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The University of Melbourne

23–28 November 2008

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Confirmed Program

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Global Issues in Clinical Toxinology 2008
Conference Programme
Sunday 23 November 2008

Time
Speaker
Description
Venue
Sunday 23 November 2008
16:00–17:00
 
Registration Desk Services
ICT Foyer
17:00–19:30
 
Official Welcome Reception
ICT Foyer
17:00–17:30
Representative of the Wurundjeri aboriginal people and AVRU Director. Dr Ken Winkel
Welcoming remarks to registrants
 
Registrants depart for dinner: own arrangements at nearby restaurants in Lygon St, Carlton
Monday 24 November 2008
08:00‐08:30
 
Registration Desk Services
ICT Foyer
 
Please be seated in the auditorium no later than 8:15am
08:15‐10:00
 
Session 1: Conference Official Opening & Global Issues in Clinical Toxinology
ICT Theatre 1
 
Dr Ken Winkel, Prof James Angus and Ms Sharon McHale
Conference Official Opening
 
 
Prof. David A. Warrell
Opening Plenary Address: Snake bites in today's world: three challenging questions after a century of antivenom
 
 
Prof. Joanne Ozanne‐Smith
Invited Lecture: Why is snakebite under‐recognized as a global public health problem?  
10:00‐10:30
 
Morning Tea
ICT Foyer
10:30‐12:30
 
Session 2: Africa and the Middle East
ICT Theatre 1
 
Professor Jean‐Philippe Chippaux
Plenary Lecture: Clinical assessment of antivenoms: history and present situation
 
 
Prof. Abdulsalami Nasidi
Invited Lecture: Managing snake bites in Africa: Nigeria as a case in point .
 
 
Prof. Achille Massougbodji
Invited Lecture: Preliminary studies of a dose‐finding study with a new F(ab’)2 antivenom.  
12:30–13:30
 
Lunch
12:30–13:30
  Lunch Poster Session 1
ICT Foyer
Dr Carlos Roberto de Medeiros
Anaphylactic reaction secondary to Bothrops snake bite
 
Dr. Ulrich Kuch
Fatal neurotoxic envenoming following the bite of a Lesser Black Krait (Bungarus lividus) in Nepal
 
Mr. Deb Prasad Pandey
Snakes in Vicinity of Chitwan National Park‐ the World Heritage Site,Lowland, Nepal
 
Dr Geoff Isbister
Activity of expired and mistreated commercial antivenoms  
CONCURRENT SESSIONS WILL TAKE PLACE FROM MONDAY‐WEDNESDAY (13:30‐15:30) AND THURSDAY (14:00‐15:30)
13:30‐15:30
 
Session 3: Africa & the Middle East
ICT Theatre 1
 
Dr. Nick Brown
Analysis of the Antivenom Market in Sub‐Sarahan Africa: A commercial explanation of antivenom shortages and possible solutions  
 
Dr Eugene Erulu
Snake bite management: A Kenyan experience  
 
Dr. Roberto P. Stock
Characterization of antivenoms available in West and Central Africa.  
 
Moderator: Prof. Jean‐Philippe Chippaux
Open Forum Discussion on African Issues  
13:30–15:30
  Session 4: Central & South‐East Asia
Room 206
 
Dr. Ariaranee Gnanathasan
A case series of envenoming by Saw‐scaled viper (Echis carinatus) in Sri Lanka  
 
Dr. Ulrich Kuch
Snake bites without systemic envenoming in Chittagong Division, Bangladesh  
 
Mr. Deb Prasad Pandey
Snakebite First‐aid Education and its Impact in Rural Madi Valley, Central‐South Lowland Nepal  
 
Moderator: Dr. Janaka de Silva
Open Forum Discussion on Central and South‐East Asian Issues
 
15:30–16:00
 
Afternoon Tea
ICT Foyer
16:00–17:30
 
Session 5: Global Issues in Clinical Toxinology
ICT Theatre 1
  Moderator: Mr. David Williams Reports of Regional Group Discussions and Open Forum  
Tuesday 25 November 2008
08:00–08:30
 
