It's Hard to Find Treatment for Snakebites in Kenya. Thousands of People are Dying Every Year

A snake antivenom is seen in a container at Kenya Snakebite Research and Intervention Centre (KSRIC) in Nairobi, Kenya, Friday, April 5, 2024. (AP Photo/Andrew Kasuku)
A snake antivenom is seen in a container at Kenya Snakebite Research and Intervention Centre (KSRIC) in Nairobi, Kenya, Friday, April 5, 2024. (AP Photo/Andrew Kasuku)
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It's Hard to Find Treatment for Snakebites in Kenya. Thousands of People are Dying Every Year

A snake antivenom is seen in a container at Kenya Snakebite Research and Intervention Centre (KSRIC) in Nairobi, Kenya, Friday, April 5, 2024. (AP Photo/Andrew Kasuku)
A snake antivenom is seen in a container at Kenya Snakebite Research and Intervention Centre (KSRIC) in Nairobi, Kenya, Friday, April 5, 2024. (AP Photo/Andrew Kasuku)

Esther Kangali felt a sharp pain while on her mother’s farm in eastern Kenya. She looked down and saw a large snake coiling around her left leg. She screamed, and her mother came running.
Kangali was rushed to a nearby health center, but it lacked antivenom to treat the snake's bite. A referral hospital had none as well. Two days later, she reached a hospital in the capital, Nairobi, where her leg was amputated due to delayed treatment.
The 32-year-old mother of five knows it could have been avoided if clinics in areas where snakebites are common are stocked with antivenom.
Kitui County, where the Kangalis have their farm, has Kenya's second highest number of snakebite victims, according to the health ministry, which last year put annual cases at 20,000.
Overall in Kenya, about 4,000 snakebite victims die every year while 7,000 others experience paralysis or other health complications, according to the local Institute of Primate Research.
Residents fear the problem is growing. As the forests around them shrink due to logging and agricultural expansion, and as climate patterns become increasingly unpredictable, snakes are turning up around homes more frequently.
“We are causing adverse effects on their habitats like forest destruction, and eventually we are having snakes come into our homes primarily to seek for water or food, and eventually we have the conflict between humans and the snakes,” said Geoffrey Maranga, a senior herpetologist at the Kenya Snakebite Research and Intervention Center.
Climate change also can drive snakes into homesteads, he said, as they seek water in dry times and shelter in wet.
Maranga and his colleagues are part of a collaboration with the Liverpool School of Tropical Medicine to create effective and safe snakebite treatments and ultimately produce antivenom locally. Maranga's center estimates that more than half of people bit by snakes in Kenya don't seek hospital treatment — seeing it costly and difficult to find — and pursue traditional treatments.
Kenya imports antivenom from Mexico and India, but antivenom is usually region-specific, meaning a treatment in one region might not effectively treat snakebites in another.
Part of the work of Maranga and colleague Fredrick Angotte is extracting venom from one of Africa’s most dangerous snakes, the black mamba. The venom can help produce the next generation of antivenom.
“The current conventional antivenoms are quite old and suffer certain inherent deficiencies" such as side effects, said George Omondi, the head of the Kenya Snakebite Research and Intervention Center.
The researchers estimate the improved conventional antivenoms will take two or three years to reach the market. They estimate that Kenya will need 100,000 vials annually, but it's not clear how that much will be produced locally.
The research aims to make antivenom more affordable to Kenyans. Even when antivenom is available, up to five vials are required, which can cost as much as $300.
Meanwhile, the research center also does community outreach on snakebite prevention, teaching health workers and others how to safely coexist with snakes, perform first aid and treat those affected by snakebite.
The goal is to have fewer Kenyans suffer like Kangali’s neighbor, Benjamin Munge, who died in 2020 four days after a snakebite because the hospital had no antivenom.
It's unlikely that snakes will move away from homes, Kangali's mother, Anna, said, so solving the problem is up to humans.
“If the snakebite medicine can come to the grassroots, we will all get help,” she said.



