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Encounters
with animals
can cause problems for the traveller
and any unnecessary contact with them
should be avoided. Many large mammals
are easily capable of killing humans.
Few animals will pick a fight
with humans but most will defend themselves
if cornered or surprised and females
will defend their young aggressively.
When venturing into wildlife country
on foot be sure to take a guide who
understands the local animals. Take
great care when walking through long
grass or dense scrub which could conceal
a potentially dangerous animal.
Large carnivores cannot be outrun
so are better faced. Try shouting,
throwing rocks or waving sticks which
may confuse the animal and make it
back away. Running away is just what
the prey would do and could precipitate
an attack. Be very careful when camping
in big cat country. Don't sleep in
a tent with anything that may attract
a large creature, bears will rip open
tents to get at the contents.
There
are many dangerous animals to
be found roaming
freely in parts
of Africa and Asia. As well as the
big cats, these include include rhinos,
hippos, elephants and (African) buffaloes
which can be particularly aggressive.
Large primates like baboons and chimpanzees
can be particularly dangerous. It
pays to be well informed when travelling
into areas where these animals are
found. If you are going on a safari
to a game reserve, stay inside your
vehicle when appropriate and always
follow the advice of your guide.
When
travelling close to rivers in
Africa, South America and parts of
Australia beware of crocodiles which
can be lurking in shallow water near
to the river bank.
Because we have so much contact
with domestic animals, we are much
more likely to be injured by them
than by wild animals. Travellers have
been injured by cats, dogs, cattle,
pigs, camels, water buffalo, elephants,
etc. Be wary of any domestic animals
you do not know.
By
far the most common domestic animal
responsible for attacks on humans
are dogs. Worldwide they are responsible
for hundreds of deaths annually.
In
many countries they often run wild
and may respond aggressively when
approached.
If you are threatened by a
dog pick up a stick and wave it or
some stones to throw at it or even
pretend to if none are around. Most
dogs will retreat if they think you
are armed.
Dog bites not only inflict
severe injury but can also spread
dangerous infections like tetanus
or even rabies.
Rabies
is present worldwide - except
in the United Kingdom, parts of Scandinavia,
Japan, Oceania, Antarctica, Australia,
New Zealand, Malta and some of the
Caribbean islands. It can be transmitted
to humans in several ways, but most
commonly via the bite of an infected
domestic dog. Rabies, if left untreated,
will always cause death!
Precautions
Do
not stroke dogs and cats and avoid
contact with bats, jackals, foxes
and other wild animals. Animals that
appear unusually tame may be dying
of rabies.
In
an area endemic for rabies all
unprovoked bites or licks should be
considered a possible exposure.
In
the event of possible exposure
to rabies immediate treatment should
be instigated:-
- Thorough
cleansing of the wound should be
undertaken with soap or detergent
and running water for 5 minutes.
- Apply
an antiseptic such as iodine, chlorhexidine
or alcohol.
- Seek
medical assistance as soon as possible.
It
may be necessary to commence rabies
vaccination and anti-tetanus measures.
If you have been immunised against
rabies prior to being bitten you may
still require further doses of vaccine.
Travellers who have never been immunised
against rabies and then receive a
suspect bite, should be vaccinated
within 24-48 hours.
Snakes
Most species of snakes are harmless
and over half of the venomous species
do not have the capability or temperament
to be harmful. Even aggressive and
venomous species will very often inflict
a "dry bite" which is venom
free. Snakes do not like to waste
their venom on anything other than
prey species. Remember, only one in
a thousand people bitten by a snake
actually dies as a result. Most deaths
from snake bites occur on the Indian
subcontinent where they are often
forced into contact with humans.
However, if you are bitten
by a snake you should always be assessed
by an expert as it is often quite
difficult for ordinary travellers
to distinguish between dangerous and
harmless species.
Dangerous
species of snakes are found in
many tropical and desert regions and
local inhabitants are occasionally
bitten and sometimes killed by them.
Foreign travellers are rarely bitten.
Although snakes are found worldwide,
the counties of the world where travellers
are most likely to encounter venomous
snakes are include; Australia, North,
South and Central America, Africa,
The Indian Subcontinent and South
East Asia.
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If
you are bitten by a snake
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- stay
calm and get help
- immobilise
the bitten limb
- avoid
tampering with the wound
- remove
any rings or jewellery from
the bitten limb
- Keep
the bite at or below the level
of the heart.
- apply
a pressure bandage firmly
to the bite site and cover
as much of the bitten limb
as possible
- get
the victim to a hospital or
clinic for prompt treatment
- DON'T
PANIC!
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Snakes
never attack without provocation,
they are generally shy and where possible,
shun human contact. Avoid disturbing,
cornering or handling them.
Walking barefoot in vegetation,
swimming in murky water and climbing
rocks and trees covered with foliage
are all risky. At night use a torch.
Never tease a snake as teasing could
cause the snake to increase the dose
of venom.
If you are bitten, move away from
the snake to prevent additional bites.
First aid for snakebite is controversial.
The only universally approved first
aid applicable globally, is immobilisation
of the bitten area/limb and keeping
the victim still. The victim should
then be transferred to a hospital
or clinic for medical treatment if
available. This should involve the
minimum of exertion by the victim
as possible.
