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id
int64
age_years
int64
sex
string
occupation
string
bite_location
string
activity_at_bite
string
time_to_facility_hours
float64
traditional_treatment_first
int64
snake_species
string
dry_bite
int64
envenomation_syndrome
string
severity
string
local_swelling
int64
local_necrosis
int64
coagulopathy
int64
inr_elevated
int64
bleeding
int64
neurotoxicity
int64
ptosis
int64
respiratory_failure
int64
acute_kidney_injury
int64
compartment_syndrome
int64
antivenom_given
int64
antivenom_vials
int64
antivenom_reaction
int64
wound_care
int64
fasciotomy
int64
blood_transfusion
int64
mechanical_ventilation
int64
dialysis
int64
amputation
int64
antibiotics_given
int64
outcome
string
hospital_days
int64
1
53
F
hunter
foot
other
11.3
0
echis_ocellatus
0
hemotoxic
severe
1
0
0
0
0
0
0
0
0
0
1
6
1
1
0
0
0
0
0
1
survived_full_recovery
16
2
67
F
trader
foot
walking
0.9
1
naja_nigricollis
0
mixed
moderate
1
0
1
1
1
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
4
3
35
M
hunter
foot
farming
0.5
0
naja_nigricollis
0
neurotoxic
moderate
0
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
5
4
31
M
farmer
foot
walking
5
0
causus_rhombeatus
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
5
32
F
farmer
foot
farming
13.7
0
echis_ocellatus
0
hemotoxic
moderate
1
0
1
1
1
0
0
0
1
0
0
0
0
0
0
1
0
0
0
1
survived_full_recovery
3
6
55
M
farmer
foot
collecting_firewood
1.65
1
bitis_arietans
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
died
5
7
4
M
student
foot
farming
32.7
1
unknown_unidentified
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
4
8
38
M
farmer
ankle
walking
7.35
1
causus_rhombeatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
5
9
17
M
child
ankle
herding
4.35
1
unknown_unidentified
0
hemotoxic
mild
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
10
37
M
trader
hand
walking
0.7
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
1
11
39
M
farmer
foot
farming
24.75
1
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
12
38
M
herder
hand
other
8.4
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
13
8
M
child
hand
farming
15.7
0
causus_rhombeatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
7
14
8
M
child
foot
herding
5.85
1
unknown_unidentified
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
15
2
M
student
foot
farming
12.9
0
bitis_arietans
0
cytotoxic
severe
1
1
0
0
0
0
0
0
0
0
1
9
1
1
0
0
0
0
0
1
died
2
16
42
F
farmer
hand
collecting_firewood
18.1
0
dendroaspis_polylepis
0
neurotoxic
mild
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
1
17
10
M
child
foot
walking
12.3
1
bitis_arietans
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
7
18
19
F
farmer
hand
collecting_firewood
0.5
0
echis_ocellatus
0
hemotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
9
19
15
M
child
foot
walking
4.7
0
bitis_arietans
0
hemotoxic
moderate
1
0
0
0
0
0
0
0
1
0
1
3
0
1
0
0
0
0
0
0
survived_full_recovery
6
20
66
F
farmer
ankle
farming
2.4
1
unknown_unidentified
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
18
21
9
F
child
foot
walking
31.5
1
bitis_arietans
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
6
22
45
M
other
hand
sleeping
0.5
0
echis_ocellatus
0
hemotoxic
severe
1
0
0
0
0
0
0
0
0
0
1
4
0
1
0
0
0
0
0
1
survived_full_recovery
5
23
7
F
child
hand
herding
1.05
1
echis_ocellatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
6
24
74
M
hunter
foot
collecting_firewood
7.95
1
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
25
29
M
herder
foot
collecting_firewood
3.2
0
naja_nigricollis
0
mixed
mild
1
0
1
1
0
1
1
0
1
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
26
39
M
farmer
lower_leg
farming
0.5
0
bitis_arietans
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
4
27
29
M
herder
hand
collecting_firewood
8.3
0
bitis_arietans
0
cytotoxic
severe
1
1
0
0
0
0
0
0
0
1
0
0
0
1
1
0
0
0
0
1
survived_with_sequelae
15
28
58
F
student
ankle
farming
27.3
1
bitis_arietans
0
mixed
severe
1
0
1
1
0
1
1
1
1
0
0
0
0
0
0
0
0
0
0
1
died
0
29
36
M
trader
ankle
walking
2.7
1
atractaspis_spp
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
30
11
M
child
foot
farming
26.8
0
naja_nigricollis
0
neurotoxic
mild
0
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
1
31
53
M
other
lower_leg
collecting_firewood
4.1
0
bitis_arietans
