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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS Negl Trop Dis</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosntds</journal-id>
<journal-title-group>
<journal-title>PLOS Neglected Tropical Diseases</journal-title>
</journal-title-group>
<issn pub-type="epub">1935-2735</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, CA USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.1371/journal.pntd.0009047</article-id>
<article-id pub-id-type="publisher-id">PNTD-D-20-01368</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v3">
<subject>Medicine and health sciences</subject><subj-group><subject>Medical conditions</subject><subj-group><subject>Tropical diseases</subject><subj-group><subject>Neglected tropical diseases</subject><subj-group><subject>Snakebite</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Eukaryota</subject><subj-group><subject>Animals</subject><subj-group><subject>Vertebrates</subject><subj-group><subject>Amniotes</subject><subj-group><subject>Reptiles</subject><subj-group><subject>Squamates</subject><subj-group><subject>Snakes</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Zoology</subject><subj-group><subject>Animals</subject><subj-group><subject>Vertebrates</subject><subj-group><subject>Amniotes</subject><subj-group><subject>Reptiles</subject><subj-group><subject>Squamates</subject><subj-group><subject>Snakes</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>People and places</subject><subj-group><subject>Population groupings</subject><subj-group><subject>Professions</subject><subj-group><subject>Agricultural workers</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Psychology</subject><subj-group><subject>Behavior</subject><subj-group><subject>Animal behavior</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Social sciences</subject><subj-group><subject>Psychology</subject><subj-group><subject>Behavior</subject><subj-group><subject>Animal behavior</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Zoology</subject><subj-group><subject>Animal behavior</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>People and places</subject><subj-group><subject>Geographical locations</subject><subj-group><subject>Asia</subject><subj-group><subject>Sri Lanka</subject></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Physical sciences</subject><subj-group><subject>Chemistry</subject><subj-group><subject>Polymer chemistry</subject><subj-group><subject>Macromolecules</subject><subj-group><subject>Polymers</subject><subj-group><subject>Elastomers</subject><subj-group><subject>Rubber</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Physical sciences</subject><subj-group><subject>Materials science</subject><subj-group><subject>Materials</subject><subj-group><subject>Polymers</subject><subj-group><subject>Elastomers</subject><subj-group><subject>Rubber</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Physical sciences</subject><subj-group><subject>Chemistry</subject><subj-group><subject>Polymer chemistry</subject><subj-group><subject>Polymers</subject><subj-group><subject>Elastomers</subject><subj-group><subject>Rubber</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Organisms</subject><subj-group><subject>Eukaryota</subject><subj-group><subject>Plants</subject><subj-group><subject>Grasses</subject><subj-group><subject>Rice</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Research and analysis methods</subject><subj-group><subject>Animal studies</subject><subj-group><subject>Experimental organism systems</subject><subj-group><subject>Plant and algal models</subject><subj-group><subject>Rice</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Biology and life sciences</subject><subj-group><subject>Nutrition</subject><subj-group><subject>Diet</subject><subj-group><subject>Beverages</subject><subj-group><subject>Tea</subject></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v3">
<subject>Medicine and health sciences</subject><subj-group><subject>Nutrition</subject><subj-group><subject>Diet</subject><subj-group><subject>Beverages</subject><subj-group><subject>Tea</subject></subj-group></subj-group></subj-group></subj-group></subj-group></article-categories>
<title-group>
<article-title>Integrating human behavior and snake ecology with agent-based models to predict snakebite in high risk landscapes</article-title>
<alt-title alt-title-type="running-head">Agent-based models to predict snakebite in high risk landscapes</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-1964-0919</contrib-id>
<name name-style="western">
<surname>Goldstein</surname>
<given-names>Eyal</given-names>
</name>
<role content-type="https://casrai.org/credit/">Conceptualization</role>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Formal analysis</role>
<role content-type="https://casrai.org/credit/">Investigation</role>
<role content-type="https://casrai.org/credit/">Methodology</role>
<role content-type="https://casrai.org/credit/">Software</role>
<role content-type="https://casrai.org/credit/">Validation</role>
<role content-type="https://casrai.org/credit/">Writing – original draft</role>
<xref ref-type="aff" rid="aff001"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor001">*</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-5690-838X</contrib-id>
<name name-style="western">
<surname>Erinjery</surname>
<given-names>Joseph J.</given-names>
</name>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Investigation</role>
<role content-type="https://casrai.org/credit/">Supervision</role>
<role content-type="https://casrai.org/credit/">Validation</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff001"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff002"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0003-3608-5328</contrib-id>
<name name-style="western">
<surname>Martin</surname>
<given-names>Gerardo</given-names>
</name>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Investigation</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff003"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff004"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-5260-2394</contrib-id>
<name name-style="western">
<surname>Kasturiratne</surname>
<given-names>Anuradhani</given-names>
</name>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff005"><sup>5</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-5679-2893</contrib-id>
<name name-style="western">
<surname>Ediriweera</surname>
<given-names>Dileepa Senajith</given-names>
</name>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff006"><sup>6</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>de Silva</surname>
<given-names>Hithanadura Janaka</given-names>
</name>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Funding acquisition</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff007"><sup>7</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0003-3521-5020</contrib-id>
<name name-style="western">
<surname>Diggle</surname>
<given-names>Peter</given-names>
</name>
<role content-type="https://casrai.org/credit/">Funding acquisition</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff008"><sup>8</sup></xref>
<xref ref-type="aff" rid="aff009"><sup>9</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0001-7680-2200</contrib-id>
<name name-style="western">
<surname>Lalloo</surname>
<given-names>David Griffith</given-names>
</name>
<role content-type="https://casrai.org/credit/">Funding acquisition</role>
<role content-type="https://casrai.org/credit/">Project administration</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff010"><sup>10</sup></xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-8382-0674</contrib-id>
<name name-style="western">
<surname>Murray</surname>
<given-names>Kris A.</given-names>
</name>
<role content-type="https://casrai.org/credit/">Conceptualization</role>
<role content-type="https://casrai.org/credit/">Funding acquisition</role>
<role content-type="https://casrai.org/credit/">Investigation</role>
<role content-type="https://casrai.org/credit/">Methodology</role>
<role content-type="https://casrai.org/credit/">Project administration</role>
<role content-type="https://casrai.org/credit/">Supervision</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff003"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff004"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff011"><sup>11</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes" xlink:type="simple">
<contrib-id authenticated="true" contrib-id-type="orcid">https://orcid.org/0000-0002-3740-7758</contrib-id>
<name name-style="western">
<surname>Iwamura</surname>
<given-names>Takuya</given-names>
</name>
<role content-type="https://casrai.org/credit/">Conceptualization</role>
<role content-type="https://casrai.org/credit/">Data curation</role>
<role content-type="https://casrai.org/credit/">Formal analysis</role>
<role content-type="https://casrai.org/credit/">Funding acquisition</role>
<role content-type="https://casrai.org/credit/">Investigation</role>
<role content-type="https://casrai.org/credit/">Methodology</role>
<role content-type="https://casrai.org/credit/">Project administration</role>
<role content-type="https://casrai.org/credit/">Software</role>
<role content-type="https://casrai.org/credit/">Supervision</role>
<role content-type="https://casrai.org/credit/">Validation</role>
<role content-type="https://casrai.org/credit/">Writing – original draft</role>
<role content-type="https://casrai.org/credit/">Writing – review &amp; editing</role>
<xref ref-type="aff" rid="aff001"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff012"><sup>12</sup></xref>
<xref ref-type="corresp" rid="cor001">*</xref>
</contrib>
</contrib-group>
<aff id="aff001"><label>1</label> <addr-line>School of Zoology, Department of Life Sciences, Tel Aviv University, Tel Aviv, Israel</addr-line></aff>
<aff id="aff002"><label>2</label> <addr-line>Department of Zoology, Kannur University, Kannur, India</addr-line></aff>
<aff id="aff003"><label>3</label> <addr-line>MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United Kingdom</addr-line></aff>
<aff id="aff004"><label>4</label> <addr-line>Grantham Institute—Climate Change and Environment, Imperial College London, London, United Kingdom</addr-line></aff>
<aff id="aff005"><label>5</label> <addr-line>Department of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka</addr-line></aff>
<aff id="aff006"><label>6</label> <addr-line>Health Data Science Unit, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka</addr-line></aff>
<aff id="aff007"><label>7</label> <addr-line>Deparment of Medicine, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka</addr-line></aff>
<aff id="aff008"><label>8</label> <addr-line>CHICAS, Lancaster University Medical School, Lancaster, United Kingdom</addr-line></aff>
<aff id="aff009"><label>9</label> <addr-line>Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America</addr-line></aff>
<aff id="aff010"><label>10</label> <addr-line>Liverpool School of Tropical Medicine, Liverpool, United Kingdom</addr-line></aff>
<aff id="aff011"><label>11</label> <addr-line>MRC Unit the Gambia at London School of Hygiene and Tropical Medicine, Atlantic boulevard, Fajara, The Gambia</addr-line></aff>
<aff id="aff012"><label>12</label> <addr-line>Department of Forest Ecosystems and Society, College of Forestry, Oregon State University, Corvallis, Oregon, United States of America</addr-line></aff>
<contrib-group>
<contrib contrib-type="editor" xlink:type="simple">
<name name-style="western">
<surname>Habib</surname>
<given-names>Abdulrazaq G.</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"/>
</contrib>
</contrib-group>
<aff id="edit1"><addr-line>College of Health Sciences, Bayero University Kano, NIGERIA</addr-line></aff>
<author-notes>
<fn fn-type="conflict" id="coi001">
<p>The authors have declared that no competing interests exist</p>
</fn>
<corresp id="cor001">* E-mail: <email xlink:type="simple">pogoyoly@gmail.com</email> (EG); <email xlink:type="simple">takuya.iwamura@oregonstate.edu</email> (TI)</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>22</day>
<month>1</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<month>1</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<issue>1</issue>
<elocation-id>e0009047</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>7</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>12</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-year>2021</copyright-year>
<copyright-holder>Goldstein et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="info:doi/10.1371/journal.pntd.0009047"/>
<abstract>
<p>Snakebite causes more than 1.8 million envenoming cases annually and is a major cause of death in the tropics especially for poor farmers. While both social and ecological factors influence the chance encounter between snakes and people, the spatio-temporal processes underlying snakebites remain poorly explored. Previous research has focused on statistical correlates between snakebites and ecological, sociological, or environmental factors, but the human and snake behavioral patterns that drive the spatio-temporal process have not yet been integrated into a single model. Here we use a bottom-up simulation approach using agent-based modelling (ABM) parameterized with datasets from Sri Lanka, a snakebite hotspot, to characterise the mechanisms of snakebite and identify risk factors. Spatio-temporal dynamics of snakebite risks are examined through the model incorporating six snake species and three farmer types (rice, tea, and rubber). We find that snakebites are mainly climatically driven, but the risks also depend on farmer types due to working schedules as well as species present in landscapes. Snake species are differentiated by both distribution and by habitat preference, and farmers are differentiated by working patterns that are climatically driven, and the combination of these factors leads to unique encounter rates for different landcover types as well as locations. Validation using epidemiological studies demonstrated that our model can explain observed patterns, including temporal patterns of snakebite incidence, and relative contribution of bites by each snake species. Our predictions can be used to generate hypotheses and inform future studies and decision makers. Additionally, our model is transferable to other locations with high snakebite burden as well.</p>
</abstract>
<abstract abstract-type="summary">
<title>Author summary</title>
<p>Snakebite is a neglected tropical disease affecting millions, and a major cause of death of agricultural workers in the tropics. In this research, the authors have developed a simulation model that includes data for agricultural activity across the days and seasons, as well as snake behavioral patterns, and the times and locations humans and snakes meet. Using this model, they predicted observed seasonal snakebite patterns in Sri Lanka, and they successfully showed how these patterns vary between different agricultural activities, including seasonal rice cultivation, and rubber and tea harvests. The findings arising from this study demonstrate that different combinations of human and snake activity, including species and farming practice differences, are likely to generate differences in snakebite patterns across locations. This model could be applied to analyze and predict snakebite in tropical regions around the globe to help mitigate the problem.</p>
</abstract>
<funding-group>
<funding-statement>This work was supported by the Medical Research Council [MP/P024513/1]. The grant was obtain by KM, TI, DGL, HJdeS, and PJD. The funders had no role in study design, data collection, and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<fig-count count="7"/>
<table-count count="3"/>
<page-count count="20"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>PLOS Publication Stage</meta-name>
<meta-value>vor-update-to-uncorrected-proof</meta-value>
</custom-meta>
<custom-meta>
<meta-name>Publication Update</meta-name>
<meta-value>2021-02-03</meta-value>
</custom-meta>
<custom-meta id="data-availability">
<meta-name>Data Availability</meta-name>
<meta-value>All relevant data are within the manuscript and its <xref ref-type="sec" rid="sec018">Supporting Information</xref> files.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec id="sec001" sec-type="intro">
<title>Introduction</title>
<p>Globally, five million people are bitten by snakes every year, resulting in approximately 94,000 deaths out of 1.8 million envenoming cases, and up to 400,000 morbidities [<xref ref-type="bibr" rid="pntd.0009047.ref001">1</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref002">2</xref>]. Most of this burden occurs in the tropics of south east Asia and Sub Saharan Africa [<xref ref-type="bibr" rid="pntd.0009047.ref002">2</xref>]. Despite its impacts, snakebite is still considered a neglected tropical disease that is concentrated among the poorest of the poor [<xref ref-type="bibr" rid="pntd.0009047.ref002">2</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref003">3</xref>], and this may have contributed to the lack of funding and scientific research on snakebite relative to other disease of similar or lesser burden [<xref ref-type="bibr" rid="pntd.0009047.ref003">3</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref005">5</xref>]. In 2017 snakebite was formally identified a neglected tropical disease by the World Health Organization [<xref ref-type="bibr" rid="pntd.0009047.ref003">3</xref>], which prompted the scientific community to increase efforts for combating this disease, including the development of a global snake bite strategy and roadmap [<xref ref-type="bibr" rid="pntd.0009047.ref006">6</xref>].</p>