How the Invasive Water Hyacinth Is Threatening Fishermen’s Livelihoods on a Popular Kenyan Lake

 A heron searches for food next to abandoned fishing boats trapped in hyacinth at Central Beach in Lake Naivasha in Nakuru county, Kenya's Rift Valley, Friday, Dec. 13, 2024. (AP)
A heron searches for food next to abandoned fishing boats trapped in hyacinth at Central Beach in Lake Naivasha in Nakuru county, Kenya's Rift Valley, Friday, Dec. 13, 2024. (AP)
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How the Invasive Water Hyacinth Is Threatening Fishermen’s Livelihoods on a Popular Kenyan Lake

 A heron searches for food next to abandoned fishing boats trapped in hyacinth at Central Beach in Lake Naivasha in Nakuru county, Kenya's Rift Valley, Friday, Dec. 13, 2024. (AP)
A heron searches for food next to abandoned fishing boats trapped in hyacinth at Central Beach in Lake Naivasha in Nakuru county, Kenya's Rift Valley, Friday, Dec. 13, 2024. (AP)

For someone who fishes for a living, nothing says a bad day like spending over 18 hours on a lake and taking home nothing.

Recently, a group of fishermen were said to be stranded on Kenya's popular Lake Naivasha for that long and blamed the water hyacinth that has taken over large parts of it.

“They did not realize that the hyacinth would later entrap them,” said fellow fisherman Simon Macharia. The men even lost their nets, he said.

The water hyacinth is native to South America and was reportedly introduced to Kenya in the 1980s “by tourists who brought it as an ornamental plant,” said Gordon Ocholla, an environmental scientist at Mount Kenya University.

Water hyacinth was first sighted on Lake Naivasha about 10 years ago. Now it has become a large, glossy mat that can cover swathes of the lake. To fishermen, the invasive plant is a threat to livelihoods.

Usually, the presence of water hyacinth is linked to pollution. It is known to thrive in the presence of contaminants and grows quickly, and is considered the most invasive aquatic plant species in the world, Ocholla said. It can prevent the penetration of sunlight and impact airflow, affecting the quality of aquatic life.

This has caused a drastic drop in the population of fish in Lake Naivasha and some other affected areas.

The East African Journal of Environment and Natural Resources estimated in a 2023 study that the invasion of water hyacinth in Kenyan lakes — including Africa's largest lake, Lake Victoria — has led to annual losses of between $150 million and $350 million in Kenya's fishing, transport and tourism sectors.

The fishermen at Lake Naivasha know that well.

“Previously we would catch up to 90 kilograms (198 pounds) of fish per day, but nowadays we get between 10 kilograms and 15 kilograms,” Macharia said.

This means daily earnings have dropped from $210 to $35.

Fishermen say they have tried to tackle the invasion of water hyacinth but with little success.

“It grows back faster than we can remove it,” Macharia said.

There are several ways to deal with the plant, including physically removing it, Ocholla said. Another method is introducing organisms that feed on it. Or chemicals can be sprayed to kill the plant, “but this is not favorable as it would harm other aquatic life.”

Several attempts have been made to convert the plant into a useful commodity.

“The government had built a biogas processor near the lake where we were supposed to take the hyacinth, but it has never been operational,” Macharia said. He did not know why.

Recently the fishermen, through a Kenyan start-up, began using a method that converts water hyacinth into biodegradable packaging.

HyaPak started in 2022 as a project at Egerton University in Kenya. It seeks to create environmentally friendly packaging.

“On one hand there is a problem of water hyacinth, and a problem of plastic waste pollution on the other. What we are trying to do is using one problem, the hyacinth, to solve the plastic waste pollution,” HyaPak founder Joseph Nguthiru said.

He said he created the project following a disastrous field excursion that left him and his classmates stuck on Lake Naivasha.

HyaPak has entered a partnership with the fishermen, who harvest the water hyacinth and sun-dry it for a negotiable fee. Then it is transported to the Kenya Industrial Research and Development Institute in Nairobi, where HyaPak is located.

There, it is mixed with what Nguthiru called “proprietary additives” and converted into biodegradable paper material.

HyaPak is targeting the agriculture sector, creating biodegradable bags for seedlings. The bags decompose with time, releasing nutrients that Nguthiru said are beneficial to the plants.

HyaPak works with 50 fishermen at Lake Naivasha, including Macharia. The company said it processes up to 150 kilograms of water hyacinth per week, converting it to 4,500 biodegradable packages.

Experts said scaling up such work will be a challenge.

“Such solutions and others that have been applied by similar start-ups may be promising and actually work, but if they cannot be scaled to a higher level that matches the invasiveness of the water hyacinth, then the problem will still persist,” Ocholla said.