Caspian Cobra
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The Caspian cobra (''Naja oxiana''), also called the Central Asian cobra, ladle snake, Oxus cobra, or Russian cobra, is a
species In biology, a species is the basic unit of classification and a taxonomic rank of an organism, as well as a unit of biodiversity. A species is often defined as the largest group of organisms in which any two individuals of the appropriate s ...
of
venomous snake Venomous snakes are species of the suborder Serpentes that are capable of producing venom, which they use for killing prey, for defense, and to assist with digestion of their prey. The venom is typically delivered by injection using hollow or g ...
in the
family Family (from la, familia) is a group of people related either by consanguinity (by recognized birth) or affinity (by marriage or other relationship). The purpose of the family is to maintain the well-being of its members and of society. Idea ...
Elapidae Elapidae (, commonly known as elapids ; grc, ἔλλοψ ''éllops'' "sea-fish") is a family of snakes characterized by their permanently erect fangs at the front of the mouth. Most elapids are venomous, with the exception of the genus Emydoce ...
. The species is
endemic Endemism is the state of a species being found in a single defined geographic location, such as an island, state, nation, country or other defined zone; organisms that are indigenous to a place are not endemic to it if they are also found else ...
to
Central Asia Central Asia, also known as Middle Asia, is a subregion, region of Asia that stretches from the Caspian Sea in the west to western China and Mongolia in the east, and from Afghanistan and Iran in the south to Russia in the north. It includes t ...
. Described by
Karl Eichwald ), present-day Latvia , death_date = , death_place = St. Petersburg, Russia , citizenship = Russian Empire , nationality = Baltic German , fields = GeologyMedicine , workplaces = Kazan University, V ...
in 1831, it was for many years considered a subspecies of the
Indian cobra The Indian cobra (''Naja naja''), also known as the spectacled cobra, Asian cobra, or binocellate cobra, is a species of cobra found in India, Pakistan, Bangladesh, Sri Lanka, Nepal, and Bhutan, and a member of the "big four" species that are ...
until genetic analysis revealed it to be a distinct species.