<p>Several past studies have hypothesized on the importance of overlap between snake and human activities as a cause of snakebite patterns (e.g. [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref009">9</xref>]). However, previous research on snakebite has relied heavily on correlative models, that statistically relate bite data (e.g., from hospital admissions) to a range of social and, less often, environmental variables to identify key risk factors [<xref ref-type="bibr" rid="pntd.0009047.ref010">10</xref>]. Such studies include those which incorporate climatic factors such as precipitation, humidity, and mean temperature [<xref ref-type="bibr" rid="pntd.0009047.ref004">4</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref011">11</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref013">13</xref>], social factors including human population density, poverty, and farming activities [<xref ref-type="bibr" rid="pntd.0009047.ref004">4</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref014">14</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref017">17</xref>], and ecological factors such as snake activity or distribution information [<xref ref-type="bibr" rid="pntd.0009047.ref011">11</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref014">14</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref018">18</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref019">19</xref>]. For example, Yañez-arenas et al., (2016) [<xref ref-type="bibr" rid="pntd.0009047.ref019">19</xref>] show a correlation between snake distributions and bites, and Akani et al., (2013) [<xref ref-type="bibr" rid="pntd.0009047.ref014">14</xref>] matched patterns of snake activity with agricultural activity of local farmers across different months to reveal correlation with snakebite occurrences. However, no studies have yet taken a mechanistic socio-ecological approach that integrates both human and snake distributions and behaviors to investigate the ways in which snakebite epidemiology is simultaneously shaped by ecology, climate, and landscape characteristics.</p>
<p>Agent based modelling (ABM) is a bottom up approach for modeling complex and adaptive systems. ABMs are comprised of collections of individuals (agents) that are programmed to display behavioral traits, while their interactions with each other generate phenomena at a higher level [<xref ref-type="bibr" rid="pntd.0009047.ref020">20</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref023">23</xref>]. ABM is used both for representing the internal dynamics of complex systems, and discovering emergent patterns that may be found in those systems [<xref ref-type="bibr" rid="pntd.0009047.ref024">24</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref025">25</xref>]. Spatially explicit social-ecological dynamics are increasingly modelled using an ABM approach (e.g.: [<xref ref-type="bibr" rid="pntd.0009047.ref022">22</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref026">26</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref027">27</xref>]), such as those involving land use and land cover change [<xref ref-type="bibr" rid="pntd.0009047.ref026">26</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref028">28</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref029">29</xref>]. ABM has also been used for modelling ecological epidemiology, including zoonotic disease transmission across landscapes (e.g.: [<xref ref-type="bibr" rid="pntd.0009047.ref030">30</xref>]), mosquito behavior in models for malaria transmission [<xref ref-type="bibr" rid="pntd.0009047.ref031">31</xref>], rabies transmission among foxes [<xref ref-type="bibr" rid="pntd.0009047.ref032">32</xref>], and the spread of foot and mouth disease [<xref ref-type="bibr" rid="pntd.0009047.ref033">33</xref>]. With snakebite sharing many socio-ecological characteristics with zoonotic diseases [<xref ref-type="bibr" rid="pntd.0009047.ref010">10</xref>], ABM is an ideal and novel approach to investigate the epidemiology of snakebite from a mechanistic perspective (see <xref ref-type="fig" rid="pntd.0009047.g001">Fig 1</xref>).</p>
<fig id="pntd.0009047.g001" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g001</object-id>
<label>Fig 1</label>
<caption>
<title>Modeling approach: Our model simulates daily and seasonal cycles.</title>
<p>A day is represented as 24 time steps. <bold>1. Farmer agent</bold>: Farmer agent has its own daily/seasonal activity schedule according to farmer types (rice, tea, rubber). It owns its piece of crop land. Farmer agent commutes from its home location to its field. It moves inside of her crop area. <bold>2. Snake activity layer:</bold> Snake activity level is determined by the snake species, crop types (habitat types) and precipitation. Snake species determines its distribution probability, habitat preferences, daily/seasonal activity schedule and attack rate. <bold>3. Precipitation cycle</bold>: Precipitation affects snake activity and farmer’s activity.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g001" xlink:type="simple"/>
</fig>
<p>Sri Lanka is a global snakebite hotspot [<xref ref-type="bibr" rid="pntd.0009047.ref002">2</xref>]. It has been estimated that nationally there are more than 80,000 snakebites a year, 30,000 of which involve envenoming. Due to high quality health systems, only around 400 of these result in deaths annually [<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>]. Nevertheless, morbidity is considerable and the total annual economic burden on households of snakebite envenoming in Sri Lanka amounts to almost $4 million, while it costs the public health system around $10 million per year [<xref ref-type="bibr" rid="pntd.0009047.ref034">34</xref>]. Sri Lanka is home to over a hundred snake species, as well as nine medically important land snake species, including: <italic>Daboia russelii</italic>, <italic>Naja naja</italic>, <italic>Bungarus caeruleus</italic>, <italic>Bungarus ceylonicus</italic>, <italic>Echis carinatus</italic>, <italic>Hypnale hypnale</italic>, [<xref ref-type="bibr" rid="pntd.0009047.ref035">35</xref>]. Many of these species also contribute to an extensive burden in neighboring regions in South Asia [<xref ref-type="bibr" rid="pntd.0009047.ref036">36</xref>]. Previous studies have shown that the frequency of snakebites in Sri Lanka is spatially correlated with climatic, geographic, and socio-economic factors, such as ethnicity, age, occupation, and income [<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>], with bites occurring seasonally (primarily in the months of November-December, March-May and August) [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>]. Snakebite incidence is broadly congruent with the geographical patterns of snake species occurrence across the island [<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>].</p>
<p>In this study, we integrate socio-ecological factors associated with snakebites in Sri Lanka into a single model by constructing an ABM simulation based on detailed datasets of snake distributions, snake behaviors, landscape characteristics, and farmers’ behavioral patterns. Sri Lanka provides an ideal case study for modeling snakebite mechanisms in this way, as not only is it a global hotspot of snakebite, it also provides highly reliable snakebite incidence data and has a high volume of accumulated medical research from which the model can be developed and validated [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref035">35</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>]. We developed a spatially explicit ABM to analyze the spatio-temporal overlap between the different medically important snake species and farmers of different crops in Sri Lanka, and integrated climate and landcover as drivers of human-snake interaction across different affected landscapes, in order to create a predictive model that can inform both future research as well as decision makers.</p>
</sec>
<sec id="sec002" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="sec003">
<title>Ethics statement</title>
<p>Our research has been reviewed by the ethics review committee of the faculty of medicine, University of Kelaniya, Kelaniya, Sri Lanka 11600, reference number p/22512/2018. Our study included permission of written consent by all participants who were interviewed during the field work.</p>
<sec id="sec004">
<title>Agent based modeling</title>
<p>Agent based modelling (ABM) is a bottom up approach for modeling complex and adaptive systems using autonomous agents, that explain macro level phenomenon [<xref ref-type="bibr" rid="pntd.0009047.ref020">20</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref023">23</xref>]. ABM is used both for studying complexity that is not easily reducible to differential equations, and discovering emergent patterns and phenomenon found in those systems, as well as study the internal dynamics of these system [<xref ref-type="bibr" rid="pntd.0009047.ref024">24</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref025">25</xref>]. ABM has been extensively used in different fields of study for modeling complex phenomenon, such as social, political, and economical science [<xref ref-type="bibr" rid="pntd.0009047.ref024">24</xref>]. There are now multiple programs used for ABM, including NetLogo [<xref ref-type="bibr" rid="pntd.0009047.ref038">38</xref>], Repast [<xref ref-type="bibr" rid="pntd.0009047.ref039">39</xref>], as well as the SpaDES package in <italic>R</italic> [<xref ref-type="bibr" rid="pntd.0009047.ref040">40</xref>]. Recently, spatially explicit social-ecological dynamics are increasingly modelled using an Agent-based modeling approach (e.g.:[<xref ref-type="bibr" rid="pntd.0009047.ref022">22</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref026">26</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref027">27</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref041">41</xref>]). It is commonly used for modelling social behavior including modeling land use and land cover change [<xref ref-type="bibr" rid="pntd.0009047.ref026">26</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref028">28</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref029">29</xref>], as well as zoonotic disease transmission across landscapes (e.g.: [<xref ref-type="bibr" rid="pntd.0009047.ref030">30</xref>]).</p>
<p>We used Netlogo [<xref ref-type="bibr" rid="pntd.0009047.ref038">38</xref>] to develop a spatially explicit model that represents the dynamics of snakebites among farmers (<xref ref-type="supplementary-material" rid="pntd.0009047.s001">S1 Fig</xref>). The model simulates real landscapes in the Study Area, each of which is represented by a 2x2 km study location comprised of a matrix of 10x10m grid cells. We simulated 17 study locations in total.</p>
<p>For the design and analysis of our model we used pattern oriented modelling (POM) [<xref ref-type="bibr" rid="pntd.0009047.ref042">42</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref043">43</xref>]. This approach emphasizes use of multiple patterns at different hierarchical scales for calibration and validation in order to reduce uncertainty in model structure and parameters. This approach allows us to examine not only large scale phenomena (such as macro level epidemiological observations), but also probe the dynamics and intricacies of the mechanism(s) that may be hidden or unobservable by just examining the different patterns individually.</p>
<p>The pattern oriented modelling protocol is comprised of four steps [<xref ref-type="bibr" rid="pntd.0009047.ref042">42</xref>]: 1) aggregate known biological data regarding a system and use it to construct a model that is related to a hypothesis and is theoretically capable of reproducing previously observed patterns; 2) determine the parameter values of the system; 3) compare systematically between the independently observed data and those patterns predicted by the model, which may involve iteratively improving the model by removing certain parameters or choosing combinations of parameters that are more plausible or better represent observed patterns; and 4) look for secondary predictions in the model, which are different from the original patterns to which the model was compared during the third step of the process.</p>
<p>For each one of the locations studied, the model uses a range of input data to simulate the movement and interactions of different ‘agents’ among cells for a fixed duration. We used a discrete time series comprised of both months and hours. Each month is condensed to 24 timesteps which are representative of individual hours of the daytime, and the simulation is performed across the 12 months of the year, comprising of 288 timesteps in total. Parameters and variables in the simulation are recorded and updated both hourly and monthly, depending on the agent (snake seasonal activity and farmers’ working schedules update at the beginning of each month; snake daily activity is updated at the beginning of each hour).</p>
<p>There are two types of agents in the model: farmers and snakes. Farmers are able to work in multiple land cover classes, depending on seasonal needs (see ‘Recording Farmer Characteristics’ below). Farmers have a state variable of working schedule, which includes the land cover type they should be farming, time of day they begin to work, and the number of hours they will spend working in that land cover class. Using the work schedule, the farmers move between the land cover they are farming and their home.</p>
<p>Each snake agent is characterized by a set of ecological and behavioral traits, including: species, daily activity, habitat preference, aggressiveness, and seasonal activeness. Each species is given a set of probabilities for movement between land cover classes depending on the land association factor (see “Snake distribution and behaviour” below) and number of patches for each land cover class (see “Remote sensing dataset” below).</p>
<p>The influence of the environment on agent activity is represented by climatic variables (precipitation and number of non-rainy days (see “Climate dataset” below)).</p>
</sec>
<sec id="sec005">
<title>Study area and spatial data</title>
<p>We focused our modelling effort on the district of Ratnapura in the wet zone of Sri Lanka, which is characterized by high precipitation (see <xref ref-type="fig" rid="pntd.0009047.g002">Fig 2</xref>). This district has a great diversity of crop types, including tea, rubber, coconut, as well as rice cultivation albeit practiced here on a smaller scale in comparison to other zones of Sri Lanka due to topographic conditions [<xref ref-type="bibr" rid="pntd.0009047.ref044">44</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref046">46</xref>]. Within the district, we focused our research on four different divisions (Eheliyagoda, Balangoda, Kalawana, and Embilipitiya) that represented the variation in crop types within the district, and at each division level we ran simulations on between 4–5 locations, with 17 locations in total (see <xref ref-type="fig" rid="pntd.0009047.g003">Fig 3</xref>).</p>
<fig id="pntd.0009047.g002" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g002</object-id>
<label>Fig 2</label>
<caption>
<title>Ecoregions of Sri Lanka [<xref ref-type="bibr" rid="pntd.0009047.ref047">47</xref>].</title>
<p>Annual precipitation of the Ratnapura district (Bioclim variable 12; [<xref ref-type="bibr" rid="pntd.0009047.ref048">48</xref>]). The four different divisions (Eheliyagoda–northwest, Kalawana–southwest, Balangoda–northeast, and Embilipitiya—southeast) used in analyses are marked. The Ratnapura district borders on the highlands in the center of the country, the dry zone in the south east, and is part of the wet zone in its center and west.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g002" xlink:type="simple"/>
</fig>
<fig id="pntd.0009047.g003" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g003</object-id>
<label>Fig 3</label>
<caption>
<title>Classification map using support vector machine (SVM).</title>
<p>A) Classification map for the Ratnapura region created using a SVM classification and sentinel 2 satellite imagery. The Ratnapura district border is marked on the map (black line), and the four divisions where we conducted field work and ran simulations are marked (black dots, see also <xref ref-type="fig" rid="pntd.0009047.g002">Fig 2</xref>). Variation in landcover types can be observed between locations, with B) the north east (Balangoda) having a mixture of all landcover types, C) the north west (Eheliyagoda) containing a high concentration of rubber plantations, D) the south east (Embilipitiya) containing a high concentration of rice farming, and E) the south west (Kalawana) containing many tea plantations next to forests.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g003" xlink:type="simple"/>
</fig>
<p><italic>Landcover</italic> - The main attribute of each cell in the model is its landcover type (Rice, Tea, Forest, Rubber, Home). We used Sentinel-2 remotely sensed images from 2017 to produce vegetation type classification maps (Tile T44NMN and relative orbit numbers R119 &amp; R076), which were chosen based on quality of images and percentage of cloud cover. Tiles were downloaded from the USGS earth explorer portal and were processed using the SNAP program and the Sen2cor plugin [<xref ref-type="bibr" rid="pntd.0009047.ref049">49</xref>]. After removing cloud cover, the tiles were merged into a single tile before classification.</p>