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
32
72
M
farmer
foot
farming
33.2
0
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
2
33
53
F
other
hand
collecting_firewood
0.9
0
bitis_arietans
0
hemotoxic
severe
0
0
1
1
0
0
0
0
0
0
1
9
1
1
0
0
0
0
0
1
survived_full_recovery
18
34
69
M
trader
foot
walking
9.4
0
causus_rhombeatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
35
1
F
child
hand
collecting_firewood
4.4
0
echis_ocellatus
0
hemotoxic
severe
1
0
1
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
13
36
66
M
herder
ankle
farming
16.8
1
echis_ocellatus
0
cytotoxic
severe
0
1
0
0
0
0
0
0
0
0
1
4
0
1
0
0
0
0
0
1
survived_with_sequelae
20
37
25
M
farmer
foot
farming
2.7
0
bitis_arietans
0
mixed
severe
1
1
1
1
1
1
0
0
0
0
0
0
0
1
0
1
0
0
0
1
survived_with_sequelae
7
38
10
F
child
ankle
walking
6.2
0
dendroaspis_polylepis
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
39
4
F
child
ankle
farming
88.65
1
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
40
35
M
farmer
ankle
farming
20.25
1
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
1
41
27
F
student
foot
farming
5.1
0
naja_nigricollis
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
1
6
1
0
0
0
0
0
0
1
survived_full_recovery
18
42
1
M
student
lower_leg
walking
60
1
causus_rhombeatus
0
cytotoxic
severe
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
died
3
43
35
M
farmer
ankle
farming
0.75
1
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
44
54
M
student
lower_leg
farming
2.1
0
echis_ocellatus
0
mixed
mild
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
1
45
3
M
student
hand
herding
0.5
0
echis_ocellatus
0
hemotoxic
moderate
1
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
7
46
5
F
child
ankle
farming
13.5
1
naja_nigricollis
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
47
11
F
herder
foot
walking
14.9
0
bitis_arietans
0
hemotoxic
severe
1
0
1
1
1
0
0
0
0
0
1
6
1
0
0
0
0
0
0
1
survived_full_recovery
16
48
31
M
herder
ankle
sleeping
27.9
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
1
0
0
0
1
0
0
0
0
1
0
1
0
0
0
0
survived_full_recovery
1
49
13
M
student
foot
walking
13.5
0
bitis_arietans
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
50
12
F
herder
other
other
9.45
1
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
51
29
M
farmer
ankle
herding
35.1
1
unknown_unidentified
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
52
4
F
student
ankle
walking
2.6
0
causus_rhombeatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
3
53
27
M
farmer
foot
farming
23.7
1
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
54
29
M
other
hand
sleeping
14.55
1
unknown_unidentified
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
5
55
34
F
farmer
foot
walking
1.65
1
naja_nigricollis
0
mixed
moderate
1
0
1
1
0
0
0
0
0
0
1
1
0
1
0
0
0
0
0
1
survived_full_recovery
3
56
57
F
herder
hand
farming
6.3
1
naja_haje
0
neurotoxic
severe
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
9
57
2
F
child
hand
farming
6.15
1
dendroaspis_polylepis
0
neurotoxic
severe
0
0
0
0
0
1
1
1
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
17
58
38
M
hunter
ankle
other
9
0
echis_ocellatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
4
59
31
M
other
forearm
herding
7.5
0
dendroaspis_polylepis
0
neurotoxic
severe
0
0
0
0
0
1
1
1
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
14
60
2
M
child
hand
farming
12.6
1
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
61
42
M
student
hand
farming
25.8
1
bitis_arietans
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
3
62
25
M
farmer
hand
walking
3.4
0
causus_rhombeatus
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
9
63
1
M
child
hand
farming
7.3
0
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
64
36
F
farmer
ankle
sleeping
3.6
0
bitis_arietans
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
65
43
M
other
foot
sleeping
15.6
1
causus_rhombeatus
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
2
66
51
F
farmer
foot
sleeping
5.1
1
bitis_arietans
0
hemotoxic
moderate
1
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
died
0
67
64
M
farmer
forearm
walking
4
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
1
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
survived_full_recovery
1
68
25
M
farmer
foot
sleeping