Snake
venom travels primarily via the
lymphatic system. Therefore, to prevent
the spread of venom the movement of
lymph needs to be restricted. This
is achieved by immobilising the bitten
area (usually a limb), keeping it
level with or just below the heart
and by the application of a pressure
bandage.
You should NEVER apply a tourniquet
to a snake bite. A tourniquet is a
tight band placed around a limb designed
to restrict the blood flow to and
from the limb. Inappropriate use of
tourniquets can lead to unnecessary
loss of the limb. A splinted bandage
to immobilise the limb can often be
of more use. A suction device
may be used to help draw the venom
out of the wound without making
cuts.
Whilst moving the victim to
get medical help, monitor their vital
signs i.e. pulse and rate of breathing.
If there are signs of shock, lay them
flat, raise their feet and try to
keep them warm. Reassure them
that bites can be effectively treated
by trained medical staff.
In
some areas where venomous snakes are
endemic (such as Australia), venom
detection kits are often used by medical
personnel. These allow the site to
be swabbed and a sample of venom collected
which is used to accurately identify
the snake or group of snakes to which
the biter belongs to. This enables
the use of more specific and more
effective antivenom. Washing the bite
may remove traces of venom that otherwise
could be detected by the kit. However,
these kits are not always available
to medical staff in poorer developing
countries so in this instance cleaning
the wound thoroughly with an antiseptic
soap or solution would a good idea.
Medical
treatment will be greatly assisted
if the snake can be accurately identified.
If the snake can be captured and/or
killed without risk of anyone else
being bitten, take it to show the
doctor at the treatment clinic. Anti-venom
when available should only be administered
by those experienced in its use.
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Avoiding
snakes
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When
you are travelling through areas
where venomous snakes are endemic
and/or problems with them have
been previously reported:-
- When
walking around, make plenty
of noise, wear boots or strong
shoes and long trousers, and
watch where you step or place
your hands.
- Sleep
under a mosquito net that
is well tucked in.
Never
sleep on the ground unless
you are in a tent with a sewn
in groundsheet.
- Avoid
areas where snakes may be
hiding -- under rocks, logs,
etc.
- Tap
ahead of you with a walking
stick before entering an area
with an obscured view of your
feet. Snakes will attempt
to avoid you if given adequate
warning.
- After
dark, always carry a torch.
- If
you see a snake, keep your
distance.
- Use
your common sense.
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Further information:
University
of Adelaide - Treatment of Snake Bites
University
of Sydney - Snake Bites
Treating
and Preventing Venomous Snake Bites
E-medicine
Health - Snakebite
How
to Treat Snake Bites in the Wilderness
Poisonous
Snakes And Lizards from US army survival
guide.
Spiders
& Scorpions
Although
most spiders are venomous, very
few species are able to penetrate
human skin and inject venom. Of those
that can, only a few species in Australia
and South America cause neurotoxicity
requiring specific anti venom treatment.
Harmful
species of spider include:-
- The
Black Widow which is found
in the Americas, Africa, southern
Europe and warm parts of Asia and
Australia. The bite gives rise to
painful muscle spasms which can
last up to two days.
- The
Brown Recluse or Fiddle Spider
which is found in the Americas,
North Africa and the Mediterranean.
Its bite can be fatal but deaths
are rare. The bite which is initially
painless causes localised tissue
death leading to severe scarring.
Deaths are rare.
- The
Funnel Web mainly found in
south and eastern coastal regions
of Australia (the Sydney Funnel
Web) and is a particularly nasty
spider which is easily capable of
causing human fatalities. Antivenin
exists.
- Huntsman
Spiders or Banana Spiders located
in South America are quite aggressive
and cause painful bites but are
rarely fatal.
- Wolf
Spiders are mainly found in
South America but there is a European
species. The bites cause tissue
death leading to scarring up to
20cm long. It is rarely fatal.
The vast majority of spider bites
are non-fatal but some can be
very painful. Try to immobilise the
affected limb and seek medical assistance.
Ice can be applied to the bite site
and antihistamines and pain killers
may also be used to treat any symptoms.
Bites from the truly poisonous
spiders such as Funnel Webs (left)
should be treated like snake bites
and medical assistance should be sought
as soon as possible. The spider should
be killed and taken along to the doctor
for identification. The spider bite
victim should be transported as quickly
and as passively as possible to the
nearest place where they can be seen
by a medically-trained person.
Scorpions
are usually found in arid regions.
They like to hide in dark shady
places and sometimes they will hide
inside your boots. Therefore,
you should always check your footwear
before putting them on in areas where
scorpions are found.
They sting in self defense using
their tail sting which in most cases
is very painful rather than life threatening.
However, potentially lethal scorpions
do exist in Mexico, South America,
The Caribbean, North Africa, the Middle
East and the Indian subcontinent which
can cause neurotoxicity with blurred
vision and breathing difficulty, myocardial
damage and pancreatitis. Immediate
medical help should always be sought
if bitten.
First
aid for scorpion bites is similar
to that of spider bites. Wash the
sting area and apply a cold compress.
Immobilise the the victim and seek
rapid medical help. Antihistamines
and painkillers may be used to treat
the pain and swelling. There are antivenins
available for the more dangerous species
but these must be given quickly.
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