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Scorpionism is recognized by the World Health Organization as a neglected disease and, in Para State, Brazil, it is considered a public health hazard. The objective of this study was to describe the spatial distribution of envenomation caused by scorpions in Para. The data related to envenomation were collected from 2007 to 2014 and used for both descriptive and transversal studies. For those studies records obtained from ongoing investigations from the database of the National Notifiable Diseases Information System at the Public Health Department of Para State were used. Envenomation occurs year round, most often in the first half of the year, in males from the countryside, aged 20 to 59 years and taking up to 3 hours to reach medical care. The deaths occurred from ages 15 to 59. Regarding the severity of the cases, class I cases were the most frequent and class III cases were the least frequent, accounting for only 5.1% of all cases. Of the 144 municipalities of Para State, in 126 the frequency of envenomation ranged from 1 to 1,208 cases per municipality. Thirteen municipalities located in the lower Amazon region and in the southwest of Para State presented higher occurences, including the highest number of deaths. Scorpionism is present throughout Para State. However, there were differences in severity and incidence in the various regions, with higher frequency in the southwest of the State and in the lower Amazon region, corresponding to the Tapajos and Guyana endemic areas in the Brazilian Amazon.

SPATIAL DISTRIBUTION OF ENVENOMATION BY SCORPIONS IN PARÁ STATE, BRAZIL