2.2
0
unknown_unidentified
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
69
20
M
student
hand
herding
13.8
0
echis_ocellatus
0
hemotoxic
severe
1
0
0
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
died
5
70
6
M
student
foot
collecting_firewood
16.5
1
bitis_arietans
0
hemotoxic
severe
0
0
1
1
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
died
0
71
4
M
child
ankle
farming
17
0
echis_ocellatus
0
cytotoxic
moderate
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
died
4
72
40
M
farmer
hand
collecting_firewood
3.4
0
echis_ocellatus
0
hemotoxic
severe
1
0
1
1
1
0
0
0
1
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
18
73
22
F
farmer
foot
herding
10.7
0
unknown_unidentified
0
cytotoxic
moderate
1
1
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_with_sequelae
6
74
8
M
child
hand
farming
12
1
naja_nigricollis
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
75
14
M
student
ankle
farming
23.1
0
dendroaspis_viridis
0
neurotoxic
moderate
0
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
4
76
9
F
student
forearm
farming
21.7
0
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
77
21
F
herder
ankle
walking
1
0
bitis_arietans
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
78
9
F
child
hand
other
6.5
0
echis_ocellatus
0
hemotoxic
moderate
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
3
79
4
M
child
ankle
collecting_firewood
8.4
1
echis_ocellatus
0
mixed
mild
1
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
1
80
71
M
hunter
foot
herding
6.1
0
unknown_unidentified
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
1
81
14
M
child
hand
walking
0.5
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
survived_full_recovery
2
82
4
M
student
lower_leg
farming
16.3
0
atractaspis_spp
0
cytotoxic
severe
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
17
83
73
M
farmer
hand
walking
13.8
0
echis_ocellatus
0
hemotoxic
mild
1
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
1
84
70
F
trader
foot
walking
8.55
1
echis_ocellatus
0
hemotoxic
moderate
1
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
3
85
23
M
herder
ankle
farming
15
1
echis_ocellatus
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
86
24
M
trader
forearm
walking
4.6
0
unknown_unidentified
0
neurotoxic
severe
0
0
0
0
0
1
1
1
0
0
1
6
0
1
0
0
0
0
0
1
died
3
87
11
F
herder
forearm
collecting_firewood
7.8
0
echis_ocellatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
1
4
1
0
0
0
0
0
0
1
survived_full_recovery
2
88
15
M
child
foot
collecting_firewood
3.2
0
dendroaspis_viridis
0
neurotoxic
severe
0
0
0
0
0
1
1
1
0
0
0
0
0
1
0
0
0
0
0
1
died
4
89
18
F
farmer
foot
walking
2.4
1
bitis_arietans
0
cytotoxic
mild
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
90
52
F
farmer
ankle
collecting_firewood
6.1
0
naja_haje
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
1
91
11
M
student
hand
collecting_firewood
36.9
1
echis_ocellatus
0
hemotoxic
severe
1
0
1
1
0
0
0
0
0
1
0
0
0
1
0
0
0
0
0
1
survived_with_sequelae
8
92
16
M
herder
ankle
sleeping
29.4
1
dendroaspis_polylepis
0
neurotoxic
moderate
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
1
died
6
93
23
M
herder
ankle
herding
16.5
1
naja_haje
0
neurotoxic
mild
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
1
94
25
M
other
foot
walking
91.35
1
dendroaspis_polylepis
0
mixed
severe
1
1
1
1
0
1
0
0
1
0
1
8
1
1
0
0
0
0
1
0
died
6
95
64
F
farmer
lower_leg
herding
3.75
1
echis_ocellatus
0
cytotoxic
moderate
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
6
96
76
M
herder
foot
other
19.6
0
bitis_arietans
1
none
none
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
survived_full_recovery
2
97
2
M
herder
foot
farming
15.6
0
dendroaspis_polylepis
0
mixed
moderate
1
0
1
1
0
1
1
0
1
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
2
98
8
M
student
hand
collecting_firewood
11.7
0
bitis_arietans
0
hemotoxic
moderate
1
0
1
1
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
survived_full_recovery
6
99
9
M
child
foot
herding
17.8
0
bitis_arietans
0
hemotoxic
severe
1
0
1
1
0
0
0
0
0
1
0
0
0
0
1
0
0
0
0
1
survived_with_sequelae
8
100
30
M
farmer
foot
walking
31.9
0
echis_ocellatus
0
hemotoxic
severe
1
0
1
1
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
survived_full_recovery
7
End of preview. Expand in Data Studio