Taxonomy

Baltic German naturalist
Karl Eichwald ), present-day Latvia , death_date = , death_place = St. Petersburg, Russia , citizenship = Russian Empire , nationality = Baltic German , fields = GeologyMedicine , workplaces = Kazan University, V ...
described the Caspian cobra originally as ''Tomyris oxiana'' in 1831. Russian naturalist
Alexander Strauch Alexander Strauch (1 March 1832, in Saint Petersburg – 14 August 1893, in Wiesbaden, Germany) was a Russian naturalist, most notably a herpetologist. In 1861 he started working as a curator of the zoological museum at the Imperial Academy of Sci ...
placed it in the genus ''Naja'' in 1868. The
generic Generic or generics may refer to: In business * Generic term, a common name used for a range or class of similar things not protected by trademark * Generic brand, a brand for a product that does not have an associated brand or trademark, other ...
name ''naja'' is a Latinisation of the
Sanskrit Sanskrit (; attributively , ; nominally , , ) is a classical language belonging to the Indo-Aryan branch of the Indo-European languages. It arose in South Asia after its predecessor languages had diffused there from the northwest in the late ...
word () meaning "cobra". The
specific Specific may refer to: * Specificity (disambiguation) * Specific, a cure or therapy for a specific illness Law * Specific deterrence, focussed on an individual * Specific finding, intermediate verdict used by a jury in determining the fina ...
epithet ''oxiana'' is derived from the word in
Latin Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...
or () in
Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...
, and refers to the ancient name of the river
Amu Darya The Amu Darya, tk, Amyderýa/ uz, Amudaryo// tg, Амударё, Amudaryo ps, , tr, Ceyhun / Amu Derya grc, Ὦξος, Ôxos (also called the Amu, Amo River and historically known by its Latin name or Greek ) is a major river in Central Asi ...
which flows along
Afghanistan Afghanistan, officially the Islamic Emirate of Afghanistan,; prs, امارت اسلامی افغانستان is a landlocked country located at the crossroads of Central Asia and South Asia. Referred to as the Heart of Asia, it is bordere ...
`s northern border separating it from
Tajikistan Tajikistan (, ; tg, Тоҷикистон, Tojikiston; russian: Таджикистан, Tadzhikistan), officially the Republic of Tajikistan ( tg, Ҷумҳурии Тоҷикистон, Jumhurii Tojikiston), is a landlocked country in Centr ...
and
Uzbekistan Uzbekistan (, ; uz, Ozbekiston, italic=yes / , ; russian: Узбекистан), officially the Republic of Uzbekistan ( uz, Ozbekiston Respublikasi, italic=yes / ; russian: Республика Узбекистан), is a doubly landlocked co ...
before turning northwest into
Turkmenistan Turkmenistan ( or ; tk, Türkmenistan / Түркменистан, ) is a country located in Central Asia, bordered by Kazakhstan to the northwest, Uzbekistan to the north, east and northeast, Afghanistan to the southeast, Iran to the sout ...
and flows from there into the southern remnants of the Aral Sea in
Central Asia Central Asia, also known as Middle Asia, is a subregion, region of Asia that stretches from the Caspian Sea in the west to western China and Mongolia in the east, and from Afghanistan and Iran in the south to Russia in the north. It includes t ...
(''
Transoxiana Transoxiana or Transoxania (Land beyond the Oxus) is the Latin name for a region and civilization located in lower Central Asia roughly corresponding to modern-day eastern Uzbekistan, western Tajikistan, parts of southern Kazakhstan, parts of Tu ...
''), where this species occurs. For most of the twentieth century, all Asiatic cobras were considered to be subspecies of the
Indian cobra The Indian cobra (''Naja naja''), also known as the spectacled cobra, Asian cobra, or binocellate cobra, is a species of cobra found in India, Pakistan, Bangladesh, Sri Lanka, Nepal, and Bhutan, and a member of the "big four" species that are ...
(''Naja naja''); during this period, the subspecific names ''N. naja oxiana'' and ''N. naja caeca'' were applied to plain-scaled populations of ''N. naja'' from the north of India as well as populations corresponding to the Caspian cobra. Highly variable coloration and size within individual species made classification difficult until the advent of genetic analysis. A mitochondrial DNA study of Asiatic cobras in the subgenus ''Naja'' showed the Caspian cobra diverged from a lineage that gave rise to the monocled cobra (''Naja kaouthia'') and the
Andaman cobra The Andaman cobra (''Naja sagittifera'') is a species of cobra endemic to the Andaman Islands of India. The name of this cobra comes from the Islands itself. The species has a very potent venom, and is capable of “spitting”, although this de ...
(''Naja sagittifera'') around 3.21 million years ago. The species itself appears to be genetically homogeneous despite population separation caused by the
Hindu Kush The Hindu Kush is an mountain range in Central and South Asia to the west of the Himalayas. It stretches from central and western Afghanistan, Quote: "The Hindu Kush mountains run along the Afghan border with the North-West Frontier Province ...
mountains; this suggests a recent rapid range expansion.


