<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132025000600691</article-id>
<article-id pub-id-type="doi">10.24875/gmm.m25001045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Epidemiología del alacranismo en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Epidemiology of scorpionism in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Muñoz]]></surname>
<given-names><![CDATA[Eduardo A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zavala-Sánchez]]></surname>
<given-names><![CDATA[Eugenio V.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Aguilera]]></surname>
<given-names><![CDATA[Benjamín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Roldán]]></surname>
<given-names><![CDATA[Jesús F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo-Salgado]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad de Medicina Familiar No. 181 ]]></institution>
<addr-line><![CDATA[Jalisco ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 89 Servicio de Epidemiología]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Servicios de Salud Coordinación de Unidades de Atención de Primer Nivel]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Anáhuac Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Johns Hopkins Bloomberg School of Public Health Departamento de Epidemiología ]]></institution>
<addr-line><![CDATA[Maryland ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>161</volume>
<numero>6</numero>
<fpage>691</fpage>
<lpage>701</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132025000600691&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132025000600691&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132025000600691&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Globalmente, cada año ocurren &gt; 1,200,000 casos y &gt; 3,250 muertes por intoxicación por picadura de alacrán (IPPA). El 25% de los casos ocurren en México.  Objetivo: Describir las tendencias espacio-temporales de la IPPA en México y evaluar su asociación con los determinantes sociales en salud e inequidad.  Material y métodos: Estudio ecológico con datos de los Anuarios de Morbilidad de la Dirección General de Epidemiología y la Dirección General de Información en Salud de 1998-2022. Las tendencias se analizaron mediante regresión lineal y la correlación mediante coeficiente de Spearman. Se consideró significativo un valor p &lt; 0.05.  Resultados: La media anual de casos fue 270,420(DE ± 28,610). Ocurrieron 1,212 defunciones, sin diferencias entre sexos (p = 0.17). Se observó una tendencia negativa en las defunciones (&#946; = -0.0035, p &lt; 0.05). El 76.2% de las defunciones ocurrieron en niños &lt; 10 años. La tasa de mortalidad por municipio y el índice de rezago social (IRS) estuvieron fuerte y positivamente correlacionadas, r = 0.7, p &lt; 0.0001; mientras que la tasa de mortalidad por municipio y el índice de Gini estuvieron débilmente correlacionados, r = 0.1, p = 0.03.  Conclusiones: En 6 estados se agrupó el 73% de los casos y 75% de las defunciones. El análisis de la mortalidad mostró una agrupación espacial de las defunciones en 6 zonas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Globally, &gt; 1,200,000 cases and &gt; 3,250 deaths occur annually from scorpion sting envenomation (SSE). Twenty-five percent of cases occur in Mexico.  Objective: To describe the temporal and spatial trends of SSE in Mexico and assess its association with social determinants of health and inequality using the social lag index (SLI) and the Gini index.  Material and methods: We conducted an ecological study using open data from the Morbidity Yearbooks of the General Direc-torate of Epidemiology and deaths from the General Directorate of Health Information from 1998 to 2022. Trends were analyzed using linear regression and correlation by Spearman's coefficient. A p-value &lt; 0.05 was considered significant.  Results: The annual mean of cases was 270,420 SD ± 28,610. There were 1,212 deaths with no differences between sex (p = 0.17). A neg-ative trend in deaths was observed (&#946; = -0.0035, p &lt; 0.05). In children under 10 years of age occurred 76.2% of deaths. The mortality rate by municipality and social gap index (SGI) were strongly positive correlated, r = 0.7, p &lt; 0.0001 while mortality rate by municipality and Gini index were very weakly positive correlated, r = 0.1, p = 0.03.  Conclusions: Six states accounted for 73% and 75% of cases and deaths, respectively. Mortality analysis showed an apparent spatial clustering of deaths in six areas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Escorpión]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad tropical desatendida]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Scorpions]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Tropical neglected diseases]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[PP]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Esposito]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[González-Santillán]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Monod]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Phylogenomic resolution of scorpions reveals multilevel discordance with morphological phylogenetic signal]]></article-title>
<source><![CDATA[Proceedings of the Royal Society B:Biological Sciences]]></source>
<year>2015</year>
<volume>282</volume>
<numero>(1804)</numero>
<issue>(1804)</issue>