Snakebite Envenomation Dataset

Abstract

This dataset provides 30,000 synthetic snakebite records (10,000 per scenario) from sub-Saharan African health facilities. Each record contains 35 variables including snake species (9 taxa), envenomation syndrome (cytotoxic/hemotoxic/neurotoxic), severity grading, clinical features (swelling, coagulopathy, neurotoxicity, necrosis, AKI), antivenom treatment, surgical interventions, and outcomes. Three facility scenarios range from referral hospitals with antivenom (3.6% mortality) to rural health centres without antivenom (22.0% mortality), reflecting the devastating impact of the antivenom access gap.

1. Introduction

Snakebite envenomation causes ~315,000 envenomations and ~32,000 deaths annually in SSA (Chippaux, Toxicon 2011), with ~7,000 amputations. WHO classified snakebite as a category A neglected tropical disease in 2017. The most medically important genera include Echis (carpet vipers — coagulopathy), Bitis (puff adders — cytotoxicity), Naja (cobras — necrosis/neurotoxicity), and Dendroaspis (mambas — rapid neurotoxicity). Antivenom access meets <2% of need in SSA (Schioldann et al., PLoS NTD 2018), and mean time to treatment ranges from 6–24 hours.

This dataset is entirely synthetic. It must not be used for clinical decision-making.

2. Methodology

2.1 Epidemiological Parameterization

Parameter Value Source
SSA envenomations/year ~315,000 Chippaux, Toxicon 2011
SSA deaths/year ~32,000 Chippaux, 2011
Global deaths 81,000–138,000 Kasturiratne et al., PLoS Med 2008
Antivenom access (SSA) <2% of need Schioldann et al., PLoS NTD 2018
Dry bite rate ~20% Warrell, Lancet 2010
Echis coagulopathy rate 70–80% Habib et al., PLoS NTD 2015
Case fatality (with antivenom) 2–5% Habib et al., 2015
Case fatality (without antivenom) 10–20% Multiple SSA studies
Antivenom reaction rate ~15% Gutierrez et al., Nat Rev 2017

2.2 Scenario Design

Scenario Setting Antivenom Access Mean Time (hrs) Mortality
Referral hospital Tertiary, antivenom stock 70% 4.8 3.6%
District hospital Intermittent supply 35% 9.4 10.1%
Rural health centre No antivenom, referral needed 5% 18.9 22.0%

