Proximity between humans and a highly medically significant snake, Russell's viper, in a tropical rural community.

Snakebite envenoming is a major neglected tropical health issue. The high incidence of snakebites in tropical rural communities suggests that venomous snakes and people are often in proximity but quantitative evidence is lacking. I used radio-telemetry on a population of Russell's vipers (Daboia russelii), one of the most medically important snakes in the world, to quantify proximity between this venomous snake and people and estimate susceptibility to snakebite envenoming. I observed people ≤50 m of a radio-equipped viper in ~17% of 2066 snake re-locations. People were more frequently observed in proximity to Russell's vipers in January and July compared to March, but all other contrasts were statistically similar. This pattern indicates that snakebite incidence, which peaks in summer in the study area, is not particularly linked to the encounter frequency between people and vipers. However, consistent with epidemiological data plantation workers were the most at-risk part of the population. By integrating information about the locations of humans and snakes in space and time, this pioneering research highlights the need to include snake ecology into the study of the human-venomous snake conflict, and provides a model approach to help mitigate the burden caused by venomous snakes in the rural tropics.