<p>We classified the images into five different landcover types giving importance to major crop types and vegetation in the district: forest, rubber, tea, paddy, and water bodies, with a resolution of 10 x 10m (<xref ref-type="fig" rid="pntd.0009047.g003">Fig 3</xref>). The classification was made using two different supervised classification algorithms: support vector machine (SVM) and maximum likelihood (ML), with 100 training polygons for each land cover type. We used spectra from 4 different bands and NDVI index for classification (band number 2 –Blue, band number 3 –green, band number 4 –red, and band number 8 –near-infra red), with band numbers 4 and 8 used for calculation of the NDVI index. We obtained an overall accuracy of 83.2% and kappa coefficient of 0.68 for the SVM classification and an accuracy rate of 80.7% and kappa coefficient of 0.66 for the ML classification (see accuracy assessment in <xref ref-type="supplementary-material" rid="pntd.0009047.s009">S1 Table</xref>). The classification was later supplemented with a home class, where homes were randomly assigned in each study location in proportion to the population, with a fixed population size of 200 farmers for each simulation.</p>
<p><italic>Climate</italic> - We used monthly precipitation (mm) from the climate research unit dataset [<xref ref-type="bibr" rid="pntd.0009047.ref050">50</xref>] downscaled to a resolution of 1km<sup>2</sup>, using the Delta method [<xref ref-type="bibr" rid="pntd.0009047.ref048">48</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref051">51</xref>]. For each one of the locations modelled, we extracted the raster values and used them in our model as integer values for each month. In addition, we estimated the number of non-rainy days per month from past literature [<xref ref-type="bibr" rid="pntd.0009047.ref052">52</xref>].</p>
</sec>
<sec id="sec006">
<title>Human agent characteristics</title>
<p><italic>Farmer activity</italic> - The characteristics and behavior of farmers in the study area (see above) was first characterized via a community survey conducted during two weeks in July 2019. We visited four different divisions in the district of Ratnapura, and in each one we interviewed 10 farmers (40 in total) of different crops: with 22 engaged in rice farming, 22 in tea farming, and 10 in rubber (some farmers tend multiple crops). Each farmer was asked to answer a set of questions related to work schedules, including: planting season, harvest season, hour of starting work, hour of finishing work, seasonal rotation of crops, as well as size of plot. We also asked farmers about previous encounters with snakes, including location, and season when snakes were encountered. Our final farming dataset included a list of parameters that defined the farming behavior in the model (see <xref ref-type="table" rid="pntd.0009047.t001">Table 1</xref>).</p>
<table-wrap id="pntd.0009047.t001" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.t001</object-id>
<label>Table 1</label> <caption><title>A complete list of parameters used in the model for all agent types.</title> <p>Each of the parameters is either an input for the snake behavior submodel, farmer behavior submodel, or a global variable (climate and landcover).</p></caption>
<alternatives>
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<table>
<colgroup>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
</colgroup>
<thead>
<tr>
<th align="left">Model</th>
<th align="left">Parameter</th>
<th align="left">Value</th>
<th align="left">Source</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Farmers</td>
<td align="left">Farmer type</td>
<td align="left">Rice, Rubber, Tea</td>
<td align="left">Field work</td>
</tr>
<tr>
<td align="left">Farmers</td>
<td align="left">Land type work index</td>
<td align="left">0–110</td>
<td align="left">Field work</td>
</tr>
<tr>
<td align="left">Farmers</td>
<td align="left">Starting hour</td>
<td align="left">4-9AM</td>
<td align="left">Field work</td>
</tr>
<tr>
<td align="left">Farmers</td>
<td align="left">Number of hours worked</td>
<td align="left">4–14</td>
<td align="left">Field work</td>
</tr>
<tr>
<td align="left">Farmers</td>
<td align="left">Percentage of population working as farmers</td>
<td align="left">30–70%</td>
<td align="left">Government reports [<xref ref-type="bibr" rid="pntd.0009047.ref053">53</xref>]</td>
</tr>
<tr>
<td align="left">Snake</td>
<td align="left">Point process models</td>
<td align="left">0–3*10^<sup>-8</sup></td>
<td align="left">Calculated from snake data (<xref ref-type="supplementary-material" rid="pntd.0009047.s013">S1 Data</xref>)</td>
</tr>
<tr>
<td align="left">Snake</td>
<td align="left">Seasonal activity probability</td>
<td align="left">0–1</td>
<td align="left">Literature [<xref ref-type="bibr" rid="pntd.0009047.ref054">54</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref056">56</xref>]</td>
</tr>
<tr>
<td align="left">Snake</td>
<td align="left">Daily activity patterns</td>
<td align="left">0-.5</td>
<td align="left">Literature [<xref ref-type="bibr" rid="pntd.0009047.ref057">57</xref>]</td>
</tr>
<tr>
<td align="left">Snake</td>
<td align="left">Aggressiveness</td>
<td align="left">1–10</td>
<td align="left">Local herpetologists’ questionnaire</td>
</tr>
<tr>
<td align="left">Snake</td>
<td align="left">Land association factor</td>
<td align="left">0–2.429</td>
<td align="left">Calculated from snake data (<xref ref-type="supplementary-material" rid="pntd.0009047.s010">S2 Table</xref>)</td>
</tr>
<tr>
<td align="left">Land cover</td>
<td align="left">Type of land cover</td>
<td align="left">Rice, Tea, Rubber, Forest, Water, Home</td>
<td align="left">Remote sensing</td>
</tr>
<tr>
<td align="left">Climate</td>
<td align="left">Mean monthly precipitation</td>
<td align="left">21–1054</td>
<td align="left">Climate Research Unit</td>
</tr>
<tr>
<td align="left">Climate</td>
<td align="left">Number of rainy days</td>
<td align="left">10–25</td>
<td align="left">Literature [<xref ref-type="bibr" rid="pntd.0009047.ref052">52</xref>]</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<p>Based on the results of the survey, we allowed farmer agents in the model to have the option of moving among up to three different landcover types, and to choose between different working schedules on each landcover type. To take into account the seasonal variation of labour requirements according to the various cropping cycles, we first developed a labor index:
<disp-formula id="pntd.0009047.e001">
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<graphic id="pntd.0009047.e001g" mimetype="image" position="anchor" xlink:href="info:doi/10.1371/journal.pntd.0009047.e001" xlink:type="simple"/>
<mml:math display="block" id="M1">
<mml:mrow><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mn>247</mml:mn><mml:mo>×</mml:mo><mml:msub><mml:mi>F</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo stretchy="false">)</mml:mo><mml:mo>÷</mml:mo><mml:msub><mml:mi>A</mml:mi><mml:mi>i</mml:mi></mml:msub></mml:mrow><mml:mrow><mml:mn>30</mml:mn><mml:mo>÷</mml:mo><mml:msub><mml:mi>D</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow>
</mml:math>
</alternatives>
<label>(1)</label>
</disp-formula>
where <italic>I</italic><sub><italic>ij</italic></sub> is the labor index for landcover <italic>i</italic> during month <italic>j</italic> for 1 square kilometer of that landcover, <italic>F</italic><sub><italic>ij</italic></sub> is the number of farmers needed at landcover <italic>i</italic> during month <italic>j</italic> for the size of landcover owned by a specific farmer, <italic>A</italic><sub><italic>i</italic></sub> is the size of landcover <italic>i</italic> in acres, and <italic>D</italic><sub><italic>ij</italic></sub> is the number of days per month that land cover <italic>i</italic> is farmed during month <italic>j</italic>, and 247 is used to convert acres (the measurement farmers used when answering the questionnaire) into square kilometers.</p>
<p>A mean value of <italic>I</italic><sub><italic>ij</italic></sub> was calculated using the different index values obtained by the farmers and was distributed between the months according to the working schedule described by the farmers in the interviews. For the rubber landcover the index was calculated for a single day, and then multiplied by the estimated number of non-rainy days that occur in that specific month, since rubber farmers cannot work in the rain due to technical limitations of rubber harvesting methods.</p>
<p>In the model, the probability of each farmer attending each landcover type is then calculated at the beginning of each month:
<disp-formula id="pntd.0009047.e002">
<alternatives>
<graphic id="pntd.0009047.e002g" mimetype="image" position="anchor" xlink:href="info:doi/10.1371/journal.pntd.0009047.e002" xlink:type="simple"/>
<mml:math display="block" id="M2">
<mml:mrow><mml:msub><mml:mi>W</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>S</mml:mi><mml:mi>j</mml:mi></mml:msub><mml:mo>×</mml:mo><mml:msub><mml:mi>I</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>W</mml:mi><mml:mrow><mml:mi mathvariant="normal">max</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mo>×</mml:mo><mml:mi>P</mml:mi></mml:mrow>
</mml:math>
</alternatives>
<label>(2)</label>
</disp-formula>
where <italic>W</italic><sub><italic>i</italic>j</sub> is the number of farmers that are going to work in month <italic>i</italic> in landcover type <italic>j</italic>, <italic>S</italic><sub><italic>j</italic></sub> is the size of landcover type <italic>j</italic> in a simulation, <italic>I</italic><sub><italic>ij</italic></sub> is the labor index for month <italic>i</italic> and landcover <italic>j</italic> (from <xref ref-type="disp-formula" rid="pntd.0009047.e001">Eq 1</xref>), <italic>W</italic><sub><italic>max</italic></sub> is the maximum value of <italic>W</italic> possible for the location being simulated, and <italic>P</italic> is the farmer population size of the location being simulated. Once a farmer is assigned a certain landcover for month <italic>i</italic>, they will only work on that specific landcover during that month.</p>
<p>The farmers are then assigned a random number from a uniform distribution composed of the possible number of hours farmers work in the field for that specific landcover, based on what was reported by the farmers interviewed during the field work (<xref ref-type="supplementary-material" rid="pntd.0009047.s011">S3 Table</xref>). For the starting hour, the farmers choose a random value out of a normal distribution composed of the possible starting hours for that specific landcover, based on what was reported by the farmers during the field work (<xref ref-type="supplementary-material" rid="pntd.0009047.s012">S4 Table</xref>).</p>
</sec>
<sec id="sec007">
<title>Snake agent characteristics</title>
<p><italic>Distribution and abundance</italic> - We used Poisson Point Process Models (PPMs) to represent potential abundance of snakes for each species. We interpreted these models as representing the relative carrying capacity and a proxy for potential abundance for each species in each one of the locations modelled in our simulation. In order to calibrate our model’s snake population size, we used previous research in which the species <italic>Hypnale hypnale</italic> was systematically surveyed to estimate the number of individuals per square kilometer of forest habitat [<xref ref-type="bibr" rid="pntd.0009047.ref058">58</xref>]. This provided a link between PPM outputs and measured snake abundance in forest landscapes, which we then applied to other species and habitat types according to relative model weights following a habitat preference analysis (see below). This method resulted in abundance estimates up to 900 individuals per species per 2x2km tile (= up to 225 snakes per species per km<sup>2</sup>).</p>
<p><italic>Habitat preferences</italic> - Preference of landscape for each snake species was defined by a land association factor, calculated using the data points that were used to create the species distribution models. Using chi-square tests, the likelihood of a snake species being found on a specific land cover versus the probability that it would be found there at random was calculated (see <xref ref-type="supplementary-material" rid="pntd.0009047.s010">S2 Table</xref>).</p>
<p><italic>Activity and behavior</italic> - We incorporated several different measures of snake activity and behavior into the model, including seasonal activity patterns, daily behavioural habits, movement preferences among available habitats, and aggressiveness.</p>
<p>In the model, we assumed that there are a fixed number of snakes for each species present on a tile based on the PPM maps and population size estimate. Changes in activity levels throughout the year were defined according to observed seasonal activity in the tropics [<xref ref-type="bibr" rid="pntd.0009047.ref054">54</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref056">56</xref>], and according to observations made on <italic>Hypnale spp</italic> [<xref ref-type="bibr" rid="pntd.0009047.ref058">58</xref>]. At each monthly update a certain percentage of the snakes from each species becomes active according to the level of precipitation measured (see section 4), as calculated by:
<disp-formula id="pntd.0009047.e003">
<alternatives>
<graphic id="pntd.0009047.e003g" mimetype="image" position="anchor" xlink:href="info:doi/10.1371/journal.pntd.0009047.e003" xlink:type="simple"/>
<mml:math display="block" id="M3">
<mml:mrow><mml:msub><mml:mi>A</mml:mi><mml:mi>i</mml:mi></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>P</mml:mi><mml:mi>i</mml:mi></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>P</mml:mi><mml:mrow><mml:mi mathvariant="normal">max</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow>
</mml:math>
</alternatives>
<label>(3)</label>
</disp-formula>
where <italic>A</italic><sub><italic>i</italic></sub> is the activity factor for month <italic>i</italic>, and <italic>P</italic><sub><italic>i</italic></sub> is the precipitation level for month <italic>i</italic>, and <italic>P</italic><sub><italic>max</italic></sub> is the max level of precipitation for the region.</p>
<p>The snake daily activity is determined probabilistically according to the snake activity patterns, with each species being pre-defined as either diurnal, nocturnal, crepuscular, or cathemeral [<xref ref-type="bibr" rid="pntd.0009047.ref057">57</xref>]. A probability distribution was designed for each of the different daily activity patterns by identifying hours of sunrise and sunset, and setting the distributions in relation to those hours. All snakes were defined to have a baseline probability of 0.1 (10% chance) for being active even in hours when they are biologically defined as inactive, e.g. nocturnal snakes during daytime, in order to capture the full scope of encounter probability as described by epidemiological surveys (see below).</p>
<p>The probability of snakes moving to a specific landcover type is calculated using the amount of landcover type available and the attraction of the snake to that specific landcover type (see <xref ref-type="supplementary-material" rid="pntd.0009047.s010">S2 Table</xref> for the land association factor). The probability of each species moving to any type of landcover type was defined by a transition rule as:
<disp-formula id="pntd.0009047.e004">
<alternatives>
<graphic id="pntd.0009047.e004g" mimetype="image" position="anchor" xlink:href="info:doi/10.1371/journal.pntd.0009047.e004" xlink:type="simple"/>
<mml:math display="block" id="M4">
<mml:mrow><mml:msub><mml:mi>M</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>P</mml:mi><mml:mi>j</mml:mi></mml:msub><mml:msub><mml:mi>L</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>P</mml:mi><mml:mn>1</mml:mn></mml:msub><mml:msub><mml:mi>L</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mo>,</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msub><mml:mo>+</mml:mo><mml:mo>⋯</mml:mo><mml:mo>+</mml:mo><mml:msub><mml:mi>P</mml:mi><mml:mi>n</mml:mi></mml:msub><mml:msub><mml:mi>L</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mo>,</mml:mo><mml:mi>n</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow>
</mml:math>
</alternatives>
<label>(4)</label>
</disp-formula>
where <italic>M</italic><sub><italic>ij</italic></sub> is the probability of an individual of snake species <italic>i</italic> to move to land cover type <italic>j</italic>, <italic>P</italic><sub><italic>j</italic></sub> is the number of cells of land cover <italic>j</italic>, and <italic>L</italic><sub><italic>ij</italic></sub> is the landcover association factor between snake species <italic>i</italic> and landcover <italic>j</italic>. After calculating the transition rule, a random number is drawn to decide what landcover the snake will move to.</p>
</sec>
<sec id="sec008">
<title>Snakebites</title>
<p>Agents are tracked within the model locations and their encounters (occurring in the same grid cell at the same time) are recorded as snakebites under the following conditions. The probability of a snakebite occurring during an encounter is calculated by taking into account the varying propensities of each species to attack during an encounter. We incorporated aggressiveness by way of an aggressiveness index, which is a ranking of between 1–10 (1 = docile, 10 = very aggressive) as determined by local herpetologists (<xref ref-type="table" rid="pntd.0009047.t002">Table 2</xref>). The probability of a snakebite occurring is therefore calculated as:
<disp-formula id="pntd.0009047.e005">
<alternatives>
<graphic id="pntd.0009047.e005g" mimetype="image" position="anchor" xlink:href="info:doi/10.1371/journal.pntd.0009047.e005" xlink:type="simple"/>
<mml:math display="block" id="M5">
<mml:mrow><mml:msub><mml:mi>P</mml:mi><mml:mi>i</mml:mi></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mi>A</mml:mi><mml:mi>i</mml:mi></mml:msub></mml:mrow><mml:mrow><mml:msub><mml:mi>A</mml:mi><mml:mrow><mml:mi mathvariant="normal">max</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac></mml:mrow>
</mml:math>
</alternatives>
<label>(5)</label>
</disp-formula>
