Swaziland

A modest, unassuming couple in Swaziland are reaching out with their hearts and hands to help the victims of snake bite in rural Swaziland.

Thea Litschka-Koen and Clifton Koen manage a large rural business in Simunye, Swaziland. Frustrated by the lack of medical services and in particular life-saving antivenoms, Thea and Clifton have set up a charity Antivenom Swazi to raise funds to establish to treat snake bite victims in Swaziland. Antivenom Swazi hopes to establish an antivenom bank that can provide free antivenoms to snake bite victims throughout the country, and plans to maintain emergency stocks in two locations so that antivenom can reach any patient who needs it by road within 2 hours. They are involved in public education, teaching rural people to avoid snake bites and about the importance of seeking medical attention quickly, rather than delaying care, by first seeking out local 'Witch Doctors'. Antivenom Swazi also hope to educate local health workers to improve the care and treatment of snake bite.

The face of snake bite in Swaziland

Many of the victims of snake bite in Swaziland are children. While some succumb quickly to the devastating neurotoxicity caused by black mamba (Dendroaspis polylepis) bites, others, bitten by spitting cobras (Naja mossambica) or puff adders (Bitis arietans) often suffer extensive local tissue injury, resulting in permanent disability, including the amputation of limbs.

LEFT: 6 year old Busi suffered extensive tissue loss after being bitten by a spitting cobra. MIDDLE: 4 yr old Mduduzi was bitten on both arms by a spitting cobra that came into his parents home while he was asleep. RIGHT: 18 month old Ngwenya, another victim of a spitting cobra bite, had 2 and a half fingers amputated.

These three confronting images show the leg of a 5 year old who had been bitten by a puff adder. Her parents applied a tourniquet, but it took 3 days to reach the Mbabane Government Hospital. A complication in which muscle tissue is compressed due to swelling, restricting blood flow to the tissue and threatening necrosis and gangrene was suspected, so two incisions were made in the top of the foot to try and relieve the pressure on the 4th day after the bite. The Grandmother took the child out of the hospital after this procedure, but the child was returned to hospital 3 days later, with necrosis that resulted in the amputation of the leg just under the knee.

Can you help?

Antivenom Swazi offers hope to people who have nowhere else to turn for assistance. This small charity relies on the generosity of donors to be able to conduct it's work, and continue to help Swaziland's snake bite victims. Donations can be made through the organisation's website, or by direct deposit to the following bank account:

STANDARD BANK OF SWAZILAND
SWIFT CODE: SBICSZMX

Branch name: TSHANENI
Branch code: 660864

Account name: Antivenom Swazi Foundation
Account number: 012-148-236-9001
Trust Registration number: 285/2009