WORK TO BE DONE

Time line March-May 2013-Preparation June 2013-November Data collection December 2014-February Analysis and report preparation

Preparatory phase Clinical centres 1.Identify local coordinator (study co-investigator) 2.Identify person for data collection (nurse/junior doctor/science graduate/paramedic) (3 hours/week) 3. Identify place for storage of snakes in hospital 4. Initiate publicity for study in local community 5. Training of person involved in data collection 6. Dummy run for data collection CMC 1.Setting up data collection software and programme 2.Training of clinical centre coordinators and staff involved in data collection (through video conferencing) 3.Pilot testing of forms, data entry and transfer 4.Supply of snake collection and sample collection containers

Data collection phase 1.Document all cases prospectively according to study protocol. 2.Collect and photograph dead snakes brought to hospital. 3.Collect and store single sample: swabs from bite site, serum and urine (if venom detection can be performed) 4.Send all clinical data monthly electronically or by post 5.Monthly phone call by project officer in CMC to clinical coordinators in collaborating hospitals 6.3 monthly phone/video conference with all clinical centres