Description

''Naja oxiana'' is medium in length, a heavy-bodied snake with long cervical ribs capable of expansion to form a hood. Anteriorly, the body is depressed dorsoventrally, and posteriorly it is subcylindrical. This species is similar in size to ''Naja naja'', averaging about in total length (including tail) and rarely reaches lengths over . The head is elliptical, depressed, and slightly distinct from the neck, with a short, rounded snout and large nostrils. The eye is medium in size with a round pupil. The
dorsal scales In snakes, the dorsal scales are the longitudinal series of plates that encircle the body, but do not include the ventral scales In snakes, the ventral scales or gastrosteges are the enlarged and transversely elongated scales that extend down t ...
are smooth and strongly oblique, with the outer two or three scale rows larger than the remainder. The hood of ''N. oxiana'' has an elongate, gradually tapering shape in contrast to the more ovoid hoods of some other ''Naja'' species (''Naja naja'' or ''Naja kaouthia''). Juveniles tend to be pale, with a faded appearance. Juveniles have noticeable dark and light cross-bands of approximately equal width around the body. Adults of this species are completely light to chocolate brown or yellowish, with some specimens retaining traces of juvenile banding, especially the first few dark ventral bands. This species has no hood mark and no lateral throat spots. Confusions may exist with the
Indian cobra The Indian cobra (''Naja naja''), also known as the spectacled cobra, Asian cobra, or binocellate cobra, is a species of cobra found in India, Pakistan, Bangladesh, Sri Lanka, Nepal, and Bhutan, and a member of the "big four" species that are ...
(''Naja naja''), as specimens without a hood mark are usually confused with this species, and these two species coexist in Pakistan and northern India. They're also both the only true non-spitting cobras in Asia. The Caspian cobra (''Naja oxiana'') is never fully black, although some specimens may be quite dark. The Caspian cobra (''N. oxiana'') normally has several dark bands under the throat, whereas in the black phase of the Indian cobra (''N. naja'') from Pakistan, almost the entire throat is black. The hood has an elongate, gradually tapering shape in contrast to the more ovoid hoods of some other ''Naja'' species (''Naja naja'' or ''Naja kaouthia'').


Scalation

The number and pattern of scales on a snake's body are a key element of identification to species level. ''Naja oxiana'' has 23 to 27 (usually 25) dorsal scale rows at the hood, 19-23 (usually 21) just ahead of midbody, 191-210
ventrals In snakes, the ventral scales or gastrosteges are the enlarged and transversely elongated scales that extend down the underside of the body from the neck to the anal scale. When counting them, the first is the anteriormost ventral scale that cont ...
, and 57-71 paired
subcaudals In snakes, the subcaudal scales are the enlarged plates on the underside of the tail.Wright AH, Wright AA. 1957. Handbook of Snakes. Comstock Publishing Associates (7th printing, 1985). 1105 pp. . These scales may be either single or divided (pair ...
; cuneate scales (small angular scales between the labials) are often absent.