<page-range>20142953</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santibáñez-López]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Francke]]></surname>
<given-names><![CDATA[OF]]></given-names>
</name>
<name>
<surname><![CDATA[Ureta]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Possani]]></surname>
<given-names><![CDATA[LD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpions from Mexico:From Species Diversity to Venom Complexity]]></article-title>
<source><![CDATA[Toxins (Basel)]]></source>
<year>2015</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>2</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rein]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Scorpion Files]]></article-title>
<source><![CDATA[Trondheim:Norwegian University of Science and Technology. [Internet]]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ward]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ellsworth]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Nystrom]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A global accounting of medically significant scorpions:Epidemiology, major toxins, and comparative resources in harmless counterparts]]></article-title>
<source><![CDATA[Toxicon [Internet]]]></source>
<year>2018</year>
<volume>151</volume>
<page-range>137-55</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ponce-Saavedra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Francke]]></surname>
<given-names><![CDATA[OF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Una especie nueva de alacrán del género Centruroides (Scorpiones:Buthidae) del noroeste de México]]></article-title>
<source><![CDATA[Rev Mex Biodivers]]></source>
<year>2019</year>
<volume>90</volume>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chippaux]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Goyffon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of scorpionism:A global appraisal]]></article-title>
<source><![CDATA[Acta Tropica]]></source>
<year>2008</year>
<volume>107</volume>
<page-range>71-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guerra-Duarte]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Saavedra-Langer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Matavel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira-Mendes]]></surname>
<given-names><![CDATA[BBR]]></given-names>
</name>
<name>
<surname><![CDATA[Chavez-Olortegui]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Paiva]]></surname>
<given-names><![CDATA[ALB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion envenomation in Brazil:Current scenario and perspectives for containing an increasing health problem]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2023</year>
<volume>17</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández-Muñoz]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Zavala-Sánchez]]></surname>
<given-names><![CDATA[EV]]></given-names>
</name>
<name>
<surname><![CDATA[Rubio-Atondo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[López-Chávez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Arredondo-Rojas]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes-Reyes]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion sting envenomation outbreak in Mexico]]></article-title>
<source><![CDATA[Strategies for prevention and control. Toxicon]]></source>
<year>2024</year>
<volume>237</volume>
<page-range>107549</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Celis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gaxiola-Robles]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Sevilla-Godínez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Valerio]]></surname>
<given-names><![CDATA[M de JO]]></given-names>
</name>
<name>
<surname><![CDATA[Armas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tendencia de la mortalidad por picaduras de alacrán en México, 1979-2003]]></article-title>
<source><![CDATA[Revista Panamericana de Salud Pública]]></source>
<year>2007</year>
<volume>21</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>373-80</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Chippaux]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Isbister]]></surname>
<given-names><![CDATA[GK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[PLOS Neglected Tropical Diseases broadens its coverage of envenomings caused by animal bites and stings]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2021</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khalid]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Siyam]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Elamin]]></surname>
<given-names><![CDATA[MEMO]]></given-names>
</name>
<name>
<surname><![CDATA[Azrag]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion stings envenomation in Sudan:a retrospective study of hospital-based incidence]]></article-title>
<source><![CDATA[Toxicol Commun]]></source>
<year>2023</year>
<volume>7</volume>
<numero>(1)</numero>
<issue>(1)</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trinidad-Porfirio]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
<name>
<surname><![CDATA[Morales-Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nava-Aguilera]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Moreno]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Morales-Nava]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[García-Leyva]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Occurrence of scorpion sting and associated factors in a highly marginalized municipality in Guerrero, Mexico:A cross-sectional study]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2023</year>
