Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem

PLoS Negl Trop Dis. 2023 Feb 9;17(2):e0011069. doi: 10.1371/journal.pntd.0011069. eCollection 2023 Feb.

Abstract

Opportunistic scorpion species can colonize urban environments, establishing high-density communities that enhance the chances of human accidents. This scenario has been taking place in Brazil, in which some Tityus species have taken city centers, causing an explosion in the number of scorpion envenoming cases. The characteristics of this scorpionism epidemic in Brazil is discussed in the present work. The number of Brazilian scorpion stings has surpassed 120,000 cases in 2017, and has been maintained above this number ever since, representing a more than 3-fold increase in 10 years, which was higher than the number of cases for most of the neglected tropical diseases in the country. The escalation in scorpionism cases is even higher in some regions of Brazil. Fortunately, the proportion of mild cases has also increased in the analyzed period, as well as the number of victims seeking for medical attention within the first hour after the accident. The species Tityus serrulatus, Tityus stigmurus, Tityus bahiensis, and Tityus obscurus are traditionally accountable for most of the scorpion accidents in different regions of Brazil, but other species deserve to be closely watched. Despite scorpionism being a notable health problem in Brazil, accident prevention and pest control regarding this venomous animal have not been properly addressed by the scientific community nor by policy makers. Therefore, this review also aims to point possible fields of research that could help to contain the aggravation of the current scorpionism landscape in Brazil.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brazil / epidemiology
  • Humans
  • Scorpion Stings* / epidemiology
  • Scorpion Venoms*
  • Scorpions

Substances

  • Scorpion Venoms

Grants and funding

This research was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brazil (CNPq) (Grant: 406163/2018-9), Coordenação de Aperfeiçoamento de Pessoal de Nível Su-perior (CAPES), Brazil - (Program COFECUB Grant: 88881.191812/2018-01), Fundação de Amparo a Pesquisa do Estado de Minas Gerais, Brazil (FAPEMIG) (Grant: RED-00207-22 and APQ-01663-22) and by 021-2019-FONDECYT-PROCIENCIA-BM-Incorporación de Investigadores-Perú. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.