Distribution and habitat

''Naja oxiana'' occurs in the
Transcaspian region The Transcaspian Oblast (russian: Закаспійская область), or just simply Transcaspia (russian: Закаспія), was the section of Russian Empire and early Soviet Russia to the east of the Caspian Sea during the second half of ...
. It is found throughout
Turkmenistan Turkmenistan ( or ; tk, Türkmenistan / Түркменистан, ) is a country located in Central Asia, bordered by Kazakhstan to the northwest, Uzbekistan to the north, east and northeast, Afghanistan to the southeast, Iran to the sout ...
,
Uzbekistan Uzbekistan (, ; uz, Ozbekiston, italic=yes / , ; russian: Узбекистан), officially the Republic of Uzbekistan ( uz, Ozbekiston Respublikasi, italic=yes / ; russian: Республика Узбекистан), is a doubly landlocked co ...
,
Kyrgyzstan Kyrgyzstan,, pronounced or the Kyrgyz Republic, is a landlocked country in Central Asia. Kyrgyzstan is bordered by Kazakhstan to the north, Uzbekistan to the west, Tajikistan to the south, and the People's Republic of China to the ea ...
, southwestern
Tajikistan Tajikistan (, ; tg, Тоҷикистон, Tojikiston; russian: Таджикистан, Tadzhikistan), officially the Republic of Tajikistan ( tg, Ҷумҳурии Тоҷикистон, Jumhurii Tojikiston), is a landlocked country in Centr ...
, the
Fergana Valley The Fergana Valley (; ; ) in Central Asia lies mainly in eastern Uzbekistan, but also extends into southern Kyrgyzstan and northern Tajikistan. Divided into three republics of the former Soviet Union, the valley is ethnically diverse and in the ...
, north and east
Afghanistan Afghanistan, officially the Islamic Emirate of Afghanistan,; prs, امارت اسلامی افغانستان is a landlocked country located at the crossroads of Central Asia and South Asia. Referred to as the Heart of Asia, it is bordere ...
, northeastern
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkmeni ...
. In Iran, it occurs from
East Azerbaijan Province East Azerbaijan Province ( fa, استان آذربایجان شرقی ''Āzarbāijān-e Sharqi''; az-Arab, شرقی آذربایجان اوستانی) is one of the 31 provinces of Iran. It is located in Iranian Azerbaijan, bordering Armeni ...
, southern half of Ardabil Province to the Provinces of Zanjan and
Tehran Tehran (; fa, تهران ) is the largest city in Tehran Province and the capital of Iran. With a population of around 9 million in the city and around 16 million in the larger metropolitan area of Greater Tehran, Tehran is the most popul ...
all the way to the eastern half of both Isfahan and
Yazd Yazd ( fa, یزد ), formerly also known as Yezd, is the capital of Yazd Province, Iran. The city is located southeast of Isfahan. At the 2016 census, the population was 1,138,533. Since 2017, the historical city of Yazd is recognized as a Wor ...
Provinces, as well the northeastern parts of Kerman Province, northern part of Sistan and Baluchistan Province, throughout the Provinces of Semnan, Mazandaran, and Golestan the entire former Province of Khorasan, which was split into three separate provinces post-2004). Although this species is found throughout much of
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's fifth-most populous country, with a population of almost 243 million people, and has the world's second-lar ...
, from
Balochistan Balochistan ( ; bal, بلۏچستان; also romanised as Baluchistan and Baluchestan) is a historical region in Western and South Asia, located in the Iranian plateau's far southeast and bordering the Indian Plate and the Arabian Sea coastline. ...
and Sindh to Gilgit-Baltistan and Azad Kashmir, it is far more common in the northern half of Pakistan. This species has also been observed in far northwest
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
in
Jammu and Kashmir (union territory) Jammu and Kashmir is a region administered by India as a union territory and consists of the southern portion of the larger Kashmir region, which has been the subject of a dispute between India and Pakistan since 1947, and between India and ...
and also been observed in the state of
Himachal Pradesh Himachal Pradesh (; ; "Snow-laden Mountain Province") is a state in the northern part of India. Situated in the Western Himalayas, it is one of the thirteen mountain states and is characterized by an extreme landscape featuring several peaks ...
. It's also highly suspected to occur in
Ladakh Ladakh () is a region administered by India as a union territory which constitutes a part of the larger Kashmir region and has been the subject of dispute between India, Pakistan, and China since 1947. (subscription required) Quote: "Jammu ...
, and in the Indian state of
Punjab Punjab (; Punjabi: پنجاب ; ਪੰਜਾਬ ; ; also romanised as ''Panjāb'' or ''Panj-Āb'') is a geopolitical, cultural, and historical region in South Asia, specifically in the northern part of the Indian subcontinent, comprising a ...
. There are also some strong anecdotal evidence of it ranging as far north as the
Kazakhstan Kazakhstan, officially the Republic of Kazakhstan, is a transcontinental country located mainly in Central Asia and partly in Eastern Europe. It borders Russia to the north and west, China to the east, Kyrgyzstan to the southeast, Uzbeki ...
southern border with Uzbekistan. According to Brian Hayes, a biochemical engineer with the United States Threat Reduction Agency, who led an expedition to Vozrozhdeniye island in the Aral Sea in the summer of 2002 to bury anthrax on the island. Vozrozhdeniye island, which is an island in the Aral Sea and is split between Uzbekistan and Kazakhstan by a border, with the northern half of the island belonging to Kazakhstan. Mr. Hayes mentioned an 8-feet long cobra that was observed and shot near the tents where the staff lived. “In all, we had run-ins with about 25 poisonous snakes”. The only "cobra” species which occurs in this region is ''Naja oxiana'', so any “cobra” observed in Kazakhstan would most definitely be of this species. ''Naja oxiana'' is often found in arid and semiarid, rocky or stony, shrub or scrub covered foothills at elevations up to about above sea level. This is also the westernmost species of Asiatic cobra.


