A prospective epidemiological study of 1,159 patients
bitten during a three-year period in north-west Malaya
confirms that snake bite is a rural and occupational
hazard. The pit viper Ancistrodon rhodostoma (Boie) causes 85 % of the bites in north-west Malaya, where snake bite is a serious medical problem. In 824 of the 1,159 cases the snake was reliably identified as a potentially lethal viper, cobra, or seasnake. Yet 53% of these 824 victims escaped with slight or no poisoning. Poisonous snake bite is not synonymous with snake-bite poisoning. We wish to thank Mr. Baharom, hospital assistant at Sungei Patani Hospital, for his unstinted help in observation and care of patients and for much other work connected
with th fis sudy.
A double-blind study with control was done to assess the effect of mono-amine-oxidase inhibitors and anticoagulant therapy in the mortality of acute myocardial infarction, in the first 4 weeks. The results show that no effect whether beneficial or adverse was seen with the use of monoamine inhibitor. On the other hand, there is a distinct decrease in mortality amongst cases not on anticoagulants. It is believed that the rarity of phlebothrombosis in local patients is the cause of the difference between local and foreign results so far as anticoagulant therapy goes. It is postulated too that one of the reasons for the difference may be due to the fact that patients are not on so strict a bed rest as elsewhere. There appears to be a definite increase of incidence in Indians, and also at least a third of myocardial infarction cases had low normal serum cholesterol readings.