where <italic>P</italic><sub><italic>i</italic></sub> is the probability of snake species <italic>i</italic> causing a snakebite when there is a human-snake interaction, <italic>A</italic><sub><italic>i</italic></sub> is the aggressiveness index for snake <italic>i</italic>, and <italic>A</italic><sub><italic>max</italic></sub> is the maximal value for aggressiveness. When humans and snakes meet on the same cell, a random number is drawn between 0–1, and if it is smaller than the value obtained from the calculation then a snakebite occurs. This function is designed in order to assign a threshold for bites according to each snakes aggressiveness level, with the assumption that combining the aggressiveness along with the human-snake overlap would provide a good measure for snakebites occurring.</p>
<table-wrap id="pntd.0009047.t002" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.t002</object-id>
<label>Table 2</label> <caption><title>Snake behavior profiles for each species, as reported by local expert herpetologists.</title> <p>These profiles were integrated into the snake agent behavior variables, with the aggressiveness index and dial activity directly integrated into the model, and zonation is given as a broad description while the habitat preference factor was used in order to define snake behavior.</p></caption>
<alternatives>
<graphic id="pntd.0009047.t002g" mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.t002" xlink:type="simple"/>
<table>
<colgroup>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
</colgroup>
<thead>
<tr>
<th align="left">Species</th>
<th align="center">Common name</th>
<th align="left">Aggressiveness</th>
<th align="left">Daily activity</th>
<th align="left">Zonation</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left"><italic>Daboia russelli</italic></td>
<td align="left">Russell’s viper</td>
<td align="left">8</td>
<td align="left">Nocturnal</td>
<td align="left">Terrestrial</td>
</tr>
<tr>
<td align="left"><italic>Echis carinatus</italic></td>
<td align="left">Saw scaled viper</td>
<td align="left">10</td>
<td align="left">Cathemeral</td>
<td align="left">Terrestrial</td>
</tr>
<tr>
<td align="left"><italic>Hypnale hypnale</italic></td>
<td align="left">Hump nosed viper</td>
<td align="left">10</td>
<td align="left">Nocturnal</td>
<td align="left">Semi-arboreal</td>
</tr>
<tr>
<td align="left"><italic>Hypnale zara</italic></td>
<td align="left">Hump nosed viper</td>
<td align="left">10</td>
<td align="left">Nocturnal</td>
<td align="left">Semi-arboreal</td>
</tr>
<tr>
<td align="left"><italic>Hypnale napa</italic></td>
<td align="left">Hump nosed viper</td>
<td align="left">10</td>
<td align="left">Nocturnal</td>
<td align="left">Semi-arboreal</td>
</tr>
<tr>
<td align="left"><italic>Bungarus caeruleus</italic></td>
<td align="left">Common krait</td>
<td align="left">2</td>
<td align="left">Nocturnal</td>
<td align="left">Terrestrial</td>
</tr>
<tr>
<td align="left"><italic>Bungarus ceylonicus</italic></td>
<td align="left">Ceylon Krait</td>
<td align="left">1</td>
<td align="left">Nocturnal</td>
<td align="left">Terrestrial</td>
</tr>
<tr>
<td align="left"><italic>Naja naja</italic></td>
<td align="left">Cobra</td>
<td align="left">5</td>
<td align="left">Cathemeral/ Crepuscular</td>
<td align="left">Semi-aquatic</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
</sec>
<sec id="sec009">
<title>Model evaluation</title>
<p>We evaluated our model in two different ways: hypothesis testing (verification) and validation. For validation we used the “multiple patterns” methodology in order to check for consistency between the model and the observed data. This was done to make sure we were not overfitting the model, and to make sure it represented the general dynamics of the system [<xref ref-type="bibr" rid="pntd.0009047.ref043">43</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref059">59</xref>]. For the hypothesis testing we examined the process representation to make sure our model represented both the micro and macro level phenomena correctly, and that the system properly represented the dynamics and mechanism(s) that it is supposed to be representing. For validation we used the model formulations that were chosen during model selection. In addition, for the variables that were tested during the sensitivity analysis we chose variable values that were parameterized using the analysis output in order to make sure the values were above a threshold that allowed emergent patterns to appear in our system. For the full description of model selection and sensitivity analysis see <xref ref-type="supplementary-material" rid="pntd.0009047.s014">S1 Appendix</xref>.</p>
</sec>
<sec id="sec010">
<title>Validation</title>
<p>For external validation we chose multiple patterns on which there was already research conducted in Sri Lanka, such as temporal patterns of snakebites [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>], the relative risk of snakebite between locations [<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>], and biting snake species composition among bite victims as inferred from hospital records [<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>]. This was done in accordance with the POM protocol [<xref ref-type="bibr" rid="pntd.0009047.ref043">43</xref>], which suggests that multiple patterns be assessed and the fit between the model predictions and these patterns evaluated (as opposed to comparing results to a single statistic or a single pattern). This is supposed to prevent overfitting of the model to an expected output, or falsely representing the model by using only one output parameter, and to make sure that the model can represent the dynamics of the system that it is attempting to represent.</p>
</sec>
</sec>
<sec id="sec011">
<title>Hypothesis testing</title>
<p>We checked for consistency of process representation, following the spatial and temporal patterns of the snake and farmer agents, and snakebites. We did this for the distribution of snakebites across both the months of the year and across the hours of the day. We then checked when peak snakebites were occurring and their relationship to the movement patterns of the agents. This allowed us to make sure that the system was properly representing both the micro level (agents’ movements) and the macro level (snakebite distribution) and the relationship between them.</p>
</sec>
<sec id="sec012">
<title>Hypothesis generation</title>
<p>The POM protocol also suggests looking for secondary predictions that emerge from the model and using them later for further validation if observations become available, and if not then using them to prompt further research in the field [<xref ref-type="bibr" rid="pntd.0009047.ref042">42</xref>]. We checked for the following secondary predictions: monthly and daily patterns by snake species, by division, and by landcover types.</p>
</sec>
</sec>
<sec id="sec013" sec-type="results">
<title>Results</title>
<sec id="sec014">
<title>Validation</title>
<p>Overall, the model performed well in differentiating between high and low risk locations. The results are based on simulation runs for 45 different locations across the entire district of Ratnapura, with high and low defined as above or below the median snakebite risk for all locations simulated. Predictions of the ABM showed a significant difference in prediction between locations where snakebite risk was above the median of all locations simulated and those where snakebite risk was below the median using Welch two sample t-test (t = -5.539, df = 39.20, p-value &lt; 0.001) (<xref ref-type="supplementary-material" rid="pntd.0009047.s002">S2 Fig</xref>).</p>
<p>The model also effectively predicted the relative contribution of different species to overall snakebite patterns as derived from hospital surveys [<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>], both in divisions 1–3 (Eheliyagoda, Balangoda, and Kalawana) which were located in the wet zone, and divisions 4 (Emptilipitiya) which was located in the intermediate zone (<xref ref-type="table" rid="pntd.0009047.t003">Table 3</xref> and <xref ref-type="fig" rid="pntd.0009047.g004">Fig 4</xref>). The simulation contribution of cobras was overestimated in our model in all locations, and the contribution of Russell’s viper and hump nosed viper against entire snakebites were underestimated in the intermediate zone. Additionally, in contrast to the hospital survey our model did not include non-venomous species, so an over estimation is to be expected to a certain extent.</p>
<fig id="pntd.0009047.g004" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g004</object-id>
<label>Fig 4</label>
<caption>
<title>The average predicted proportion of bites from different snake species across four different locations.</title>
<p>The first three divisions (Balangdoa, Eheliyagoda, Kalawana) belong to the wet zone of Sri Lanka, while the fourth region (Embilipitiya) belongs to the intermediate zone of Sri Lanka.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g004" xlink:type="simple"/>
</fig>
<table-wrap id="pntd.0009047.t003" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.t003</object-id>
<label>Table 3</label> <caption><title>The average predicted proportion of bites from different snake species across four different locations.</title> <p>The first three divisions (Balangdoa, Eheliyagoda, Kalawana) belong to the wet zone of Sri Lanka, while the fourth region (Embilipitiya) belongs to the intermediate zone of Sri Lanka.</p></caption>
<alternatives>
<graphic id="pntd.0009047.t003g" mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.t003" xlink:type="simple"/>
<table>
<colgroup>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
<col align="left" valign="middle"/>
</colgroup>
<thead>
<tr>
<th align="left">Wet zone (1–3)</th>
<th align="left">Model prediction</th>
<th align="left">Hospital data</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left">Hump nosed viper</td>
<td align="left">51–57%</td>
<td align="left">65%</td>
</tr>
<tr>
<td align="left">Russell’s viper</td>
<td align="left">21–24%</td>
<td align="left">25%</td>
</tr>
<tr>
<td align="left">Cobra</td>
<td align="left">23–26%</td>
<td align="left">5%</td>
</tr>
<tr>
<td align="left">Non-venomous species</td>
<td align="left"/>
<td align="left">5%</td>
</tr>
<tr>
<td align="left">Intermediate zone (4)</td>
<td align="left">Model prediction</td>
<td align="left">Hospital data</td>
</tr>
<tr>
<td align="left">Russell’s viper</td>
<td align="left">39%</td>
<td align="left">50%</td>
</tr>
<tr>
<td align="left">Hump nosed viper</td>
<td align="left">16%</td>
<td align="left">30%</td>
</tr>
<tr>
<td align="left">Common Krait</td>
<td align="left">10%</td>
<td align="left">10%</td>
</tr>
<tr>
<td align="left">Cobra</td>
<td align="left">33%</td>
<td align="left">5%</td>
</tr>
<tr>
<td align="left">Non-venomous species</td>
<td align="left"/>
<td align="left">5%</td>
</tr>
</tbody>
</table>
</alternatives>
</table-wrap>
<p>The model was also successful in predicting the temporal patterns of snakebite in Sri Lanka reported previously. Snakebite has been reported as having three peaks in general throughout the year (November–December, March–May, August), although there are regional variations [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>]. The ABM predicted the possibility of different main peaks of snakebites through the year, including a large peak in March-May (Balangoda, Eyeliyagoda, Kalanawa, Embilipitiya), a second peak around August (Balangoda, Kalanawa), and a third peak in November-December (Balangoda, Eyeliyagoda, Kalanawa, Embilipitiya) (<xref ref-type="fig" rid="pntd.0009047.g005">Fig 5</xref>).</p>
<fig id="pntd.0009047.g005" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g005</object-id>
<label>Fig 5</label>
<caption>
<title>Snakebites per farmer across different months.</title>
<p>Results are based on 30 simulation runs for each location across 4 divisions representing snakebite patterns across the year.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g005" xlink:type="simple"/>
</fig>
</sec>
<sec id="sec015">
<title>Hypothesis testing</title>
<p>The model performed well in representing the micro level (agent movement) and its relation to the macro level (snakebite distribution), with a clear pattern of spatial-temporal overlap between snakes and farmers as the cause of snakebites (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6</xref>). The highest frequency of snakebite during the year occurred when both farmers and snakes were present and active on the different landcover types, although bite frequency differed among landcover types. On tea plantations, snakebites are simulated to follow snake activity closely as the activity level of farmers is highly consistent throughout the year (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6A–6D</xref>). Since the level of snake activity is defined by the amount of precipitation, the snakebites patterns follow seasonal rainfall (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6A–6D</xref>). For rice paddies, snakebite peaks occur at different time periods–either in April-May (peak snake activity), in August (peak farmer activity), or November (a combination of both) (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6B–6E</xref>). This reflects seasonal variability of rice farmers’ behaviors, which have a different activity peak from snakes (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6B–6E</xref>). On rubber plantations, snakebites are a mixture of both snake and farmer activity as well, with the highest peak in bites occurring when snakes are most active in April-June (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6C–6F</xref>).</p>
<fig id="pntd.0009047.g006" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g006</object-id>
<label>Fig 6</label>
<caption>
<title>Spatio-temporal overlap between farmers and snakes for each land cover type.</title>
<p>Values represent the mean number of farmers, snakes, and bites for 660 simulation runs across all locations. Each graph in the first row follows the monthly spatio-temporal overlap between farmers and snakes for <bold>A)</bold> tea <bold>B)</bold> rice, and <bold>C)</bold> rubber, and each graph in the second row follows the snakebite pattern that emerges out of the spatio-temporal overlaps for <bold>D)</bold> tea <bold>E)</bold> rice, and <bold>F)</bold> rubber.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g006" xlink:type="simple"/>
</fig>
<p>Distinct patterns of spatio-temporal overlaps on the daily level are also evident. For the tea landcover, peak activity tends to follow a bimodal pattern with peaks occurring in both late afternoon and early morning (<xref ref-type="supplementary-material" rid="pntd.0009047.s003">S3A Fig</xref>). This pattern reflects the working pattern of tea farmers that tend to start working early during the day, but also follow long working hours, which results in farmers meeting snakes both when snakes are active early morning, and when snakes are active during late afternoon. For the rice land cover, snakebites have the highest probability of occurring during late afternoon when farmers and snakes have high overlap, but may also occur in the early morning during peak activity months (<xref ref-type="supplementary-material" rid="pntd.0009047.s003">S3B Fig</xref>). This pattern reflects the working pattern of rice farmers that tend to start later during the day, but work for long hours, there for increasing the chances of encounter while snakes are active later in the day. For rubber, snakebites have the highest probability of occurring during the early hours of the morning (<xref ref-type="supplementary-material" rid="pntd.0009047.s003">S3C Fig</xref>). This pattern reflects the working pattern of rubber farmers that tend to start working early in the day when snakes are active, but also have short working hours, so a second snakebite peak later in the day does not occur.</p>
</sec>
<sec id="sec016">
<title>Hypothesis generation</title>
<p>A secondary prediction of our model was that the monthly burden of snakebites varies across locations, (<xref ref-type="fig" rid="pntd.0009047.g007">Fig 7</xref>). Our model predicted that in drier locations the peak in bites occurs earlier in the year during February-April, whereas wetter locations tend to have a higher peak in bites during the month of May (<xref ref-type="fig" rid="pntd.0009047.g007">Fig 7</xref>). The different patterns cannot be traced to a single factor but is likely caused by a combined effect of land cover and climatic differences, and the interaction between snakes, farmers, and their environment within these locations (see <xref ref-type="supplementary-material" rid="pntd.0009047.s004">S4</xref>, <xref ref-type="supplementary-material" rid="pntd.0009047.s005">S5</xref>, <xref ref-type="supplementary-material" rid="pntd.0009047.s006">S6</xref>, <xref ref-type="supplementary-material" rid="pntd.0009047.s007">S7</xref> and <xref ref-type="supplementary-material" rid="pntd.0009047.s008">S8</xref> Figs). This prediction also suggests that there may be significant temporal differences in snakebites between the wet, dry, and intermediate zones in Sri Lanka.</p>
<fig id="pntd.0009047.g007" position="float">
<object-id pub-id-type="doi">10.1371/journal.pntd.0009047.g007</object-id>
<label>Fig 7</label>
<caption>
<title/>
<p><bold>Secondary predictions A) the yearly distribution of snakebites for different divisions</bold>. Each division showed a distinct pattern of snakebite, with the largest peak of the year varying between March and May. <bold>B) The yearly distribution of snakebites for different species</bold>. Each species showed different snakebite peaks through the year, with the largest peak occurring between February and May.</p>
</caption>
<graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.g007" xlink:type="simple"/>
</fig>
<p>Another secondary prediction from our model estimates that the monthly distribution of snakebites varied between species, with a different pattern for each species (<xref ref-type="fig" rid="pntd.0009047.g007">Fig 7</xref>). These different patterns are not caused by snake activity alone, but by a combination of snake habitat preference, snake activity, and the seasonal patterns of farmers on different landcover types.</p>