Ecology


Behavior

''Naja oxiana'' tends to avoid humans as much as it can, but it can become fiercely defensive when threatened or cornered, and even juveniles tend to be very aggressive. When cornered and provoked, it is liable to spread its hood, hiss, sway from side to side and strike repeatedly; however, it can not spit venom. This terrestrial species is mainly diurnal, but it may be crepuscular and nocturnal in some parts of its range during the hottest month (July). Caspian cobras are good climbers, and able swimmers. The Caspian cobra is often found in water and seldom found too far away from it. Quick-moving and agile, this species lives in holes in embankments or trees.


Diet

The Caspian Cobra feeds mostly on small mammals, amphibians, occasionally fish, birds and their eggs. It also reportedly feeds on other snakes.


Venom


Composition

The Caspian cobra is considered to be the most venomous species of cobra in the world. Several different toxinological studies suggest this, including one particular study reported in the Indian Journal of Experimental Biology in 1992. A study analyzing the toxic fractions of Naja oxiana venom from Iran indicated that toxic fractions constituted 78% by weight of crude venom of this species, similar to ''
Naja naja The Indian cobra (''Naja naja''), also known as the spectacled cobra, Asian cobra, or binocellate cobra, is a species of cobra found in India, Pakistan, Bangladesh, Sri Lanka, Nepal, and Bhutan, and a member of the "big four" species that are ...
''. The toxic fractions were composed of three protein families, among which the 3FTs was dominant, similar to all other ''Naja'' species. The venom of ''N. oxiana'' was rich in short neurotoxins, which make up the majority of crude venom. A number of small non
enzymatic Enzymes () are proteins that act as biological catalysts by accelerating chemical reactions. The molecules upon which enzymes may act are called substrates, and the enzyme converts the substrates into different molecules known as products. ...
proteins are found in the venom, including neurotoxins and members of the
cytotoxin Cytotoxicity is the quality of being toxic to cells. Examples of toxic agents are an immune cell or some types of venom, e.g. from the puff adder (''Bitis arietans'') or brown recluse spider (''Loxosceles reclusa''). Cell physiology Treating c ...
family, which have been shown to cause cell death through damage to
lysosome A lysosome () is a membrane-bound organelle found in many animal cells. They are spherical vesicles that contain hydrolytic enzymes that can break down many kinds of biomolecules. A lysosome has a specific composition, of both its membrane pr ...
s. In addition to nonenzymatic proteins, the venom also contains nucleases, which cause tissue damage at the site of the bite and may also potentiate systemic toxicity by releasing free
purine Purine is a heterocyclic aromatic organic compound that consists of two rings ( pyrimidine and imidazole) fused together. It is water-soluble. Purine also gives its name to the wider class of molecules, purines, which include substituted purines ...
s ''in situ''. A
ribonuclease Ribonuclease (commonly abbreviated RNase) is a type of nuclease that catalyzes the degradation of RNA into smaller components. Ribonucleases can be divided into endoribonucleases and exoribonucleases, and comprise several sub-classes within ...
isolated and purified from Caspian cobra venom, ribonuclease V1, is commonly used as a laboratory reagent in
molecular biology Molecular biology is the branch of biology that seeks to understand the molecular basis of biological activity in and between cells, including biomolecular synthesis, modification, mechanisms, and interactions. The study of chemical and physi ...
experiments due to its unusual ability to break down structured RNA. ''N. oxiana'' is one of the most dangerous snakes belonging to the elapidae family. Two main toxins as well as a number of minor components and three basic polypeptides similar to cardiotoxins (CTXs) and cytotoxins were isolated from the crude venom of this species, with acute effects on cardiac system during the first few hours post-envenomation. There are a few case reports of acute
myocardial infarction A myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops to the coronary artery of the heart, causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may ...
(MI) following bites from elapids. At least one case of myocardial infarction following a bite from a Caspian cobra is recorded.


