Epidemiological and spatial analysis of scorpion stings in two regions of Morocco: Marrakesh-Tensift-Al Haouz and Souss-Massa-Draa

Objective: To describe and compare the epidemiological features of scorpionism during six years (2005–2010) in two regions of Morocco: Marrakesh-Tensift-Al Haouz and Souss-MassaDraa. Methods: Clinical and epidemiological data were obtained from medical records of the Moroccan Poison Control Center during 2005–2010. The data comprised demographics, sting characteristics and clinical severity classes. Digital maps were produced for envenomation and death incidence with the distribution of all scorpion species present on the studied area. Results: A total of 75313 scorpion sting cases were notified. The incidence of scorpion stings was 244 cases/100000 population/year and was significantly higher at Marrakesh-Tensift-Al Haouz than Souss-Massa-Draa. The general lethality rate was on an average of 0.28% with a higher rate in Marrakesh-Tensift-Al Haouz compared to Souss-Massa-Draa. There was a different distribution of cases between genders in the two studied regions. With respect to age groups, adults (more than 15 years) were affected most compared to children. When analyzed according to the incidence in each province, the highest envenomation incidence was observed in Chichaoua. Concerning lethality, the highest lethality incidence was observed in the Kelaa. Based on this study, we could distinguish three zones: low scorpion stings occurrence without death, high incidence with low lethality and high scorpion stings rate with high lethality. Conclusions: Our data clearly demonstrate the correlation between scorpion stings incidence and the percentage of rural population in the different provinces. Additionally, the lethality incidence could be linked to the scorpion species of the studied area.