Registration Desk Services
ICT Foyer
8:30–10:00
 

Session 6: Global Issues in Clinical Toxinology

ICT Theatre 1
 
Dr Ana Padilla‐Marroquin
Invited Lecture: WHO Guidelines for the Production, Control and Regulation of Snake Antivenom Immunoglobulins  
 
Prof. Paul Scuffham
Invited Lecture: Snakebite – a view from a health economist  
10:00–10:30
 
Morning Tea
ICT Foyer
13:30‐15:30
 
Session 7: The Americas
Room #1
   
American Session 1
ICT Theatre 1
 
Prof. José María Gutiérrez
Plenary Lecture: Snakebite envenoming in the Americas: overview of a complex public health problem  
 
Dr. Joao Luis Costa Cardoso
Invited Lecture: Snake bites in Brazil ‐ An update
 
 
Dr Carlos Roberto de Medeiros
Predictors of Bothrops jararaca venom allergy in snake handlers and snake venom handlers
 
 
Professor José María Gutiérrez
Collaborative efforts in the preclinical testing of antivenoms in South America  
12:30–13:30
 
Lunch
TBA
12:30–13:30
  Lunch Poster Session 2
ICT Foyer
 
Dr. Joao Luis Costa Cardoso
The effect of dexamethasone associated with antivenom in the recovery of coagulation and fibrinolytic parameters in patients bitten by Bothrops sp.
 
 
Dr. Ulrich Kuch
The lancehead pitviper Bothrops asper as a cause of snake bite
envenoming in a dry inter‐Andean valley of southern Ecuador
 
 
Dr Luis Gonçalves
Dexamethasone associated with specific serotherapy improved the treatment of local inflammatory reactions experimentally induced by Bothrops venoms in mice
 
 
Dr Ken Winkel
The Australian Exotic Snake Forum: A Model for Addressing Exotic Snakebite Related Issues  
CONCURRENT SESSIONS WILL TAKE PLACE FROM MONDAY‐WEDNESDAY (13:30‐15:30) AND THURSDAY (14:00‐15:30)
13:30‐15:30
  Concurrent Session (Session 8) The Ameicas ICT Theatre 1
 
Dr. David Salazar
Multimedia taxonomic tools: resources for the appraisal of snake diversity and the management of snake bites in Ecuador  
 
Dr. Ayrn O'Connor
Case Series of Severe Rattlesnake Envenomations Resembling Anaphylactoid Reactions in Arizona  
 
Prof. José María Gutiérrez
Local tissue damage in viperid snakebite envenoming: pathogenesis and therapeutic possibilities  
 
Dr Ken Winkel
Snakebite Mortality in the USA: Lessons from the last 26 years  
 
Moderator: Prof. José María Gutiérrez
Open Forum Discussion on American Issues  
13:30–15:30
  Concurrent Session (Session 9): Central and South‐East Asian Regional Group Room 206
 
Dr. SAM Kularatne
An audit of snakebite and the issues of antivenom use at a newly established Poisoning Unit in the hilly Central Province, Sri Lanka.  
 
Dr Aniruddha Ghose
Black snakes at night: Bungarus niger , an overlooked cause of snake bite envenoming in South Asia  
 
Dr. SAM Kularatne
Clinical profile and management issues of cobra bites (Naja naja) in Sri Lanka  
 
Mr. Deb Prasad Pandey
Situation of Snakebite Envenomation in Nepal  
 
Moderator: Prof. David A. Warrell
Open Forum Discussion on Central and South‐East Asian Issues  
15:30‐16:00
 
Afternoon Tea
ICT Foyer
16:00‐17:30
 

Session 10: Global Issues in Clinical Toxinology

ICT Theatre 1
 
Moderator: Ass. Prof. Julian White
Reports of Regional Group Discussions and Open Forum  
       