Toxic effects

''Naja oxiana'' is regarded as the most dangerous snake in
Central Asia Central Asia, also known as Middle Asia, is a subregion, region of Asia that stretches from the Caspian Sea in the west to western China and Mongolia in the east, and from Afghanistan and Iran in the south to Russia in the north. It includes t ...
and is one of the venomous snakes with a high mortality rate. It is one of the most dangerous
elapid Elapidae (, commonly known as elapids ; grc, ἔλλοψ ''éllops'' "sea-fish") is a family of snakes characterized by their permanently erect fangs at the front of the mouth. Most elapids are venomous, with the exception of the genus Emydoce ...
species in the world. A bite from this species will cause severe pain and swelling at the site of the bite, along with rapid onset of prominent neurotoxicity. Weakness, drowsiness, ataxia, hypotension, and paralysis of throat and limbs may appear in less than one hour after the bite. In a study, the first signs and symptoms of envenomation appeared within 15 minutes post-envenomation. Without medical treatment, symptoms rapidly worsen and death can occur soon after a bite due to respiratory failure. As with all species of cobra, there is great variation in venom toxicity and composition based on diet and geographical location. Venom toxicty is highest (least lethal) among specimens in the eastern parts of their geographical range (Indian and Pakistani specimens) with a value of around 0.2 mg/kg. Specimens from Iran, Uzbekistan, northeastern Afghanistan, and Turkmenistan can have considerably more potent venoms. Onset of symptoms are rapid and are extremely painful. Without treatment, death is likely and depending on the nature of the bite, the potency of the venom and the amount, death can occur in as little as 45 minutes or may be prolonged for up to 24 hours. According to a 2019 study by ''Kazemi-Lomedasht et al'', the
murine The Old World rats and mice, part of the subfamily Murinae in the family Muridae, comprise at least 519 species. Members of this subfamily are called murines. In terms of species richness, this subfamily is larger than all mammal families ex ...
via subcutaneous injection value for ''Naja oxiana'' (Iranian specimens) was estimated to be 0.14 mg/kg (0.067-0.21 mg/kg) more potent than the sympatric Pakistani ''Naja naja karachiensis'' (0.22 mg/kg), the
Thai Thai or THAI may refer to: * Of or from Thailand, a country in Southeast Asia ** Thai people, the dominant ethnic group of Thailand ** Thai language, a Tai-Kadai language spoken mainly in and around Thailand *** Thai script *** Thai (Unicode block ...
''Naja kaouthia'' (0.2 mg/kg), and ''Naja philippinensis'' at 0.18 mg/kg (0.11-0.3 mg/kg) An older study by ''Zug et al'' listed a LD50 value of 0.2 mg/kg from Pakistani and Indian specimens. Average venom yield per bite for this species is between 75 and 125 mg (dry weight), while in other parts of its distribution venom yield average is between 150 to 225 mg (dry weight). The highest single bite yields are between 590-784 mg (dry weight). The crude venom of ''N. oxiana'' has a lowest published lethal dose (LCLo) of 0.005 mg/kg, the lowest among all cobra species, derived from an individual case of poisoning by intracerebroventricular injection. Between 1979 and 1987, 136 confirmed bites were attributed to this species in the former
Soviet Union The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a List of former transcontinental countries#Since 1700, transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, ...
. Of the 136, 121 received antivenom, and only 8 died (6.6%). Of the 15 who did not receive antivenom, 11 died (untreated mortality rate of 73%). In
Iran Iran, officially the Islamic Republic of Iran, and also called Persia, is a country located in Western Asia. It is bordered by Iraq and Turkey to the west, by Azerbaijan and Armenia to the northwest, by the Caspian Sea and Turkmeni ...
, where the Caspian cobra is widespread, it is responsible for the highest number of deaths due to snakebite in the country. The Levant viper,
Saw-scaled viper ''Echis'' (common names: saw-scaled vipers, carpet vipersSpawls S, Branch B. 1995. ''The Dangerous Snakes of Africa''. Dubai: Ralph Curtis Books. Oriental Press. 192 pp. .) is a genus of vipers found in the dry regions of Africa, the Middle Eas ...
, and the
Persian horned viper The Persian horned viper (''Pseudocerastes persicus''), known as the Persian horned viper, false horned viper,Mallow D, Ludwig D, Nilson G. 2003. ''True Vipers: Natural History and Toxinology of Old World Vipers''. Malabar, Florida: Krieger Publi ...