</sec>
</sec>
<sec id="sec017" sec-type="conclusions">
<title>Discussion</title>
<p>Snakebite affects poor and rural populations that are exposed to venomous snakes, yet few studies have attempted to decompose spatial and temporal patterns and predict risk on the basis of social-ecological causative mechanisms. Here we develop a mechanistic model to examine snakebite dynamics by simulating snake-human encounters in rural agricultural communities using an agent-based model (ABM). Our simulation represents the farmer-snake interactions that are driving snakebite patterns in Sri Lanka, a bite hotspot country within the highly affected South Asian region. While it has been previously shown that snakebites can have strong spatial and temporal patterns [<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>], and different studies have explored these patterns on local scales [<xref ref-type="bibr" rid="pntd.0009047.ref060">60</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref061">61</xref>], our model provides a unique mechanistic perspective regarding the emergence of these patterns from basic ecological principals regarding species interactions on a more local scale. Results showed that the model performed well in simulating snakebite occurrences across spatial and temporal scales, including daily and seasonal patterns, biting species assemblages, and bite incidence variation among locations (Figs <xref ref-type="fig" rid="pntd.0009047.g004">4</xref>,<xref ref-type="fig" rid="pntd.0009047.g005">5</xref>, <xref ref-type="fig" rid="pntd.0009047.g006">6</xref> and <xref ref-type="supplementary-material" rid="pntd.0009047.s002">S2</xref>–<xref ref-type="supplementary-material" rid="pntd.0009047.s008">S8</xref>).</p>
<p>The results suggest that the risks of snakebite depend on factors influencing the behaviors of both farmers and snakes, including landcover, precipitation, and the interaction between humans and snakes (Figs <xref ref-type="fig" rid="pntd.0009047.g006">6</xref> and <xref ref-type="fig" rid="pntd.0009047.g007">7</xref>). Our model also concurs with previous research showing that seasonal precipitation patterns dictate patterns of snakebites by influencing the activities of both snakes and farmers (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6</xref>) [<xref ref-type="bibr" rid="pntd.0009047.ref004">4</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>]. We further discovered that different crop types result in distinct work schedule in relation to daily human activities and rainy seasons, greatly altering overall risk profiles of snakebites for each crop (<xref ref-type="fig" rid="pntd.0009047.g006">Fig 6E, 6F and 6G</xref>). Additionally, the composition of snake species is different among various crop types (<xref ref-type="supplementary-material" rid="pntd.0009047.s008">S8 Fig</xref>), leading to complex social-ecological interactions that in turn contribute to snakebite risk [<xref ref-type="bibr" rid="pntd.0009047.ref014">14</xref>].</p>
<p>Our model suggests greater resolution on the composition of species delivering bites is essential in order to better resolve snakebite risks in future (<xref ref-type="fig" rid="pntd.0009047.g004">Fig 4</xref>). Previous research has supported the idea that following the ecology and behavior of each species would give a better understanding of both the mechanism driving bite patterns for individual snake species [<xref ref-type="bibr" rid="pntd.0009047.ref018">18</xref>], and for different types of landcover (e.g.: [<xref ref-type="bibr" rid="pntd.0009047.ref062">62</xref>]). Our model provides a mechanistic explanation for the ways snake ecology and human behavior combine to result in species specific snakebite patterns. For example, in our study system, although two species (Russell’s vipers and Hump nosed vipers) show similar seasonal activity patterns, a stronger preference for rice paddies for one of the species (Russell’s vipers) and a stronger preference for rubber plantations in the other species (Hump nosed vipers) results in very different temporal patterns of encounter. Understanding the overall pattern of snakebite therefore requires understanding of the specific ecology of each species (<xref ref-type="fig" rid="pntd.0009047.g007">Fig 7B</xref>).</p>
<p>Such differences in an example of why predicted snakebite patterns vary considerably between locations, since spatial heterogeneity of famer types and snake species create fine scale differences in encounter risk, a prediction which concurs with previous research [<xref ref-type="bibr" rid="pntd.0009047.ref012">12</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref013">13</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref037">37</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref063">63</xref>]. In our study, this difference between locations was in practice caused by a combination of factors, including different distributions of key landcover types and climatic conditions, which in turn affect either snakes or famers or both. For example, the division of Embilipitiya, which is located in the intermediate climatic zone of Sri Lanka, had a less suitable environment for Hump-nosed vipers and a high concentration of rice paddies, resulting in a snakebite pattern different, including overall risk, temporal patterns of risk and biting species composition, to those found in the sites in the wet zones (Figs <xref ref-type="fig" rid="pntd.0009047.g004">4</xref>, <xref ref-type="fig" rid="pntd.0009047.g005">5</xref> and <xref ref-type="fig" rid="pntd.0009047.g007">7</xref>).</p>
<p>Our study clearly showed that the spatio-temporal synchronicity in both snake and farmer behaviors is the key to understand the snakebite patterns in the Ratnapura district in Sri Lanka (Figs <xref ref-type="fig" rid="pntd.0009047.g006">6</xref> and <xref ref-type="supplementary-material" rid="pntd.0009047.s003">S3</xref>). In particular, multiple climatic profiles within the district may result complex snake-farmer associations evident from the snakebites patterns as well as the composition of responsible snake species (Figs <xref ref-type="fig" rid="pntd.0009047.g004">4</xref>, <xref ref-type="fig" rid="pntd.0009047.g005">5</xref> and <xref ref-type="fig" rid="pntd.0009047.g007">7</xref>). While our study shows a strong implication of social-ecological dynamisms of snakebites in dry and wet-dry climate zones in Sri Lanka, other studies have already invoked similar mechanisms to explain observed patterns of risk in rural communities outside of Sri Lanka (e.g.: [<xref ref-type="bibr" rid="pntd.0009047.ref014">14</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref017">17</xref>]). Considering the ease of re-parameterizing simulation models to generate baseline snakebite risk predictions on any spatial and temporal scale, our model has strong potential for applications in other areas across the tropics. For example, locations outside of Sri Lanka that include some of the same venomous snake species have shown yearly temporal distributions of snakebites that contrast with those observed inside of Sri Lanka [<xref ref-type="bibr" rid="pntd.0009047.ref016">16</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref017">17</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref064">64</xref>], which provides a strong avenue for hypothesis generation and testing of the model in different systems. Outside of Sri Lanka, other studies have similarly reported land-use specific risks (e.g. rubber in Liberia and rice in the Philippines) [<xref ref-type="bibr" rid="pntd.0009047.ref065">65</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref066">66</xref>]. Transferring the model to these regions could shed further light on the combinations of factors that underpin different snakebite patterns among different locations, again a potentially fruitful avenue for hypothesis generation or validation.</p>
<p>While our model represented some of the most important snake behavior factors relevant to snakebite, there are other elements that we did not address, primarily due to data limitations. These include reproduction phenology and its association with climate [<xref ref-type="bibr" rid="pntd.0009047.ref004">4</xref>], seasonal variability in landcover preferences [<xref ref-type="bibr" rid="pntd.0009047.ref058">58</xref>], or feeding habits and species-specific feeding strategies. For example, it is known that reproductive behavior can increase the chances of encountering snakes [<xref ref-type="bibr" rid="pntd.0009047.ref067">67</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref068">68</xref>], and integrating this behavior into the model may improve predictions. Additionally, differences between feeding strategies such as active hunting (e.g. <italic>Naja naja</italic>) and ambush (e.g. <italic>Hypnale hypnale</italic> &amp; <italic>Daboia russellii</italic>) may lead to different encounter outcomes, and integrating these traits may reduce the overestimation of cobra bites in comparison to other snake species and improve our predictions for the Ratnapura district. Similarly, we have not captured all the behavioral traits of farmers, such as differences in farming practices between small and large plantations, seasonal crop rotations [<xref ref-type="bibr" rid="pntd.0009047.ref069">69</xref>], and additional crop types (e.g., small gardens, cinnamon, banana, coconut) [<xref ref-type="bibr" rid="pntd.0009047.ref045">45</xref>], adaptive characteristics that represent farmers’ planning strategies over multiple years, or specific behaviors relating to snakebite epidemiology, such as health seeking behavior or the use of protective measures (e.g., boots) [<xref ref-type="bibr" rid="pntd.0009047.ref070">70</xref>]. Additionally, we did not integrate the distance between homes and fields due to limitations of our modeling framework, even though it has been known to be an important factor for snakebite occurrence. Nevertheless, our model has demonstrated the importance of integrating both human and snake behavior into a single model and has shown that integrating even a few essential characteristics can have strong explanatory value for predicting patterns of snakebite.</p>
<p>Snakebite is an ongoing concern in Sri Lanka, and across southern Asia and much of the tropical and subtropical developing world. The World Health Organization has launched a strategic plan to reduce snakebite injuries and mortality by 50% by the year 2030, yet it has been suggested that one of the key barriers to preventing snakebite is the lack of good quality research to help direct effort [<xref ref-type="bibr" rid="pntd.0009047.ref036">36</xref>]. Here we explored fine scale spatially explicit predictions by developing a novel mechanistic model to explain snakebite risks based on snake behaviors (e.g. snake activities and distributions) and farmer behaviors (e.g. work schedules for different landcover types). Our approach is based on clear, general mechanisms and strong socio-ecological theory and is therefore highly transferrable to other systems, where the risks of snakebite are similarly associated with occupational characteristics, environmental conditions and snake ecological traits [<xref ref-type="bibr" rid="pntd.0009047.ref008">8</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref017">17</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref019">19</xref>,<xref ref-type="bibr" rid="pntd.0009047.ref071">71</xref>–<xref ref-type="bibr" rid="pntd.0009047.ref073">73</xref>]. Our model, once implemented with local datasets, can examine the local socio-ecological drivers of snakebites and predict spatial and temporal snakebite patterns, as well as generating hypotheses and testing the efficacy of policy intervention. With snakebite burden in Sri Lanka expected to increase under climate change [<xref ref-type="bibr" rid="pntd.0009047.ref007">7</xref>] our findings carry important implications for future snakebite prevention in the study sites where it was developed. The insights gained in this study will help to focus future efforts to collect relevant data and resolve key mechanisms underlying snakebite risk, which should help advance management planning and the direction of scarce management resources.</p>
</sec>
<sec id="sec018" sec-type="supplementary-material">
<title>Supporting information</title>
<supplementary-material id="pntd.0009047.s001" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s001" xlink:type="simple">
<label>S1 Fig</label>
<caption>
<title>Model outline.</title>
<p>A. model outlines B. model structure.</p>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s002" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s002" xlink:type="simple">
<label>S2 Fig</label>
<caption>
<title>Model output of mean snakebite risk for locations with high and low snakebite occurrence.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s003" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s003" xlink:type="simple">
<label>S3 Fig</label>
<caption>
<title>The daily spatial temporal overlap of farmers and snakes for rice farmers.</title>
<p>A. Rice farmers B. Tea farmers C. Rubber farmers.</p>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s004" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s004" xlink:type="simple">
<label>S4 Fig</label>
<caption>
<title>Daily distribution of snakebite by division.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s005" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s005" xlink:type="simple">
<label>S5 Fig</label>
<caption>
<title>Daily distribution of snakebite by landcover type.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s006" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s006" xlink:type="simple">
<label>S6 Fig</label>
<caption>
<title>Daily distribution of snakebite by snake specie.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s007" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s007" xlink:type="simple">
<label>S7 Fig</label>
<caption>
<title>Yearly distribution of snakebite by landcover type.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s008" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s008" xlink:type="simple">
<label>S8 Fig</label>
<caption>
<title>Percent of snakebite by snake specie.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s009" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s009" xlink:type="simple">
<label>S1 Table</label>
<caption>
<title>Classification assessment.</title>
<p>A. Support vector machine B. Maximum likelihood.</p>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s010" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s010" xlink:type="simple">
<label>S2 Table</label>
<caption>
<title>Land association factor.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s011" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s011" xlink:type="simple">
<label>S3 Table</label>
<caption>
<title>Farmers working hours.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s012" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s012" xlink:type="simple">
<label>S4 Table</label>
<caption>
<title>Farmers starting hours.</title>
<p>(DOCX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s013" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s013" xlink:type="simple">
<label>S1 Data</label>
<caption>
<title>PPM at different locations.</title>
<p>(XLSX)</p>
</caption>
</supplementary-material>
<supplementary-material id="pntd.0009047.s014" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" position="float" xlink:href="info:doi/10.1371/journal.pntd.0009047.s014" xlink:type="simple">
<label>S1 Appendix</label>
<caption>
<title>Technical evaluation.</title>
<p>A. Model selection B. Sensitivity analysis C. Results.</p>
<p>(DOCX)</p>
</caption>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<p>We are grateful to Ruchira Somaweera for curation of snake occurance data, and to Udaya Wimalasiri for assistance during the field work.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="pntd.0009047.ref001"><label>1</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Gutiérrez</surname> <given-names>J. M.</given-names></name>, <name name-style="western"><surname>Williams</surname> <given-names>D.</given-names></name>, <name name-style="western"><surname>Fan</surname> <given-names>H. W.</given-names></name>, &amp; <name name-style="western"><surname>Warrell</surname> <given-names>DA</given-names></name>. <article-title>Snakebite envenoming from a global perspective: Towards an integrated approach</article-title>. <source>Toxicon</source>. <year>2010</year>;<volume>56</volume>: <fpage>1223</fpage>–<lpage>1235</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.toxicon.2009.11.020" xlink:type="simple">10.1016/j.toxicon.2009.11.020</ext-link></comment> <object-id pub-id-type="pmid">19951718</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref002"><label>2</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kasturiratne</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Wickremasinghe</surname> <given-names>A.R.</given-names></name>, <name name-style="western"><surname>de Silva</surname> <given-names>N.</given-names></name>, <name name-style="western"><surname>Gunawardena</surname> <given-names>N.K.</given-names></name>, <name name-style="western"><surname>Pathmeswaran</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Premaratna</surname> <given-names>R.</given-names></name>, <name name-style="western"><surname>Savioli</surname> <given-names>L.</given-names></name> LDG and de SHJ. <article-title>The global burden of snakebite: A literature analysis and modelling based on regional estimates of envenoming and deaths</article-title>. <source>PLoS Med.</source> <year>2008</year>;<volume>5</volume>: <fpage>1591</fpage>–<lpage>1604</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pmed.0050218" xlink:type="simple">10.1371/journal.pmed.0050218</ext-link></comment> <object-id pub-id-type="pmid">18986210</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref003"><label>3</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Chippaux</surname> <given-names>J.</given-names></name> <article-title>Snakebite envenomation turns again into a neglected tropical disease!</article-title> <source>J Venom Anim Toxins Incl Trop Dis</source>. <year>2017</year>;<volume>23</volume>: <fpage>38</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/s40409-017-0127-6" xlink:type="simple">10.1186/s40409-017-0127-6</ext-link></comment> <object-id pub-id-type="pmid">28804495</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref004"><label>4</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Chaves</surname> <given-names>LF</given-names></name>, <name name-style="western"><surname>Chuang</surname> <given-names>T</given-names></name>, <name name-style="western"><surname>Sasa</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Gutiérrez</surname> <given-names>JM</given-names></name>. <article-title>Snakebites are associated with poverty, weather fluctuations, and El Niño</article-title>. <source>Sci Adv</source>. <year>2015</year>;<volume>1</volume>.</mixed-citation></ref>
