Gypsy
touch to combat snake-bite
By
Kumudini Hettiarachchi
If you see a snake, don't kill it. Call the Colombo Medical Faculty
for they are looking out for those creepy-crawlies in a novel project
not only to help the thousands of snake-bite victims of Sri Lanka
but also to protect these reptiles.
Seven
deadly snakes
The seven venomous snakes found in Sri Lanka are the Russell's
Viper (thith polonga), Saw-scaled
Viper (weli polonga), Hump-nosed Viper (kuna katuwa or polon
thelissa), Cobra (nagaya), Common Krait (thel karawala), Ceylon
Krait (magamaruwa) and Green-pit Viper (pala polonga).
Symptoms
and signs of a snake-bite would depend on the amount of venom
that the victim has in the blood and what type of snake has
bitten him. Symptoms include bleeding, non-clotting of blood,
neurological problems, respiratory problems and renal failure.
What should
be done? The victim should be taken to the closest hospital
immediately. First aid at the spot should be to wash the bite
area with soap and water or wipe with a clean cloth. The victim
should not be allowed to walk or do anything vigorous as movement
quickens the spread of the venom through the blood circulation.
The Faculty
of Medicine, University of Colombo, 25, Kynsey Road, Colombo
7 (Phone: 695300 Ext. 318 or Ext. 608 or 695351; Off-hours
508200) could be contacted to catch the snake.
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The project
is novel because it will mix the expertise of widely varying groups
- the earthy common sense of the humble ahukuntika clan from the
outbacks of Kudagama, off Tambuttegama and the scientific knowledge
of the Department of Clinical Medicine under the guidance of Prof.
Rezvi Sheriff in Colombo and the University of Oxford across the
seas in England.
Already a Snake
Venom Research Laboratory has been set up and the Department of
Clinical Medicine is working closely with wildlife officials to
start a herpetarium, to meet a long felt need. A need acutely and
sometimes tragically felt by snake-bite victims. In 2000, there
were 48,000 reported incidents of snake-bite, with 194 deaths in
the country, but the figure could be higher as some cases go unreported.
Ironically, Sri Lanka which is quite well-known for its poisonous
snakes, with some ancient records even indicating the existence
of anacondas those days, has so far had no means of producing its
own anti-venom serum. "The treatment for poisonous snake-bite,
is to inject anti-venom serum to neutralize the venom in the blood.
But we don't have proper anti-venom for indigenous snakes because
we have been importing all requirements of the serum from India.
That is not suitable, as even within Sri Lanka there are geographical
variations, for example, the Russell's Viper's," explains Dr.
Ariyarani Ariyaratnam of the Department of Clinical Medicine.
A
snake being charmed while aboy looks on |
The serum, which
the country has been importing for over 50 years is not specific
for local snakes and could also have adverse reactions such as fever,
chills and rigours, respiratory difficulties and blood pressure
drops in patients which could sometimes even be fatal. In 1985,
the Health Ministry and the Oxford University conducted research
in Anuradhapura and lab tests with the imported antivenom and found
that it didn't fully clear the blood of victims of the venom.
"The need
for our own anti-venom became acute," says Dr. Ariyaratnam.
By 1995, the
Medical Faculty made a start in this direction by sending live local
snakes to Liverpool University. There they were milked and the venom
provided to a company to produce the anti-venom serum that was specifically
required for the treatment of Sri Lankan patients. The anti-venom
was then used for clinical trial studies in Anuradhapura conducted
by the Oxford-Colombo Snake Bite Research Group under Prof. Sheriff
and Prof. David Warrel of Oxford.
Conceding that
this was a costly method and considering the large number of victims
of snake bite, the Medical Faculty has taken another step to set
up its own research lab and herpetarium. They will then keep the
snakes there, milk the venom, freeze it and send it abroad, maybe
to a country close by such as India for 'custom-made' serum for
Sri Lanka.
That's where
the gypsies come in, for what better snake-catchers are there? The
Medical Faculty has already made contact with the gypsy community
living in Kudagama, just off the Tambuttegama-Kurunegala Road, a
path we traversed on a lazy Sunday. Tall grass lines the red, gravel
road and brick houses gradually give way to thatched cottages. There
is a hint of rain as we go in search of the Arachchi of Kudagama.
A youth with
curly black hair and sparkling eyes cycling furiously along the
road, becomes our guide, for he happens to be the Arachchi's nephew.
Suddenly we come upon the colony. Dogs, cats, hens and piglets roam
the tiny plots of land around the neatly-thatched wattle and daub
homes of the gypsies.
A baby is fast
asleep in a 'saree cradle' hung from the branch of a tree. Young
children and girls loiter around curious to find out our business.
We are on a strange mission. To talk to the gypsies about their
expertise on snakes. Theirs is the down-to-earth indigenous knowledge
of people living off the land. For them the snake represents their
livelihood. They catch them, pull out their fangs and use the reptiles
for 'dancing and charming' or to put around tourists' necks to earn
a few rupees for their daily rice and curry. Michael, the Arachchi
smiles warmly showing us his red betel-stained teeth. His nephew
has already told him our business. Yes, they are snake charmers
and know how to handle snakes. In their free time they cultivate
the land to make ends meet. That day most of his relatives had gone
to the cities with their small entourage of snakes, monkeys and
women who say 'saasthare'.
"Colombo
people have asked for our help and we'll assist them," says
Michael, explaining that they catch snakes such as the polonga,
nagaya and pimbura in wela areas in Polgahawela. "We catch
them by the tail and keep a stick to their heads and then pull out
the fangs with a small knife. The fangs need to be removed once
a week. When the fangs are pulled out, the venom comes out like
frothy soap."
The Medical
Faculty has other ideas on how to treat the snakes. "We will
not harm them or remove their fangs. We plan to milk the venom without
harming or injuring the snakes. We will look after the snakes and
feed them," says Dr. Ariyaratnam.
Snakes are the
bane of the poor rural folk in areas such as Anuradhapura, Polonnaruwa,
Kurunegala and Vavuniya. The Common Krait bites people while they
are sleeping on the floor and other folk get bitten while working
in the fields.
But cities too
are not free of these reptiles, with Colombo reporting Hump-nosed
Viper bites. With plans afoot to make our own anti-venom eventually,
there is hope that the number of deaths from snake-bite could be
cut down drastically in Sri Lanka.
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