are responsible for more snakebite incidents, but they have a lower mortality rate compared to ''N. oxiana''. Multiplying habitat suitability models of the four snakes showed that the northeast of Iran (west of Khorasan-e-Razavi province) has the highest snakebite risk in the country. In addition, villages that were at risk of envenoming from the four snakes were identified. Results revealed that 51,112 villages are at risk of envenoming from ''M. lebetinus'' (Levant viper), 30,339 from ''E. carinatus'' (saw-scaled viper), 51,657 from ''P. persicus'' (Persian horned viper) and 12,124 from ''N. oxiana'' (Caspian cobra). A study reported 53,787 cases of bites by venomous snakes between 2002 and 2011 in Iran, with the highest rate of snakebite incidents being found in provinces in the south and southwest of Iran. Out of the 53,787 cases of snake bites which were reported to medical centers in Iran, only 118 were correctly identified as bites by this species. In total there were 67 deaths, 51 of which were due to ''N. oxiana''. Out of 51 bites, 46 didn't receive medical treatment. One 10 year old male died en route to the closest hospital ~35 minutes post-envenomation. Five were treated with antivenom, but succumbed to the venom regardless of the fact (~7% mortality despite treatment). Untreated mortality rates seem to be particularly high for a species within the genus ''Naja'', at around ~80%. (''Naja naja oxiana'', Ladle Snake, p. 124). In
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's fifth-most populous country, with a population of almost 243 million people, and has the world's second-lar ...
, it is responsible for high rates of
snakebite A snakebite is an injury caused by the bite of a snake, especially a venomous snake. A common sign of a bite from a venomous snake is the presence of two puncture wounds from the animal's fangs. Sometimes venom injection from the bite may occu ...
s that result in mortality. Reliable figures on incidence, morbidity and mortality are limited but almost 40,000 biting cases are reported annually which result up to 8,200 fatalities in one study. An estimates of annual mortality rate in Pakistan is around 1.9 per 100,000 population. In one survey, it was reported that out of 5,337 envenomed patients, 57% were cobra victims and the remaining rest of 35% were bitten by kraits and vipers. Of the 5,337 envenomed patients, there were 3,064 cobra (''N. naja'' and ''N. oxiana'') victims. Out of the 3,064 bitten by cobras (841 correctly identified as ''N. naja,'' and 384 were correctly identified as ''N. oxiana).'' There were 78 untreated case, of which 64 were fatal (82%), much higher than untreated cases for N. naja (33.6%). A woman bitten by this species in northwestern Pakistan suffered prominent neurotoxicity and died while en route to the closest hospital nearly 50 minutes after envenomation (death occurred 45–50 minutes post envenomation). Antivenom is not as effective for envenomation by this species as it is for other Asiatic cobras within the same region, like the Indian cobra (''N. naja''), and due to the dangerous toxicity of this species' venom, massive amounts of antivenom are often required for patients. As a result, a monovalent antivenom serum is being developed by the
Razi Vaccine and Serum Research Institute The Razi Vaccine and Serum Research Institute (romanized: ''Mo'asseseh-ye Tahqiqât-e Vâksan va Seromsâzi-e Râzi'') is an Iranian pharmaceutical and biological institute. It is located in the Hessarak district in Karaj, Iran. The Institute was ...
in Iran. Response to treatment with antivenom is generally poor among patients, so
mechanical ventilation Mechanical ventilation, assisted ventilation or intermittent mandatory ventilation (IMV), is the medical term for using a machine called a ventilator to fully or partially provide artificial ventilation. Mechanical ventilation helps move a ...
and
endotracheal intubation Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently ...
is required. As a result, mortality among those treated for ''N. oxiana'' envenomation is still relatively high (up to 30%) compared to all other species of cobra (<1%).


References


Further reading

* * * *


External links

* {{Taxonbar, from=Q2349137 Naja Reptiles of Afghanistan Reptiles of Central Asia Reptiles of India Reptiles of Iran Reptiles of Pakistan Reptiles described in 1831