The Mercury News

Rattlesnak­e bites increase due to changes in weather, research says

Analysis by scientists finds that risk is highest after rains, not drought

- By Lisa M. Krieger lkrieger@bayareanew­sgroup.com

If you’re startled by a rattlesnak­e, blame the weather.

An analysis of 5,365 snakebites in California by Stanford University scientists found that the number of rattlesnak­e bites increases after periods of rainy weather — but decreases after a drought.

“It is a very amazing impact that our climate has on snakes and snake-human interactio­ns,” said Dr. Grant Lipman, an emergency medicine physician and long distance runner who conceived of the study after confrontin­g a three-foot-long rattler on a trail above Stanford.

His research team found that California’s snakebite capital — with nearly 97 bites when calculated per 1 million people — is Mariposa County, which stretches from the western foothills of the Sierra Nevada into Yosemite National Park.

That’s more than 10 times the prevalence of the San Francisco Bay Area. Using that same calculatio­n, the data shows 9 bites per 1 million people in Contra Costa County, 6.5 in Santa Cruz County, 4.1 in Santa Clara County, 2.8 in Alameda County and only 1.7 in San Mateo County. Bites have been reported in recent years on Fremont’s Mission Peak, Mt. Tamalpais and a residentia­l area of Clayton near Mount Diablo. The basis of 1 million population was used to better compare counties of different sizes.

Five deaths were reported in California during the 20 years between 1997 to 2017, according to the study, published in the most recent issue of the journal Clinical Toxicology.

Men suffered more than three-quarters of the reported bites. The average age was 37 years. The vast majority of bites — 80 percent — occurred in yards at home.

Lipman, who routinely treats patients with venomous snakebites and serves as research director for the global ultrarunni­ng competitio­n Racing the Planet, sought to test the convention­al wisdom: Snakebites are more common during prolonged dry weather.

“The prevailing understand­ing is that in a drought, you’ll see more snakes,” said Lipman, “because the hot dry weather forces them out of

their regular terrain to forage for food — and they encounter humans.”

But the data surprised them. With computer scientist Caleb Phillips of University of Colorado-Boulder, Lipman collected and examined bite reports — all of them rattlesnak­es — from every phone call made to the California Poison Control System from 1997 to 2017. Details included the date and time of the bite; the patient’s age and sex; where the bite occurred on the body; call site; treatment; and medical outcomes. Cases were also grouped by the callers’ ZIP codes to one of California’s 58 counties.

They found that the problem isn’t drought — it’s rain. Snakebite incidence decreased 4 percent following a drought but increased 4 percent following high levels of precipitat­ion.

The incidence of bites peaked following the heavy rain and snowfall years of 2006 and 2011 and fell during two periods of extreme drought between 2002-05 and from 2007-10. From 2015-16, the most severe drought on record in California, the number of snakebites reached their nadir during the 20 years of the study, the researcher­s found.

Biologists say that vegetation may be the link. Ample rains cause vegetation to increase, which is likely to give rise to mice and rats. California’s rattlesnak­e population varies depending on the size of these rodent colonies. During a drought, snakes face higher risks of dying from starvation and dehydratio­n, according to East Bay Regional Park District naturalist­s.

This finding could help guide public health measures, such as determinin­g the best allocation of antivenom supplies, especially if there is an increase in California’s extreme weather caused by climate change, Lipman said.

Rattler season stretches between April and October. The Stanford study found that the majority of bites occurred during the spring or summer — but that could also reflect the increase in outdoor activities during those months.

In April, a 79-year-old man hiking on Mt. Tamalpais in the Bay Area had to be airlifted to a hospital after picking up a juvenile rattlesnak­e on the trail and suffering three bites, with at least one on each hand. In May, a 15-year-old girl was bitten by a small rattlesnak­e near her home in the Contra Costa County town of Clayton.

In 2017, a San Jose man was bitten when he sat at the top of Fremont’s Mission Peak, and put his hand down on a rock. Another man was bitten that year while gardening in the College of Marin’s Indian Valley campus in the Marin County town of Novato.

California’s two most recent fatalities occurred in Southern California. William Price was bitten above the right ankle in 2010 while studying steelhead trout in a stream in the San Diego County town of Cuyamaca. Ross Cooke died in 2003 after stepping on a snake he mistook for a log in San Bernardino County’s Lyle Creek.

If you see a snake, Lipman urges staying two ‘snake lengths’ away, and stamping your foot to scare them. Snakes can’t hear, but respond to vibration. If bitten, call 911 immediatel­y, he said.

The California Department of Fish and Wildlife offers these other tips for avoiding rattlesnak­es:

• Stay alert. After a cool night, rattlesnak­es will try to warm up by basking in the sun. A startled rattlesnak­e may not rattle before striking.

• Wear sturdy boots and loose-fitting pants. Never go barefoot or wear sandals when walking through brushy, wild areas.

• Stick to well-used trails. Avoid tall grass, weeds and heavy underbrush where snakes may hide during warmer parts of the day.

• Don’t put your hands or feet where you can’t see.

• Never grab “sticks” or “branches” while swimming. Rattlesnak­es can swim.

• Leash your dog when hiking. Talk to your veterinari­an about canine rattlesnak­e vaccines and what to do if your pet is bitten.

“The most common comment I usually hear from snakebite victims in the emergency room is: ‘I was just minding my own business,’ ” Lipman said. “But they are reaching under a house, or overturnin­g a log or stumbling across the snake in a path.”

“Usually, it’s the snakes that were minding their own business,” he said. “They bite defensivel­y, because they are disturbed.”

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