Wednesday 26 November 2008
08:00–10:00
 
Session 11: Central and South‐East Asian Session 1
ICT Theatre 1
 
Prof. David A. Warrell
Plenary Lecture: Snake bites in Asia: epidemiology, clinical presentation and treatment  
 
Prof. Janaka de Silva
Invited Lecture: Snakebite in the Central Asian region, with special reference to Sri Lanka  
  Prof. Kavi Ratanabanangkoon Invited Lecture: Production of potent, polyvalent antivenom against elapid snakes in Thailand : a long winding road  
10:00–10:30
 
Morning Tea
ICT Foyer
10:30‐12:30
 
Central and South‐East Asian Session 2
ICT Theatre 1
 
Prof. Ponnambalam Gopalakrishnakone
Invited Lecture: Snake bite problems and related research questions with special reference to South East Asia  
 
Prof. Tun‐Pe
Invited Lecture: Prevention and first aid interventions for Russell's viper bite injuries in Myanmar  
 
Prof. Md Abul Faiz
Invited Lecture: Snake bite in Bangladesh  
12:30‐13:30
 
Lunch
TBA
12:30–13:30
  Lunch Poster Session 4
ICT Foyer
 
Mr Deb Pandey
Impact of delayed presentation, transport method and first aid use on antivenom dosage at Bharatpur Hospital, Chitwan, Lowland Nepal
 
 
Dr. Ulrich Kuch
Envenoming by the Ecuadorian hog‐nosed pitviper Porthidium arcosae: a case report with notes on distribution and ecology
 
 
Dr Roberto P Stock
Antigenic kinship and paraspecific protection in the genus Naja  
CONCURRENT SESSIONS WILL TAKE PLACE FROM MONDAY‐WEDNESDAY (13:30‐15:30) AND THURSDAY (14:00‐15:30)
13:30‐15:30
  Concurrent Session (Session 13): Global Issues in Clinical Toxinology ICT Theatre 1
 
Professor Robert Harrison
Molecular and immunological strategies to
snake bite
 
 
Dr Nick Brown
Antivenom: the most cost‐effective treatment
 
 
Ms. Patti Whyte
Snake bite: does cost effectiveness matter?
 
 
Associate Professor Julian White
Open Forum Discussion on Global Issues  
13:30‐15:30
  Concurrent Session (Session 14): Central and South‐East Asia Room 206
 
Dr. Sanjib Kumar Sharma
A model of empowering paramedics in the management and research in snakebite in resource poor settings: 10 years outcome  
 
Dr. Ulrich Kuch
Guidelines vs. i.v. lines — antivenom extremes in the clinical management of Common Krait ( Bungarus caeruleus ) envenoming  
 
Dr. Nget Hong Tan
Neutralization of lethalities of some snake venoms by antibodies raised against Mucuna pruriens seed extract.  
 
Professor Sumana Khomvilai
New Improvement Production Technique of Polyvalent Snake Antivenom Immunoglobulins
 
 
Professor Janaka de Silva
Prevention of acute adverse reactions to snake antivenom after
bite: multi‐centre, randomized, controlled clinical trial.
 
 
Professor Ponnambalam
Open Forum Discussion on Central & South‐East Asian Issues  
 
Moderator: Prof. P. Gopalakrishnakone
Open Forum Discussion on Central & South‐East Asian Issues  
15:30‐16:00
Afternoon Tea
ICT Foyer
16:00‐17:30
 
Session 15: Global Issues in Clinical Toxinology
ICT Theatre 1
 
Moderator: Dr. Simon Jensen
Reports of Regional Group Discussions and Open Forum  
Thursday 27 November 2008
08:00 SHARP
  Depart UoM by bus from front of ICT building for Melbourne Zoo ICT Foyer
08:45‐10:30
 
Session 16 ‐ Global Snakebite Initiative
Melb. Zoo Education Centre
 
Dr. Kenneth D. Winkel
An Antidote for Snakebite: A Global Snakebite Initiative  
 
Moderator: Prof. David A. Warrell
Open Discussion of the Global Snakebite Initiative Concept  
10:30‐11:00
  Session 17 ‐ Global Snakebite Initiative Melb. Zoo Education Centre
    Election of a Global Snakebite Initiative Steering Committee  
11:00-14:00
Lunch - Collect packed lunches and explore Melbourne Zoo
Melb. Zoo
Bus Transfer from Melbourne Zoo bac to ICT building
 
13:30‐15:30
 
Session 18: Global Issues in Clinical Toxinology Session
ICT Theatre 2
 
Mr. David Williams
Hope, disappointment and small victories: the opportunities, obstacles and challenges of improving snakebite management in Papua New Guinea.  
 