<ref id="pntd.0009047.ref005"><label>5</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Harrison</surname> <given-names>RA</given-names></name>, <name name-style="western"><surname>Hargreaves</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Wagstaff</surname> <given-names>SC</given-names></name>, <name name-style="western"><surname>Faragher</surname> <given-names>B</given-names></name>, <name name-style="western"><surname>Lalloo</surname> <given-names>DG</given-names></name>. <article-title>Snake envenoming: A disease of poverty</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2009</year>;<volume>3</volume>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0000569" xlink:type="simple">10.1371/journal.pntd.0000569</ext-link></comment> <object-id pub-id-type="pmid">20027216</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref006"><label>6</label><mixed-citation publication-type="journal" xlink:type="simple"><collab>World Health Organization</collab>. <article-title>Snakebite envenoming: A strategy for prevention and control</article-title>. <year>2019</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref007"><label>7</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ediriweera</surname> <given-names>DS</given-names></name>, <name name-style="western"><surname>Diggle</surname> <given-names>PJ</given-names></name>, <name name-style="western"><surname>Kasturiratne</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Pathmeswaran</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Gunawardena</surname> <given-names>NK</given-names></name>, <name name-style="western"><surname>Jayamanne</surname> <given-names>SF</given-names></name>, <etal>et al</etal>. <article-title>Evaluating temporal patterns of snakebite in Sri Lanka: The potential for higher snakebite burdens with climate change</article-title>. <source>Int J Epidemiol</source>. <year>2018</year>;<volume>47</volume>: <fpage>2049</fpage>–<lpage>2058</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1093/ije/dyy188" xlink:type="simple">10.1093/ije/dyy188</ext-link></comment> <object-id pub-id-type="pmid">30215727</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref008"><label>8</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Rahman</surname> <given-names>R</given-names></name>, <name name-style="western"><surname>Faiz</surname> <given-names>MA</given-names></name>, <name name-style="western"><surname>Selim</surname> <given-names>S</given-names></name>, <name name-style="western"><surname>Rahman</surname> <given-names>B</given-names></name>, <name name-style="western"><surname>Basher</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Jones</surname> <given-names>A</given-names></name>, <etal>et al</etal>. <article-title>Annual Incidence of Snake Bite in Rural Bangladesh</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2010</year>;<volume>4</volume>: <fpage>1</fpage>–<lpage>6</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0000860" xlink:type="simple">10.1371/journal.pntd.0000860</ext-link></comment> <object-id pub-id-type="pmid">21049056</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref009"><label>9</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Stock</surname> <given-names>RP</given-names></name>, <name name-style="western"><surname>Massougbodji</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Alagón</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Chippaux</surname> <given-names>JP</given-names></name>. <article-title>Bringing antivenoms to sub-Saharan Africa</article-title>. <source>Nat Biotechnol</source>. <year>2007</year>;<volume>25</volume>: <fpage>173</fpage>–<lpage>177</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1038/nbt0207-173" xlink:type="simple">10.1038/nbt0207-173</ext-link></comment> <object-id pub-id-type="pmid">17287747</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref010"><label>10</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Murray</surname> <given-names>K.A.</given-names></name>, <name name-style="western"><surname>Martin</surname> <given-names>G</given-names></name> and TI. <article-title>Focus on snake ecology to fight snakebite</article-title>. <source>Lancet</source>. <year>2020</year>;<volume>395</volume>: <fpage>e14</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S0140-6736%2819%2932510-3" xlink:type="simple">10.1016/S0140-6736(19)32510-3</ext-link></comment> <object-id pub-id-type="pmid">31982076</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref011"><label>11</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Angarita-Gerlein</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Bravo-Vega</surname> <given-names>CA</given-names></name>, <name name-style="western"><surname>Cruz</surname> <given-names>C</given-names></name>, <name name-style="western"><surname>Forero-Munoz</surname> <given-names>N.R.</given-names></name>, <name name-style="western"><surname>Navas-Zuloaga</surname> <given-names>M.G.</given-names></name>, <name name-style="western"><surname>Umana-Caro</surname> <given-names>JD</given-names></name>. <article-title>Snakebite Dynamics in Colombia: Effects of Precipitation Seasonality on Incidence</article-title>. <source>Ires</source>. <year>2017</year>;<volume>2017</volume>: <fpage>1</fpage>–<lpage>4</lpage>. Available: <ext-link ext-link-type="uri" xlink:href="https://mcmsc.asu.edu/IRES" xlink:type="simple">https://mcmsc.asu.edu/IRES</ext-link></mixed-citation></ref>
<ref id="pntd.0009047.ref012"><label>12</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ediriweera</surname> <given-names>DS</given-names></name>, <name name-style="western"><surname>Kasturiratne</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Pathmeswaran</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Gunawardena</surname> <given-names>NK</given-names></name>, <name name-style="western"><surname>Wijayawickrama</surname> <given-names>BA</given-names></name>, <name name-style="western"><surname>Jayamanne</surname> <given-names>SF</given-names></name>, <etal>et al</etal>. <article-title>Mapping the Risk of Snakebite in Sri Lanka—A National Survey with Geospatial Analysis</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2016</year>;<volume>10</volume>: <fpage>1</fpage>–<lpage>14</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0004813" xlink:type="simple">10.1371/journal.pntd.0004813</ext-link></comment> <object-id pub-id-type="pmid">27391023</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref013"><label>13</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Hansson</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Sasa</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Mattisson</surname> <given-names>K</given-names></name>, <name name-style="western"><surname>Robles</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Gutiérrez</surname> <given-names>JM</given-names></name>. <article-title>Using Geographical Information Systems to Identify Populations in Need of Improved Accessibility to Antivenom Treatment for Snakebite Envenoming in Costa Rica</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2013</year>;<volume>7</volume>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0002009" xlink:type="simple">10.1371/journal.pntd.0002009</ext-link></comment> <object-id pub-id-type="pmid">23383352</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref014"><label>14</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Akani</surname> <given-names>GC</given-names></name>, <name name-style="western"><surname>Ebere</surname> <given-names>N</given-names></name>, <name name-style="western"><surname>Franco</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Eniang</surname> <given-names>EA</given-names></name>, <name name-style="western"><surname>Petrozzi</surname> <given-names>F</given-names></name>, <name name-style="western"><surname>Politano</surname> <given-names>E</given-names></name>, <etal>et al</etal>. <article-title>Correlation between annual activity patterns of venomous snakes and rural people in the Niger Delta, southern Nigeria</article-title>. <source>J Venom Anim Toxins Incl Trop Dis</source>. <year>2013</year>;<volume>19</volume>: <fpage>1</fpage>–<lpage>8</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1678-9199-19-1" xlink:type="simple">10.1186/1678-9199-19-1</ext-link></comment> <object-id pub-id-type="pmid">23849430</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref015"><label>15</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Hansson</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Cuadra</surname> <given-names>S</given-names></name>, <name name-style="western"><surname>Oudin</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Jong</surname> <given-names>K De</given-names></name>, <name name-style="western"><surname>Stroh</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Tore</surname> <given-names>K</given-names></name>. <article-title>Mapping Snakebite Epidemiology in Nicaragua–Pitfalls and Possible Solutions</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2010</year>;<fpage>4</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0000896" xlink:type="simple">10.1371/journal.pntd.0000896</ext-link></comment> <object-id pub-id-type="pmid">21124884</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref016"><label>16</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Mohapatra</surname> <given-names>B.</given-names></name>, <name name-style="western"><surname>Warrell</surname> <given-names>D.A.</given-names></name>, <name name-style="western"><surname>Suraweera</surname> <given-names>W.</given-names></name>, <name name-style="western"><surname>Bhatia</surname> <given-names>P.</given-names></name>, <name name-style="western"><surname>Dhingra</surname> <given-names>N.</given-names></name>, <name name-style="western"><surname>Jotkar</surname> <given-names>R.M.</given-names></name>, <name name-style="western"><surname>Rodriguez</surname> <given-names>P.S.</given-names></name>, <name name-style="western"><surname>Mishra</surname> <given-names>K.</given-names></name>, <name name-style="western"><surname>Whitaker</surname> <given-names>R.</given-names></name>, <name name-style="western"><surname>Jha</surname> <given-names>P.</given-names></name> <article-title>Snakebite Mortality in India: A Nationally Representative Mortality Survey</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2011</year>;<volume>5</volume>: <fpage>1</fpage>–<lpage>8</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0001018" xlink:type="simple">10.1371/journal.pntd.0001018</ext-link></comment> <object-id pub-id-type="pmid">21532748</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref017"><label>17</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Sharma</surname> <given-names>SK</given-names></name>, <name name-style="western"><surname>Koirala</surname> <given-names>S</given-names></name>, <name name-style="western"><surname>Dahal</surname> <given-names>G</given-names></name>, <name name-style="western"><surname>Sah</surname> <given-names>C</given-names></name>. <article-title>Clinico-epidemiological features of snakebite: a study from Eastern Nepal</article-title>. <source>Trop Doct</source>. <year>2004</year>;<volume>34</volume>: <fpage>20</fpage>–<lpage>22</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1177/004947550403400108" xlink:type="simple">10.1177/004947550403400108</ext-link></comment> <object-id pub-id-type="pmid">14959965</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref018"><label>18</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Yañez-Arenas</surname> <given-names>C.</given-names></name>, <name name-style="western"><surname>Peterson</surname> <given-names>A. T.</given-names></name>, <name name-style="western"><surname>Mokondoko</surname> <given-names>P.</given-names></name>, <name name-style="western"><surname>Rojas-Soto</surname> <given-names>O.</given-names></name>, &amp; <name name-style="western"><surname>Martínez-Meyer</surname> <given-names>E.</given-names></name> <article-title>The Use of Ecological Niche Modeling to Infer Potential Risk Areas of Snakebite in the Mexican State of Veracruz</article-title>. <source>PLoS One</source>. <year>2014</year>;<volume>9</volume>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0100957" xlink:type="simple">10.1371/journal.pone.0100957</ext-link></comment> <object-id pub-id-type="pmid">24963989</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref019"><label>19</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Yañez-arenas</surname> <given-names>C</given-names></name>, <name name-style="western"><surname>Peterson</surname> <given-names>AT</given-names></name>, <name name-style="western"><surname>Rodríguez-medina</surname> <given-names>K</given-names></name>, <name name-style="western"><surname>Barve</surname> <given-names>N</given-names></name>. <article-title>Mapping current and future potential snakebite risk in the new world</article-title>. <source>Clim Change</source>. <year>2016</year>;<volume>134</volume>: <fpage>697</fpage>–<lpage>711</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s10584-015-1544-6" xlink:type="simple">10.1007/s10584-015-1544-6</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref020"><label>20</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Brown</surname> <given-names>DG</given-names></name>, <name name-style="western"><surname>Riolo</surname> <given-names>R</given-names></name>, <name name-style="western"><surname>Robinson</surname> <given-names>DT</given-names></name>, <name name-style="western"><surname>North</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Rand</surname> <given-names>W</given-names></name>. <article-title>Spatial process and data models</article-title>: <source>Toward integration of agent-based models and GIS</source>. <year>2005</year>; <fpage>25</fpage>–<lpage>47</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s10109-005-0148-5" xlink:type="simple">10.1007/s10109-005-0148-5</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref021"><label>21</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Filatova</surname> <given-names>T</given-names></name>, <name name-style="western"><surname>Verburg</surname> <given-names>PH</given-names></name>, <name name-style="western"><surname>Cassandra</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Ann</surname> <given-names>C</given-names></name>. <article-title>Environmental Modelling &amp; Software Spatial agent-based models for socio-ecological systems: Challenges and prospects q.</article-title> <source>Environ Model Softw</source>. <year>2013</year>;<volume>45</volume>: <fpage>1</fpage>–<lpage>7</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.envsoft.2013.03.017" xlink:type="simple">10.1016/j.envsoft.2013.03.017</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref022"><label>22</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Parker</surname> <given-names>DC</given-names></name>, <name name-style="western"><surname>Manson</surname> <given-names>SM</given-names></name>, <name name-style="western"><surname>Janssen</surname> <given-names>MA</given-names></name>, <name name-style="western"><surname>Hoffmann</surname> <given-names>MJ</given-names></name>, <name name-style="western"><surname>Deadman</surname> <given-names>P</given-names></name>. <article-title>Multi-agent systems for the simulation of land-use and land-cover change: A review</article-title>. <source>Ann Assoc Am Geogr</source>. <year>2003</year>;<volume>93</volume>: <fpage>314</fpage>–<lpage>337</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/1467-8306.9302004" xlink:type="simple">10.1111/1467-8306.9302004</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref023"><label>23</label><mixed-citation publication-type="book" xlink:type="simple"><name name-style="western"><surname>Wilensky</surname> <given-names>U.</given-names></name> and <name name-style="western"><surname>Rand</surname> <given-names>W.</given-names></name> <source>An introduction to agent-based modeling: modeling natural, social, and engineered complex systems with NetLogo</source>. <publisher-name>MIT Press</publisher-name>; <year>2015</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref024"><label>24</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Bonabeau</surname> <given-names>E.