3. Schema

Column Type Description
id int Unique identifier
age_years int Patient age
sex categorical M / F
occupation categorical farmer / herder / hunter / trader / student / child / other
bite_location categorical foot / ankle / lower_leg / hand / forearm / other
activity_at_bite categorical farming / walking / sleeping / herding / collecting_firewood / other
time_to_facility_hours float Hours from bite to facility arrival
traditional_treatment_first binary Sought traditional healer before hospital
snake_species categorical 9 taxa (Echis, Bitis, Naja, Dendroaspis, etc.)
dry_bite binary No envenomation
envenomation_syndrome categorical cytotoxic / hemotoxic / neurotoxic / mixed / cardiotoxic / none
severity categorical mild / moderate / severe / none
local_swelling binary Local tissue swelling
local_necrosis binary Tissue necrosis at bite site
coagulopathy binary Venom-induced consumption coagulopathy
inr_elevated binary Elevated INR
bleeding binary Clinical bleeding
neurotoxicity binary Neurotoxic signs
ptosis binary Drooping eyelids (neurotoxicity marker)
respiratory_failure binary Respiratory paralysis
acute_kidney_injury binary AKI
compartment_syndrome binary Compartment syndrome
antivenom_given binary Antivenom administered
antivenom_vials int Number of antivenom vials
antivenom_reaction binary Adverse reaction to antivenom
wound_care binary Wound care provided
fasciotomy binary Fasciotomy performed
blood_transfusion binary Blood transfusion given
mechanical_ventilation binary Mechanical ventilation
dialysis binary Dialysis for AKI
amputation binary Amputation required
antibiotics_given binary Antibiotics administered
outcome categorical survived_full_recovery / survived_with_sequelae / survived_with_disability / died
hospital_days int Length of hospital stay

4. Validation

Validation Report

Key validation checks:

  • Antivenom-mortality inverse: Referral 70% access/3.6% mortality vs rural 5%/22.0% ✓
  • Severity-mortality gradient: Mild ~2% → moderate ~10% → severe ~20% ✓
  • Species-syndrome concordance: Echis→hemotoxic, Bitis→cytotoxic, mamba→neurotoxic ✓
  • Male predominance: 65% male, consistent with agricultural risk ✓
  • Time to facility: Rural 19 hrs >> referral 5 hrs ✓

5. Usage

from datasets import load_dataset
dataset = load_dataset("electricsheepafrica/snakebite-envenomation", "district_hospital")
df = dataset["train"].to_pandas()
python generate_dataset.py --all-scenarios --n 10000 --seed 42

6. Limitations

  • Synthetic: Not derived from real clinical records.
  • No venom assays: No venom levels or specific venom component data.
  • Simplified species ID: Real-world species identification often uncertain.
  • No coagulation kinetics: No serial INR/PT/APTT trajectories.
  • No wound photographs: Clinical features are categorical, not visual.
  • No seasonal variation: Bite incidence does not vary by season/rainfall.

7. References

  1. Chippaux JP (2011). Estimate of the burden of snakebites in SSA. Toxicon, 57(4):586–599.
  2. WHO (2019). Snakebite envenoming: a strategy for prevention and control.
  3. Habib AG, et al. (2015). Echis ocellatus envenoming in Nigeria. PLoS NTD, 9(1):e3479.
  4. Warrell DA (2010). Snake bite. Lancet, 375(9708):77–88.
  5. Harrison RA, et al. (2009). Snakebite: disease of poverty. PLoS NTD, 3(12):e569.
  6. Kasturiratne A, et al. (2008). Global burden of snakebite. PLoS Med, 5(11):e218.
  7. Gutierrez JM, et al. (2017). Snakebite envenoming. Nat Rev Dis Primers, 3:17063.
  8. Schioldann E, et al. (2018). Antivenom availability in SSA. PLoS NTD, 12(12):e0006828.

Citation

@dataset{esa_snakebite_2025,
  title={Snakebite Envenomation Dataset},
  author={Electric Sheep Africa},
  year={2025},
  publisher={Hugging Face},
  url={https://huggingface.co/datasets/electricsheepafrica/snakebite-envenomation}
}

License

CC-BY-4.0

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