Mr. Harold de Pomyers
Quality of venoms for use in antisera production  
 
Dr. Simon Jensen
Snakebite education in the developing world: training essentials, curriculum development and practical challenges  
 
Dr. Ken Winkel
Knowledge Transfer in Toxinology  
15:30‐16:00
  Afternoon Tea ICT Foyer
16:00-17:00
 
Session 19: Global Issues in Clinical Toxinology
Room #1
 
Dr. Laura Korte
Health seeking behaviour following snakebite in Rural Nepal
 
 
Mr. Peter Hobbins
The national interest: snake bite and the first Australian federal grants for medical research  
 
Dr. Ulrich Kuch
Severe neurotoxic envenoming by Wall's Krait (Bungarus walli) in
Bangladesh and Nepal
 
18:00-18:15
 
Depart by bus from front of ICT building for Melbourne Aquarium
ICT footpath
18:30‐23:00
 
Conference Dinner: Melbourne Aquarium
Melb. Aquarium
Friday 28 November 2008
08:00‐10:00
 
Session 20: Australasia
ICT Foyer
 
Professor Julian White
Invited Lecture: TBA  
 
Prof. Bart Currie
Invited Lecture: Management of Snakebite in Australia and Papua New Guinea; How Multicentre Prospective Studies can inform the Current Evidence Base  
 
Dr. Geoff Isbister
Invited Lecture: Antivenom use in Australasia: More questions than answers  
10:00‐10:30
 
Morning Tea
ICT Foyer
10:30-12:30
 
Session 21: Australasia
ICT Theatre 1
 
Mr. Jonah Smith
CSL Antivenom Manufacture  
 
Dr. Vincent Atua
Snakebite first aid training in Papua New Guinea: Determining efficacy of training by quantitative skill retention  
 
Ms. Elizabeth Canale
Investigating pressure bandaging in a simulated setting: bandage type, training and the effect of transport  
 
Dr Roger Lowe
Knowledge of snakebite first aid: How well informed are Australians?  
 
Dr. Geoffrey Isbister
Failure of antivenom for venom induced consumption coagulopathy in Australian Snakebite  
 
Dr. Ken Winkel
Venomous Snakebite Hospitalisations in Australia 2002‐2005  
12:30‐13:30
 
Lunch
TBA
13:30‐15:30
 
Session 22: Australasia
ICT Theatre 1
 
Dr. Ken Winkel
Snakebite Deaths in Australia ‐ a Century of Change  
 
Ms. Rachel Jensen
Sanke Venom Detection in Australia  
 
Mr. Owen Paiva
The New Guinea small‐eyed snake (Micropechis ikaheka): a case study in how basic research into venom composition improves our understanding of clinical syndromes of envenoming, and provides insights into antivenom suitability.  
 
Mr. David Williams
Origin of the eastern brownsnake, Pseudonaja textilis in New Guinea: evidence of multiple dispersals from Australia, current distribution, clinical experience and public health resource implications.  
 
Moderator: Prof. Bart Currie
Open Forum Discussion on Australasian Issues  
15:30‐16:00
 
Afternoon Tea
ICT Foyer
16:00‐17:30
 
Session 23: Global Issues in Clinical Toxinology
ICT Theatre 1
 
Moderator: Dr Kenneth D. Winkel
Final reports of Regional Group Discussions  
 
Closing: Mr. David Williams
Conference closure and announcement of venue and timing for 2nd GICT Meeting