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      Scorpions and Their Human Mortality Report in Iran: A Review Article

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          Abstract

          Background:

          The scorpions have enjoyed medical importance from ancient times because of their morphological structure and venom. The identification of the species of these arthropods has been more emphasized than any other aspects. The purpose of this study was to determine scorpion’s fauna and mortality rates of their victims as reported in Iran.

          Methods:

          In this review, published documents during 1966–2018 related to medically important scorpions and mortality reports due to scorpionism were searched in the data bases such as Web of Science, PubMed, Scopus, Google Scholar and etc., using key words including scorpion, species, classification, Iran, family, species, and the names of all 31 provinces of Iran.

          Results:

          Overall, 169 sources were found. Based on the STROBE checklist, the quality of the documents was also considered, and ultimately, 95 sources were selected. Sixty-four species of scorpions have been identified in Iran and 86% of the species belong to the Buthidae family, and the rest (9.5%, 4.5%) belong to the Hemiscorpiidae and Scorpionidae families, respectively. These species live mostly in tropical regions of Iran. The dangerous scorpions and their mortality reports are often recorded from southern regions such as Khuzestan and Hormozgan provinces.

          Conclusion:

          Due to the significant increase in the abundance of scorpions in Iran over the past 30 years, it is expected that this trend will continue by researchers, and the fauna of scorpions is regularly reconsidered.

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          Most cited references96

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          Scorpion sting in Iran: a review.

          Among Middle Eastern countries, at least 52 species of scorpions, especially dangerous types, have been reported in Iran. This is more than any other country in the region. In addition, in Iran the recorded scorpion stings from 2001 to 2009 were more than 42,500 per year, of which, approximately 19.5 deaths have been reported each year, mostly in spring and summer. About 10 species are responsible for the reported envenoming which belong to the Buthidae family apart from Hemiscorpius lepturus which is a Hemiscorpiidae. The Buthidae family includes: Androctonus crassicauda, Mesobuthus eupeus, Odontobuthus doriae, Hottentotta saulcyi, Hottentotta schach, Compsobuthus matthiesseni, Orthochirus scrobiculosus, Apistobuthus pterygocercus and Olivierus caucasicus. A. crassicauda and H. lepturus are usually cited as the most dangerous species among Iranian scorpions. This article focuses on the main Iranian scorpions and their geographical distribution, especially those which are medically important and considered to be the more dangerous to human, and also attempts to demonstrate an accurate magnitude of scorpion stings in Iran. Copyright © 2012 Elsevier Ltd. All rights reserved.
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            Scorpion higher phylogeny and classification, taxonomic anarchy, and standards for peer review in online publishing

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              Scorpion sting: update.

              Scorpion envenomation is an important public health hazard in tropical and sub-tropical regions. Envenomation by scorpions can result in a wide range of clinical effects, including, cardiotoxicity, neurotoxicity and respiratory dysfunction. Out of 1500 scorpion species known to exist, about 30 are of medical importance. Although a variety of different scorpion species exist, majority of them produce similar cardiovascular effects. Scientists and clinicians have studied patho-physiology of scorpion envenomation by critical observations of clinical, neurotransmitters studies, radioisotope studies, echocardiography and haemodynamic patterns. Regimen including scorpion antivenom, vasodilators, intensive care management have been tried to alleviate the systemic effects of envenoming. In spite of advances in patho-physiology and therapy the mortality remains high in rural areas due to lack of access to medical facilities, moreover the medical attendee from developing tropical countries may not be aware of the advances in the treatment of scorpion sting. Since the advent of scorpion Antivenom, vasodilators, dobutamine and intensive care facilities, the fatality due to severe scorpion sting has been significantly reduced in areas where these treatment modalities are used.
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                Author and article information

                Journal
                Iran J Public Health
                Iran. J. Public Health
                IJPH
                IJPH
                Iranian Journal of Public Health
                Tehran University of Medical Sciences
                2251-6085
                2251-6093
                December 2019
                : 48
                : 12
                : 2140-2153
                Affiliations
                [1. ]Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
                [2. ]Department of Public Health, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
                [3. ]Remote Sensing & GIS Center, Shahid Beheshti University, Tehran, Iran
                Author notes
                [* ] Corresponding Author: Email: abed.saghafi@ 123456yahoo.com
                Article
                IJPH-48-2140
                10.5772/16562
                6974856
                31993382
                89cc6af6-9c95-47e3-ac5e-c1185434cd56
                Copyright© Iranian Public Health Association & Tehran University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 21 August 2018
                : 12 October 2018
                Categories
                Review Article

                Public health
                scorpions,mortality,spacial distribution,iran
                Public health
                scorpions, mortality, spacial distribution, iran

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