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Figure 1.

Distribution of hospitals and health centres in Nicaragua.

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Figure 2.

Environmental regions and snake distribution.

Within the environmental regions, homogenous snake prevalence is assumed based on similarities in altitude, precipitation and geographical location (see Methods section).

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Figure 3.

Snakebite incidence 2005–2009 according to data reported from the Nicaraguan Ministry of Health (MINSA).

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Figure 4.

Snakebite mortality 2005–2009 according to data reported from the Nicaraguan Ministry of Health (MINSA).

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Figure 5.

Seasonal distribution of rain and snakebites in three regions in Nicaragua.

The regions are aggregations of the regions in Figure 2. East Region = East Inland and Coast, West Region = West Coast North, Central, High and South. In order to produce a smooth graph line, the seasonal variation is shown as a sliding one-week mean of the week, the two previous and the two following weeks (a total of five weeks).

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Table 1.

5-year snakebite incidence in environmental regions.

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Table 2.

Snakebite incidence ratios of environmental regions, demographic variables and underreporting index categories in Poisson regression models.

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Figure 6.

Spatial distribution of municipalities suspected to be underreporting.

The 10 municipalities with the worst underreporting indexes and the 24 municipalities identified as “low-reporters” (see Methods section: “Identification of underreporting”).

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