: WHO; 2019. Available from https://www.who.int/publications/i/item/9789241515641 (Accessed on 25 Jun 2026)

4. Ministry of Health and Family Welfare, Government of India. National Action Plan for Prevention and Control of Snakebite Envenoming (NAPSE): A strategic approach to halve the deaths and disabilities due to snakebite envenoming by 2030. New Delhi: Ministry of Health and Family Welfare, Government of India; 2024. Available from https://www.ncdc.mohfw.gov.in/uploads/pdf/COH9.pdf (Accessed on 25 Jun 2026)

5. Senji Laxme RR, Khochare S, de Souza HF, et al. Beyond the "Big Four": Venom profiling of the medically important yet neglected Indian snakes reveals disturbing antivenom deficiencies. PLoS Negl Trop Dis. 2019;13(12):e0007899. https://doi.org/10.1371/journal.pntd.0007899

6. Senji Laxme RR, Attarde S, Khochare S, et al. Biogeographical venom variation in the Indian spectacled cobra (Naja naja) underscores the pressing need for pan-India efficacious snakebite therapy. PLoS Negl Trop Dis. 2021;15(2):e0009150. https://doi.org/10.1371/journal.pntd.0009150

7. Gopal G, Muralidar S, Prakash D, et al. The concept of Big Four: Road map from snakebite epidemiology to antivenom efficacy. Int J Biol Macromol. 2023;242(Pt 1):124771. https://doi.org/10.1016/j.ijbiomac.2023.124771

8. Harrison RA, Hargreaves A, Wagstaff SC, Faragher B, Lalloo DG. Snake envenoming: a disease of poverty. PLoS Negl Trop Dis. 2009;3(12):e569. https://doi.org/10.4103/ijmr.ijmr_3377_20 https://doi.org/10.1371/journal.pntd.0000569

9. Chakma JK, Menon JC, Dhaliwal RS, Indian Council of Medical Research. White paper on venomous snakebite in India. Indian J Med Res. 2020;152(6):568-74. https://doi.org/10.4103/ijmr.IJMR_3377_20 .

10. Ministry of Health & Family Welfare, Government of India. Standard Treatment Guidelines on the Management of Snake Bites. New Delhi: MoHFW; 2016. Available from https://nhm.gov.in/images/pdf/guidelines/nrhm-guidelines/stg/Snakebite_Full.pdf (Last Accessed on 25 Jun 2026)

11. Gutiérrez JM, Bolon I, Borri J, Ruiz de Castañeda R. Broadening the research landscape in the field of snakebite envenoming: Towards a holistic perspective. Toxicon. 2023;233:107279. https://doi.org/10.1016/j.toxicon.2023.107279

12. White J. Envenoming and antivenom use in Australia. Toxicon. 1998;36(11):1483–92. https://doi.org/10.1016/s0041-0101(98)00138-x

13. Babo Martins S, Bolon I, Alcoba G, et al. Assessment of the effect of snakebite on health and socioeconomic factors using a One Health perspective in the Terai region of Nepal: a cross-sectional study. Lancet Glob Health. 2022;10(3):e409–e415. https://doi.org/10.3998/mpub.12710084.cmp.5m60qw33k

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Published

2026-05-30


How to Cite

1.
Gupta K, Kumar R. Reframing India’s Approach to Snakebite Envenomation Through a One Health Approach. J. Epidemiol. Found. India [Internet]. 2026 May 30 [cited 2026 Jul. 2];4(2):203-5. Available from: https://efi.org.in/journal/index.php/JEFI/article/view/539

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