Abstract
Introduction
Over the past years, the environmental and scientific changes have shaped the snakebite scenarios and will continue to do so. Their effects ahead are discussed.
Incidence
Because of declining plant agricultural industry and rising urbanization, a falling incidence is reasonably expected in future. In order to maintain the knowledge and skills, training for clinicians will become more crucial.
Venom detection kits
Kits for Naja atra and Cryptelytrops albolabris have been available overseas. Local data should be gathered regarding their clinical application.
Antivenoms
The common local species covered by the haemotoxic and neurotoxic polyvalent antivenoms from Thailand is only Cryptelytrops albolabris. Introduction into Hong Kong is not recommended.
Enzyme inhibitors
With an aim to improve the control of local injury that is unsatisfactorily accomplished by antivenoms, therapy with venom enzyme inhibitors is under research.
Conclusion
A decreasing number of snakebite is anticipated. Venom detection kits should be explored for the use in appropriate cases. (Hong Kong j.emerg.med. 2011;18:217-220)