<volume>17</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Goyal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Garg]]></surname>
<given-names><![CDATA[MK]]></given-names>
</name>
<name>
<surname><![CDATA[Gopalakrishnan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion Sting Envenomation, a Neglected Tropical Disease:A Nationwide Survey Exploring Perspectives and Attitudes of Resident Doctors from India]]></article-title>
<source><![CDATA[Am J Trop Med Hyg]]></source>
<year>2023</year>
<volume>109</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>957-64</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borges]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[de Arias A]]></given-names>
</name>
<name>
<surname><![CDATA[Montaño]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[de]]></surname>
<given-names><![CDATA[Souza CM V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion Envenoming as an Emerging Public Health Problem in Paraguay, Bolivia, and Midwest Brazil:Involvement of Tityus confluens and the Need for a Panregional Evaluation of Available Antivenoms]]></article-title>
<source><![CDATA[Am J Trop Med Hyg]]></source>
<year>2024</year>
<volume>111</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1166-72</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siqueira]]></surname>
<given-names><![CDATA[TS]]></given-names>
</name>
<name>
<surname><![CDATA[dos]]></surname>
<given-names><![CDATA[Santos AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[JLC]]></given-names>
</name>
<name>
<surname><![CDATA[da]]></surname>
<given-names><![CDATA[Silva RRN]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[JRS]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[VS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion envenomation in Brazil and its relationship with the social determinants of health:A population-based ecological study]]></article-title>
<source><![CDATA[Acta Trop]]></source>
<year>2024</year>
<volume>253</volume>
<page-range>107165</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<collab>Secretaría de Salud Subsecretaría de Prevención y Promoción de la Salud</collab>
<article-title xml:lang=""><![CDATA[Dirección General de Epidemiología]]></article-title>
<source><![CDATA[Manual de Procedimientos Estandarizados para la Vigilancia Epidemiológica de la Intoxicación por Picadura de Alacrán]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Ciudad de México ]]></publisher-loc>
<publisher-name><![CDATA[Secretaría de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<collab>Norma Oficial Mexicana NOM-017-SSA2-2012</collab>
<article-title xml:lang=""><![CDATA[Para la vigilancia epidemiológica]]></article-title>
<source><![CDATA[Diario Oficial de la Federación]]></source>
<year>2013</year>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benchimol]]></surname>
<given-names><![CDATA[EI]]></given-names>
</name>
<name>
<surname><![CDATA[Smeeth]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Guttmann]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Harron]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Moher]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Petersen]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) Statement]]></article-title>
<source><![CDATA[PLoS Med]]></source>
<year>2015</year>
<volume>12</volume>
<numero>(10)</numero>
<issue>(10)</issue>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[von]]></surname>
<given-names><![CDATA[Elm E]]></given-names>
</name>
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Egger]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pocock]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
<name>
<surname><![CDATA[Gøtzsche]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Vandenbroucke]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement:guidelines for reporting observational studies]]></article-title>
<source><![CDATA[Epidemiology]]></source>
<year>2007</year>
<volume>18</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>800-4</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="">
<collab>Secretaría de Salud Subsecretaría de Prevención y Promoción de la Salud, Dirección General de Epidemiología</collab>
<source><![CDATA[Panorama Epidemiológico y Estadístico de la Mortalidad por Causas Sujetas a Vigilancia Epidemiológica en México]]></source>
<year></year>
<publisher-loc><![CDATA[CDMX ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[Muñoz E]]></given-names>
</name>
<name>
<surname><![CDATA[Lara]]></surname>
<given-names><![CDATA[Lona E]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[Robles C]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[Martínez DA]]></given-names>
</name>
<name>
<surname><![CDATA[Magos]]></surname>
<given-names><![CDATA[Vázquez FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características sociodemográficas asociadas a la picadura de alacrán en México]]></article-title>
<source><![CDATA[Revista De Salud Pública de la Sociedad Mexicana de Salud Pública]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[WM]]></given-names>
</name>
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[FéN]]></surname>
</name>
<name>
<surname><![CDATA[Mendonça]]></surname>
<given-names><![CDATA[da Silva I]]></given-names>
</name>
