TY  - JOUR
PY  - 2017//
TI  - Geographic distribution of scorpion exposures in the United States, 2010-2015
JO  - American journal of public health
A1  - Kang, A. Min
A1  - Brooks, Daniel E.
SP  - 1958
EP  - 1963
VL  - 107
IS  - 12
N2  - OBJECTIVES: To determine the geographic distribution of scorpion envenomations in the United States by zip code, with particular attention to the neurotoxic Centruroides sculpturatus (Arizona bark scorpion), for which an antivenom is available. <br><br>METHODS: We obtained scorpion exposure cases for 2010 to 2015 from the National Poison Data System. Using geographic information systems software, we mapped total exposures and incidence rates for 9 states that reported more than 100 annual calls. We also mapped cases that reported fasciculations and nystagmus (unique to C. sculpturatus among native scorpions). <br><br>RESULTS: The highest exposure incidences occurred in Phoenix (up to 677 per 100 000 population) and Tucson (584), both in Arizona. Elsewhere, high incidences were found in El Paso, Texas (213); Oklahoma City (209) and Tulsa (178), Oklahoma; and Las Vegas, Nevada (170). Fasciculations and nystagmus were reported in Arizona and southeastern Nevada, with small numbers in surrounding states, including Utah. <br><br>CONCLUSIONS: Scorpion exposures occurred at baseline rates throughout many of the southern states, whereas several states reported effects indicative of Arizona bark scorpion envenomation. Public Health Implications. Public and health care provider education, as well as the stocking of antivenom, should be targeted based on these findings. (Am J Public Health. Published online ahead of print October 19, 2017: e1-e6. doi:10.2105/AJPH.2017.304094).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2017.304094
ID  - ref1
ER  -