</given-names></name> <article-title>Agent-based modeling: Methods and techniques for simulating human systems</article-title>. <year>2002</year>;<volume>99</volume>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1073/pnas.082080899" xlink:type="simple">10.1073/pnas.082080899</ext-link></comment> <object-id pub-id-type="pmid">12011407</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref025"><label>25</label><mixed-citation publication-type="book" xlink:type="simple"><name name-style="western"><surname>Epstein</surname> <given-names>J.M.</given-names></name> and <name name-style="western"><surname>Axtell</surname> <given-names>R.</given-names></name> <source>Growing artificial societies: social science from the bottom up</source>. <publisher-name>Brookings Institution Press</publisher-name>; <year>1996</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref026"><label>26</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Deadman</surname> <given-names>P</given-names></name>, <name name-style="western"><surname>Robinson</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Moran</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Brondizio</surname> <given-names>E</given-names></name>. <article-title>Colonist household decisionmaking and land-use change in the Amazon Rainforest: An agent-based simulation</article-title>. <source>Environ Plan B Plan Des</source>. <year>2004</year>;<volume>31</volume>: <fpage>693</fpage>–<lpage>709</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1068/b3098" xlink:type="simple">10.1068/b3098</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref027"><label>27</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Iwamura</surname> <given-names>T</given-names></name>, <name name-style="western"><surname>Lambin</surname> <given-names>EF</given-names></name>, <name name-style="western"><surname>Silvius</surname> <given-names>KM</given-names></name>, <name name-style="western"><surname>Luzar</surname> <given-names>JB</given-names></name>, <name name-style="western"><surname>Fragoso</surname> <given-names>JMV</given-names></name>. <article-title>Agent-based modeling of hunting and subsistence agriculture on indigenous lands: Understanding interactions between social and ecological systems</article-title>. <source>Environ Model Softw</source>. <year>2014</year>;<volume>58</volume>: <fpage>109</fpage>–<lpage>127</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.envsoft.2014.03.008" xlink:type="simple">10.1016/j.envsoft.2014.03.008</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref028"><label>28</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>An</surname> <given-names>L</given-names></name>, <name name-style="western"><surname>Liu</surname> <given-names>J</given-names></name>, <name name-style="western"><surname>Ouyang</surname> <given-names>Z</given-names></name>, <name name-style="western"><surname>Linderman</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Zhou</surname> <given-names>S</given-names></name>, <name name-style="western"><surname>Zhang</surname> <given-names>H</given-names></name>. <article-title>Simulating demographic and socioeconomic processes on household level and implications for giant panda habitats</article-title>. <source>Ecol Modell</source>. <year>2001</year>;<volume>140</volume>: <fpage>31</fpage>–<lpage>49</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S0304-3800%2801%2900267-8" xlink:type="simple">10.1016/S0304-3800(01)00267-8</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref029"><label>29</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Evans</surname> <given-names>TP</given-names></name>, <name name-style="western"><surname>Kelley</surname> <given-names>H</given-names></name>. <article-title>Multi-scale analysis of a household level agent-based model of landcover change</article-title>. <source>J Environ Manage</source>. <year>2004</year>;<volume>72</volume>: <fpage>57</fpage>–<lpage>72</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jenvman.2004.02.008" xlink:type="simple">10.1016/j.jenvman.2004.02.008</ext-link></comment> <object-id pub-id-type="pmid">15246574</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref030"><label>30</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Lambin</surname> <given-names>EF</given-names></name>, <name name-style="western"><surname>Tran</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Vanwambeke</surname> <given-names>SO</given-names></name>, <name name-style="western"><surname>Linard</surname> <given-names>C</given-names></name>, <name name-style="western"><surname>Soti</surname> <given-names>V</given-names></name>. <article-title>Pathogenic landscapes: Interactions between land, people, disease vectors, and their animal hosts</article-title>. <source>Int J Health Geogr</source>. <year>2010</year>;<volume>9</volume>: <fpage>1</fpage>–<lpage>13</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1476-072X-9-1" xlink:type="simple">10.1186/1476-072X-9-1</ext-link></comment> <object-id pub-id-type="pmid">20082711</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref031"><label>31</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Almeida SJ de</surname> <given-names>Martins Ferreira RP</given-names></name>, <name name-style="western"><surname>Eiras ÁE</surname> <given-names>Obermayr RP</given-names></name>, <name name-style="western"><surname>Geier</surname> <given-names>M</given-names></name>. <article-title>Multi-agent modeling and simulation of an Aedes aegypti mosquito population</article-title>. <source>Environ Model Softw</source>. <year>2010</year>;<volume>25</volume>: <fpage>1490</fpage>–<lpage>1507</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.envsoft.2010.04.021" xlink:type="simple">10.1016/j.envsoft.2010.04.021</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref032"><label>32</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Thulke</surname> <given-names>HH</given-names></name>, <name name-style="western"><surname>Grimm</surname> <given-names>V</given-names></name>, <name name-style="western"><surname>Müller</surname> <given-names>MS</given-names></name>, <name name-style="western"><surname>Staubach</surname> <given-names>C</given-names></name>, <name name-style="western"><surname>Tischendorf</surname> <given-names>L</given-names></name>, <name name-style="western"><surname>Wissel</surname> <given-names>C</given-names></name>, <etal>et al</etal>. <article-title>From pattern to practice: A scaling-down strategy for spatially explicit modelling illustrated by the spread and control of rabies</article-title>. <source>Ecol Modell</source>. <year>1999</year>;<volume>117</volume>: <fpage>179</fpage>–<lpage>202</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S0304-3800%2898%2900198-7" xlink:type="simple">10.1016/S0304-3800(98)00198-7</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref033"><label>33</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Dion</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Lambin</surname> <given-names>EF</given-names></name>. <article-title>Scenarios of transmission risk of foot-and-mouth with climatic, social and landscape changes in southern Africa</article-title>. <source>Appl Geogr</source>. <year>2012</year>;<volume>35</volume>: <fpage>32</fpage>–<lpage>42</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.apgeog.2012.05.001" xlink:type="simple">10.1016/j.apgeog.2012.05.001</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref034"><label>34</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kasturiratne</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Pathmeswaran</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Wickremasinghe</surname> <given-names>A.R.</given-names></name>, <name name-style="western"><surname>Jayamanne</surname> <given-names>S.F.</given-names></name>, <name name-style="western"><surname>Dawson</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Isbister</surname> <given-names>G.K.</given-names></name>, <name name-style="western"><surname>de Silva</surname> <given-names>H.J.</given-names></name> and <name name-style="western"><surname>Lalloo</surname> <given-names>DG</given-names></name>, <name name-style="western"><surname>de Silva</surname> <given-names>HJ</given-names></name>, <name name-style="western"><surname>Lalloo</surname> <given-names>DG</given-names></name>. <article-title>The socio-economic burden of snakebite in Sri Lanka</article-title>. <source>PLoS Negl Trop Dis</source>. <year>2017</year>;<volume>11</volume>: <fpage>1</fpage>–<lpage>9</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pntd.0005647" xlink:type="simple">10.1371/journal.pntd.0005647</ext-link></comment> <object-id pub-id-type="pmid">28683119</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref035"><label>35</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>De Silva</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Ranasinghe</surname> <given-names>L</given-names></name>. <article-title>Epidemiology of snake-bite in Sri Lanka: a review</article-title>. <source>he Ceylon Med J</source>. <year>1983</year>;<volume>28</volume>: <fpage>144</fpage>. <object-id pub-id-type="pmid">6386199</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref036"><label>36</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ralph</surname> <given-names>R.</given-names></name> <article-title>The timing is right to end snakebite deaths in south Asia</article-title>. <source>bmj</source>. <year>2019</year>;<volume>364</volume>: <fpage>k5317</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1136/bmj.k5317" xlink:type="simple">10.1136/bmj.k5317</ext-link></comment> <object-id pub-id-type="pmid">30670457</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref037"><label>37</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kasturiratne</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Pathmeswaran</surname> <given-names>A</given-names></name>, M.M.D. F, <name name-style="western"><surname>Lalloo</surname> <given-names>DG</given-names></name>, <name name-style="western"><surname>Brooker</surname> <given-names>S</given-names></name>, <name name-style="western"><surname>Silva</surname> <given-names>HJ De</given-names></name>. <article-title>Estimates of disease burden due to land-snake bite in Sri Lankan hospitals</article-title>. <source>Southeast Asian J Trop Med Public Health</source>. <year>2005</year>;<volume>36</volume>: <fpage>733</fpage>–<lpage>740</lpage>. Available: <ext-link ext-link-type="uri" xlink:href="http://www.embase.com/search/results?subaction=viewrecord&amp;from=export&amp;id=L41316804" xlink:type="simple">http://www.embase.com/search/results?subaction=viewrecord&amp;from=export&amp;id=L41316804</ext-link> <object-id pub-id-type="pmid">16124448</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref038"><label>38</label><mixed-citation publication-type="book" xlink:type="simple"><name name-style="western"><surname>Wilensky</surname> <given-names>U.</given-names></name> <source>NetLogo</source>. <publisher-loc>Evanston, IL</publisher-loc>: <publisher-name>Center for connected learning and computer-based modeling, Northwestern University</publisher-name>. <year>1999</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref039"><label>39</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Macal</surname> <given-names>CM</given-names></name>, <name name-style="western"><surname>North</surname> <given-names>MJ</given-names></name>. <article-title>Agent-based modeling and simulation</article-title>. <source>Proc 2009 Winter Simul Conf.</source> <year>2009</year>; <fpage>86</fpage>–<lpage>98</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1109/WSC.2009.5429318" xlink:type="simple">10.1109/WSC.2009.5429318</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref040"><label>40</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Rs</surname> <given-names>Team</given-names></name>. <article-title>Rstudio</article-title>. <source>RStudio: Integrated Development for R. RStudio</source>; <year>2020</year>. Available: <ext-link ext-link-type="uri" xlink:href="http://www.rstudio.com/" xlink:type="simple">http://www.rstudio.com/</ext-link>.</mixed-citation></ref>
<ref id="pntd.0009047.ref041"><label>41</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Liu</surname> <given-names>J.</given-names></name>, <name name-style="western"><surname>Dietz</surname> <given-names>T.</given-names></name>, <name name-style="western"><surname>Carpenter</surname> <given-names>S.R.</given-names></name>, <name name-style="western"><surname>Alberti</surname> <given-names>M.</given-names></name>, <name name-style="western"><surname>Folke</surname> <given-names>C.</given-names></name>, <name name-style="western"><surname>Moran</surname> <given-names>E.</given-names></name>, <name name-style="western"><surname>Pell</surname> <given-names>A.N.</given-names></name>, <name name-style="western"><surname>Deadman</surname> <given-names>P.</given-names></name>, <name name-style="western"><surname>Kratz</surname> <given-names>T.</given-names></name>, <name name-style="western"><surname>Lubchenco</surname> <given-names>J.</given-names></name> and <name name-style="western"><surname>Ostrom</surname> <given-names>E.</given-names></name> <article-title>Complexity of coupled human and natural systems</article-title>. <source>Science (80-)</source>. <year>2007</year>;<volume>317</volume>: <fpage>1513</fpage>–<lpage>1517</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1126/science.1144004" xlink:type="simple">10.1126/science.1144004</ext-link></comment> <object-id pub-id-type="pmid">17872436</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref042"><label>42</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Wiegand</surname> <given-names>T</given-names></name>, <name name-style="western"><surname>Jeltsch</surname> <given-names>F</given-names></name>, <name name-style="western"><surname>Hanski</surname> <given-names>I</given-names></name>, <name name-style="western"><surname>Grimm</surname> <given-names>V</given-names></name>. <article-title>Using pattern-oriented modeling for revealing hidden information: a key for reconciling ecological theory and application</article-title>. <source>Oikos</source>. <year>2003</year>;<volume>100</volume>: <fpage>209</fpage>–<lpage>222</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref043"><label>43</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Grimm</surname> <given-names>V</given-names></name>, <name name-style="western"><surname>Revilla</surname> <given-names>E</given-names></name>, <name name-style="western"><surname>Berger</surname> <given-names>U</given-names></name>, <name name-style="western"><surname>Jeltsch</surname> <given-names>F</given-names></name>, <name name-style="western"><surname>Mooij</surname> <given-names>WM</given-names></name>, <name name-style="western"><surname>Railsback</surname> <given-names>SF</given-names></name>, <etal>et al</etal>. <article-title>Complex Systems: Lessons from Ecology</article-title>. <source>Science (80-)</source>. <year>2005</year>;<volume>310</volume>: <fpage>987</fpage>–<lpage>991</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1126/science.1116681" xlink:type="simple">10.1126/science.1116681</ext-link></comment> <object-id pub-id-type="pmid">16284171</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref044"><label>44</label><mixed-citation publication-type="journal" xlink:type="simple"><collab>Department of census and statistic Sri Lanka</collab>. <article-title>Detail information on Tea in Sri Lanka</article-title>. <year>2005</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref045"><label>45</label><mixed-citation publication-type="journal" xlink:type="simple"><collab>Ministry of Plantation Industries Sri Lanka</collab>. <article-title>Statistical Information on Plantation Crops</article-title>. <year>2013</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref046"><label>46</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Supphiah</surname> <given-names>R</given-names></name>, <name name-style="western"><surname>Yoshino</surname> <given-names>M</given-names></name>. <article-title>Some agroclimatological aspects of rice production in Sri Lanka</article-title>. <source>Geogr Rev Jpn</source>. <year>1986</year>;<volume>59</volume>: <fpage>137</fpage>–<lpage>153</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref047"><label>47</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Olson</surname> <given-names>D. M.</given-names></name>, <name name-style="western"><surname>Dinerstein</surname> <given-names>E.</given-names></name>, <name name-style="western"><surname>Wikramanayake</surname> <given-names>E. D.</given-names></name>, <name name-style="western"><surname>Burgess</surname> <given-names>N. D.</given-names></name>, <name name-style="western"><surname>Powell</surname> <given-names>G. V. N.</given-names></name>, <name name-style="western"><surname>Underwood</surname> <given-names>E. C.</given-names></name>, <name name-style="western"><surname>D’Amico</surname> <given-names>J. A.</given-names></name>, <name name-style="western"><surname>Itoua</surname> <given-names>I.</given-names></name>, <name name-style="western"><surname>Strand</surname> <given-names>H. E.</given-names></name>, <name name-style="western"><surname>Morrison</surname> <given-names>J. C.</given-names></name>, <name name-style="western"><surname>Loucks</surname> <given-names>C. J.</given-names></name>, <name name-style="western"><surname>Allnutt</surname> <given-names>T. F.</given-names></name>, <name name-style="western"><surname>Ricketts</surname> <given-names>T. H.</given-names></name>, <name name-style="western"><surname>Kura</surname> <given-names>Y.</given-names></name>, <name name-style="western"><surname>Lamoreux</surname> <given-names>J. F.</given-names></name>, <name name-style="western"><surname>Wettengel</surname> <given-names>W. W.</given-names></name>, <article-title>KR. Terrestrial ecoregions of the world: a new map of life on Earth</article-title>. <source>Bioscience</source>. <year>2001</year>;<volume>53</volume>: <fpage>933</fpage>–<lpage>938</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref048"><label>48</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Hijmans</surname> <given-names>RJ</given-names></name>, <name name-style="western"><surname>Cameron</surname> <given-names>SE</given-names></name>, <name name-style="western"><surname>Parra</surname> <given-names>JL</given-names></name>, <name name-style="western"><surname>Jones</surname> <given-names>G</given-names></name>, <name name-style="western"><surname>Jarvis</surname> <given-names>A</given-names></name>. <article-title>Very high resolution interpolated climate surfaces for global land areas</article-title>. <source>Int J Climatol A J R Meteorol Soc</source>. <year>2005</year>;<volume>25</volume>: <fpage>1965</fpage>–<lpage>1978</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1002/joc.1276" xlink:type="simple">10.1002/joc.1276</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref049"><label>49</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Zuhlke</surname> <given-names>M.</given-names></name>, <name name-style="western"><surname>Fomferra</surname> <given-names>N.</given-names></name>, <name name-style="western"><surname>Brockmann</surname> <given-names>C.</given-names></name>, <name name-style="western"><surname>Peters</surname> <given-names>M.</given-names></name>, <name name-style="western"><surname>Veci</surname> <given-names>L.</given-names></name>, <name name-style="western"><surname>Malik</surname> <given-names>J.</given-names></name>, &amp; <name name-style="western"><surname>Regner</surname> <given-names>P.</given-names></name> <article-title>SNAP (sentinel application platform) and the ESA sentinel 3 toolbox</article-title>. <source>Sentin Sci Work</source>. <year>2015</year>;Vol. <volume>734</volume>.</mixed-citation></ref>