<name>
<surname><![CDATA[Lacerda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Alencar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perspectives and recommendations towards evidence-based health care for scorpion sting envenoming in the Brazilian Amazon:A comprehensive review]]></article-title>
<source><![CDATA[Toxicon]]></source>
<year>2019</year>
<volume>169</volume>
<page-range>68-80</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[MSV]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[CGL]]></given-names>
</name>
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Grangeiro]]></surname>
<given-names><![CDATA[Júnior CRP]]></given-names>
</name>
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[VHG]]></given-names>
</name>
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Júnior AG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical and Epidemiological Aspects of Scorpionism in the World:A Systematic Review]]></article-title>
<source><![CDATA[Wilderness Environ Med]]></source>
<year>2016</year>
<volume>27</volume>
<numero>(4)</numero>
<issue>(4)</issue>
<page-range>504-18</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="">
<collab>Gobierno de México</collab>
<source><![CDATA[Data Mexico [Internet]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="">
<collab>Consejo Nacional de Evaluacion de la Politica de Desarrollo Social (CONEVAL))</collab>
<source><![CDATA[Sistema de información geográfica de pobreza, 2020 [Internet]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="">
<collab>INEGI</collab>
<source><![CDATA[Conjunto de datos:Defunciones registradas (mortalidad general) [Internet]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<collab>Dirección General de Información en Salud</collab>
<article-title xml:lang=""><![CDATA[Manual de Llenado del Certificado de Defunción Y Certificado de Muerte Fetal Modelo 2022]]></article-title>
<source><![CDATA[Gobierno de México]]></source>
<year>2022</year>
</nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chippaux]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Celis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Boyer]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Alagón]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factors involved in the resilience of incidence and decrease of mortality from scorpion stings in Mexico]]></article-title>
<source><![CDATA[Toxicon]]></source>
<year>2020</year>
<volume>188</volume>
<page-range>65-75</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva-Domínguez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Paredes-Solís]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cortés-Guzmán]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Moreno]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Baldazo-Monsivaiz]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores asociados con la picadura de alacrán en escolares:estudio transversal en dos comunidades rurales de Guerrero, México]]></article-title>
<source><![CDATA[Bol Med Hosp Infant Mex]]></source>
<year>2019</year>
<volume>76</volume>
<numero>(2)</numero>
<issue>(2)</issue>
</nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chabchoub]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kallel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hamida]]></surname>
<given-names><![CDATA[C Ben]]></given-names>
</name>
<name>
<surname><![CDATA[Chelly]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Dammak]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Bouaziz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion Envenomation Among Children:Clinical Manifestations and Outcome (Analysis of 685 Cases)]]></article-title>
<source><![CDATA[Am J Trop Med Hyg]]></source>
<year>2010</year>
<volume>83</volume>
<numero>(5)</numero>
<issue>(5)</issue>
<page-range>1084-92</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Tanajura H]]></given-names>
</name>
<name>
<surname><![CDATA[Kobler]]></surname>
<given-names><![CDATA[Brazil T]]></given-names>
</name>
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Teles AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scorpion accidents in Bahia, Brazil:a retrospective study of underreportings by SINAN in 2006]]></article-title>
<source><![CDATA[Brazilian Journal of Medicine and Human Health]]></source>
<year>2013</year>
<volume>1</volume>
<numero>(2)</numero>
<issue>(2)</issue>
</nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Chippaux]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Isbister]]></surname>
<given-names><![CDATA[GK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[PLOS Neglected Tropical Diseases broadens its coverage of envenomings caused by animal bites and stings]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis]]></source>
<year>2021</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="book">
<source><![CDATA[Ending the neglect to attain the Sustainable Development Goals A road map for neglected tropical diseases 2021&#8211;2030]]></source>
<year>2020</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<collab>WHO</collab>
<article-title xml:lang=""><![CDATA[The WHO strategic and technical advisory group for neglected tropical diseases (WHO STAG)]]></article-title>
<source><![CDATA[Recommendations for the adoption of additional diseases as neglected tropical diseases [Internet]]]></source>
<year>2016</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
