SPATIAL AND TEMPORAL DISTRIBUTION OF ACCIDENTS CAUSED BY SCORPIONS IN THE MUNICIPALITY OF NATAL, STATE OF RIO GRANDE DO NORTE (2007-2018)
Envenomation; Epidemiology; Health Problem; Scorpionism.
Accidents caused by venomous animals are considered a public health problem in the state of
Rio Grande do Norte, located in the northeast of Brazil. The high incidence of cases reveals the
need for studies to determine the diversity of signs and symptoms in this spatial distribution,
especially in the city of Natal, a hot and humid region with many cases of scorpion stings. Thus,
the objective of this study was to investigate the spatial and temporal distribution, in addition
to the clinical and environmental aspects involved in scorpion sting accidents in the city of
Natal, in Rio Grande do Norte. To this end, data were obtained from the database of notifiable
diseases of the State Secretariat of Public Health of Rio Grande do Norte (SESAP-RN) and the
Information System for Notifiable Diseases (SINAN) between 2007 and 2018. In the region,
31,368 cases of people affected by scorpions were registered in areas of greater urbanization
and with a low Human Development Index (HDI). The stings tended to occur in predominantly
hot and humid regions, mainly affecting women of economically active ages. It was also
revealed that the first three hours after the sting are extremely important for the prognosis of
the cases. The most severe clinical pictures had a strong and moderate relationship in children
up to 9 years of age and a significant risk of death in patients with numbness. Because this is a
neglected problem and the location of the municipality, it is noticeable how environmental
issues can influence the spatial distribution and maintenance of an ecosystem favorable to
scorpionism. Based on the data collected on spatial distribution and its risks, this research can
be an excellent way to create strategies to prevent new accidents.