<ref id="pntd.0009047.ref050"><label>50</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Harris</surname> <given-names>I.</given-names></name>, <name name-style="western"><surname>Jones</surname> <given-names>P.D.</given-names></name>, <name name-style="western"><surname>Osborn</surname> <given-names>T.J.</given-names></name> and <name name-style="western"><surname>Lister</surname> <given-names>DH</given-names></name>. <article-title>Updated high-resolution grids of monthly climatic observations—the CRU TS3.10 Dataset</article-title>. <source>Int J Climatol</source>. <year>2014</year>;<volume>34</volume>: <fpage>623</fpage>–<lpage>642</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref051"><label>51</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Mosier</surname> <given-names>TM</given-names></name>, <name name-style="western"><surname>Hill</surname> <given-names>F</given-names></name>, <name name-style="western"><surname>Sharp K</surname> <given-names>V</given-names></name>. <article-title>30-Arcsecond monthly climate surfaces with global land coverage</article-title>. <source>Int J Climatol</source>. <year>2014</year>;<volume>34</volume>: <fpage>2175</fpage>–<lpage>2188</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1002/joc.3829" xlink:type="simple">10.1002/joc.3829</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref052"><label>52</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Domroes</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Ranatunge</surname> <given-names>E</given-names></name>. <article-title>A statistical approach towards a regionalization of daily rainfall in Sri Lanka</article-title>. <source>Int J Climatol</source>. <year>1993</year>;<volume>13</volume>: <fpage>741</fpage>–<lpage>754</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1002/joc.3370130704" xlink:type="simple">10.1002/joc.3370130704</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref053"><label>53</label><mixed-citation publication-type="journal" xlink:type="simple"><collab>Department of Census and statistics</collab>. <article-title>Census of agriculture 2002, sri lanka</article-title>. <year>2002</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref054"><label>54</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Rocha</surname> <given-names>CFD</given-names></name>, <name name-style="western"><surname>Bergallo</surname> <given-names>HG</given-names></name>, <name name-style="western"><surname>Vera y Conde</surname> <given-names>CF</given-names></name>, <name name-style="western"><surname>Bittencourt</surname> <given-names>EB</given-names></name>, <name name-style="western"><surname>Santos H de</surname> <given-names>C</given-names></name>. <article-title>Richness, abundance, and mass in snake assemblages from two Atlantic Rainforest sites (Ilha do Cardoso, São Paulo) with differences in environmental productivity</article-title>. <source>Biota Neotrop</source>. <year>2008</year>;<volume>8</volume>: <fpage>117</fpage>–<lpage>122</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1590/s1676-06032008000300011" xlink:type="simple">10.1590/s1676-06032008000300011</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref055"><label>55</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Rahman</surname></name>. <article-title>Monsoon does matter. annual activity patterns in a snake</article-title>. <source>Herp J</source> <volume>23</volume>(<issue>4</issue>). <year>2013</year>;23: <fpage>203</fpage>–<lpage>208</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref056"><label>56</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>França</surname></name>, <name name-style="western"><surname>Frederico Gustavo</surname> <given-names>Rodrigues</given-names></name> and <name name-style="western"><surname>V</surname> <given-names>da SB</given-names></name>. <article-title>Diversity, activity patterns, and habitat use of the snake fauna of Chapada dos Veadeiros National Park in Central Brazil</article-title>. <source>Biota Neotrop</source>. <year>2013</year>;<volume>13</volume>: <fpage>74</fpage>–<lpage>84</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref057"><label>57</label><mixed-citation publication-type="book" xlink:type="simple"><name name-style="western"><surname>de Silva</surname> <given-names>A.</given-names></name> <source>Colour guide to the snakes of Sri Lanka</source>. <publisher-loc>R &amp; A. Portishead, UK</publisher-loc>: <publisher-name>R &amp; A Publishing Ltd.</publisher-name>; <year>1990</year>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0041-0101%2891%2990090-e" xlink:type="simple">10.1016/0041-0101(91)90090-e</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref058"><label>58</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Sawant</surname> <given-names>NS</given-names></name>, <name name-style="western"><surname>Jadhav</surname> <given-names>TD</given-names></name>, <name name-style="western"><surname>Shyama</surname> <given-names>SK</given-names></name>. <article-title>Distribution and abundance of pit vipers (Reptilia: Viperidae) along the Western Ghats of Goa, India</article-title>. <source>J Threat Taxa</source>. <year>2013</year>;<volume>2</volume>: <fpage>1199</fpage>–<lpage>1204</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.11609/jott.o2489.1199%26%23x2013%3B204" xlink:type="simple">10.11609/jott.o2489.1199–204</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref059"><label>59</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Grimm</surname> <given-names>V</given-names></name>, <name name-style="western"><surname>Railsback</surname> <given-names>SF</given-names></name>. <article-title>Pattern-oriented modelling: A “multi-scope” for predictive systems ecology</article-title>. <source>Philos Trans R Soc B Biol Sci</source>. <year>2012</year>;<volume>367</volume>: <fpage>298</fpage>–<lpage>310</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1098/rstb.2011.0180" xlink:type="simple">10.1098/rstb.2011.0180</ext-link></comment> <object-id pub-id-type="pmid">22144392</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref060"><label>60</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>De Silva</surname> <given-names>A.</given-names></name> <article-title>Snakebites in Anuradhapura district</article-title>. <source>The Snake.</source> <year>1981</year>;<volume>13</volume>: <fpage>117</fpage>–<lpage>130</lpage>.</mixed-citation></ref>
<ref id="pntd.0009047.ref061"><label>61</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Farooqui</surname> <given-names>JM</given-names></name>, <name name-style="western"><surname>Mukherjee</surname> <given-names>BB</given-names></name>, <name name-style="western"><surname>Manjhi</surname> <given-names>SNM</given-names></name>, <name name-style="western"><surname>Farooqui</surname> <given-names>AAJ</given-names></name>, <name name-style="western"><surname>Datir</surname> <given-names>S</given-names></name>. <article-title>Incidence of fatal snake bite in Loni, Maharashtra: An autopsy based retrospective study (2004–2014)</article-title>. <source>J Forensic Leg Med</source>. <year>2016</year>;<volume>39</volume>: <fpage>61</fpage>–<lpage>64</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jflm.2016.01.013" xlink:type="simple">10.1016/j.jflm.2016.01.013</ext-link></comment> <object-id pub-id-type="pmid">26854851</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref062"><label>62</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kularatne</surname> <given-names>SAM</given-names></name>, <name name-style="western"><surname>Silva</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Weerakoon</surname> <given-names>K</given-names></name>, <name name-style="western"><surname>Maduwage</surname> <given-names>K</given-names></name>. <article-title>Revisiting Russell ‘ s Viper (Daboia russelii) Bite in Sri Lanka: Is Abdominal Pain an Early Feature of Systemic Envenoming ?</article-title> <source>PLoS One.</source> <year>2014</year>;<volume>9</volume>: <fpage>1</fpage>–<lpage>8</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1371/journal.pone.0090198" xlink:type="simple">10.1371/journal.pone.0090198</ext-link></comment> <object-id pub-id-type="pmid">24587278</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref063"><label>63</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Molesworth</surname> <given-names>AM</given-names></name>, <name name-style="western"><surname>Harrison</surname> <given-names>R</given-names></name>, <name name-style="western"><surname>Theakston</surname> <given-names>RDG</given-names></name>, <name name-style="western"><surname>Lalloo</surname> <given-names>DG</given-names></name>. <article-title>Geographic information system mapping of snakebite incidence in northern Ghana and Nigeria using environmental indicators: A preliminary study</article-title>. <source>Trans R Soc Trop Med Hyg</source>. <year>2003</year>;<volume>97</volume>: <fpage>188</fpage>–<lpage>192</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/s0035-9203%2803%2990115-5" xlink:type="simple">10.1016/s0035-9203(03)90115-5</ext-link></comment> <object-id pub-id-type="pmid">14584375</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref064"><label>64</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kumar</surname> <given-names>S</given-names></name>. <article-title>Clinical and epidemiologic profile and predictors of outcome of poisonous snake bites–an analysis of 1, 500 cases from a tertiary care center in</article-title>. <source>Int J Gen Med</source>. <year>2018</year>;<volume>11</volume>: <fpage>209</fpage>–<lpage>216</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.2147/IJGM.S136153" xlink:type="simple">10.2147/IJGM.S136153</ext-link></comment> <object-id pub-id-type="pmid">29892202</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref065"><label>65</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Stahel</surname> <given-names>E.</given-names></name> <article-title>Epidemiological aspects of snake bites on a Liberian rubber plantation</article-title>. <source>Acta Trop</source>. <year>1980</year>;<volume>37</volume>: <fpage>367</fpage>–<lpage>374</lpage>. <object-id pub-id-type="pmid">6110326</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref066"><label>66</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Watt</surname> <given-names>G.</given-names></name>, <name name-style="western"><surname>Padre</surname> <given-names>L.</given-names></name>, <name name-style="western"><surname>Tuazon</surname> <given-names>M. L.</given-names></name>, &amp; <name name-style="western"><surname>Hayes</surname> <given-names>CG</given-names></name>. <article-title>Bites by the Philippine Cobra (Naja naja philippinensis): an Important Cause of Death among Rice Farmers</article-title>. <source>Am J Trop Med Hyg</source>. <year>1987</year>;<volume>37</volume>: <fpage>636</fpage>–<lpage>639</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4269/ajtmh.1987.37.636" xlink:type="simple">10.4269/ajtmh.1987.37.636</ext-link></comment> <object-id pub-id-type="pmid">3688317</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref067"><label>67</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Sawant</surname> <given-names>NS</given-names></name>, <name name-style="western"><surname>Jadhav</surname> <given-names>TD</given-names></name>, <name name-style="western"><surname>Shyama</surname> <given-names>SK</given-names></name>. <article-title>Habitat suitability, threats and conservation strategies of Hump-nosed Pit Viper Hypnale hypnale Merrem (Reptilia: Viperidae) found in Western Ghats, Goa, India</article-title>. <source>J Threat Taxa</source>. <year>2013</year>;<volume>2</volume>: <fpage>1261</fpage>–<lpage>1267</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.11609/jott.o2490.1261%26%23x2013%3B7" xlink:type="simple">10.11609/jott.o2490.1261–7</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref068"><label>68</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Bauwens</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Claus</surname> <given-names>K</given-names></name>. <article-title>Intermittent reproduction, mortality patterns and lifetime breeding frequency of females in a population of the adder (Vipera berus)</article-title>. <source>PeerJ</source>. <year>2019</year>;<fpage>2019</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.7717/peerj.6912" xlink:type="simple">10.7717/peerj.6912</ext-link></comment> <object-id pub-id-type="pmid">31119090</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref069"><label>69</label><mixed-citation publication-type="journal" xlink:type="simple"><article-title>Food and Agriculture Organization of the United: regional office for Asia and The Pacific</article-title>. <source>Crop diversification in the Asia-Pacific region</source>. <year>2001</year>.</mixed-citation></ref>
<ref id="pntd.0009047.ref070"><label>70</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Silva</surname> <given-names>A.</given-names></name>, <name name-style="western"><surname>Marikar</surname> <given-names>F.</given-names></name>, <name name-style="western"><surname>Murugananthan</surname> <given-names>A.</given-names></name> and <name name-style="western"><surname>Agampodi</surname> <given-names>S.</given-names></name> <article-title>Awareness and perceptions on prevention, first aid and treatment of snakebites among Sri Lankan farmers: a knowledge practice mismatch ?</article-title> <source>J Occup Med Toxicol</source>. <year>2014</year>;<volume>9</volume>: <fpage>20</fpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1745-6673-9-20" xlink:type="simple">10.1186/1745-6673-9-20</ext-link></comment> <object-id pub-id-type="pmid">24847375</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref071"><label>71</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Albuquerque</surname> <given-names>HN</given-names></name>, <name name-style="western"><surname>Fernandes</surname> <given-names>A</given-names></name>, <name name-style="western"><surname>Albuquerque</surname> <given-names>ICS</given-names></name>. <article-title>Snakebites in Paraíba, Brazil</article-title>. <source>J Venom Anim Toxins Incl Trop Dis</source>. <year>2005</year>;<volume>11</volume>: <fpage>242</fpage>–<lpage>251</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1590/s1678-91992005000300003" xlink:type="simple">10.1590/s1678-91992005000300003</ext-link></comment></mixed-citation></ref>
<ref id="pntd.0009047.ref072"><label>72</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Inamdar</surname> <given-names>IF</given-names></name>, <name name-style="western"><surname>Aswar</surname> <given-names>NR</given-names></name>, <name name-style="western"><surname>Ubaidulla</surname> <given-names>M</given-names></name>, <name name-style="western"><surname>Dalvi</surname> <given-names>SD</given-names></name>. <article-title>Snakebite: Admissions at a tertiary health care centre in</article-title>. <source>S Afr Med J</source>. <year>2010</year>;<volume>100</volume>: <fpage>456</fpage>–<lpage>458</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.7196/samj.3865" xlink:type="simple">10.7196/samj.3865</ext-link></comment> <object-id pub-id-type="pmid">20822595</object-id></mixed-citation></ref>
<ref id="pntd.0009047.ref073"><label>73</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Zacarias</surname> <given-names>D</given-names></name>, <name name-style="western"><surname>Loyola</surname> <given-names>R</given-names></name>. <article-title>Climate change impacts on the distribution of venomous snakes and snakebite risk in Mozambique</article-title>. <source>Clim Change</source>. <year>2019</year>;<volume>152</volume>: <fpage>195</fpage>–<lpage>207</lpage>. <comment>doi: <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/s10584-018-2338-4" xlink:type="simple">10.1007/s10584-018-2338-4</ext-link></comment></mixed-citation></ref>
</ref-list>
</back>
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<front-stub>
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<article-title>Decision Letter 0</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name name-style="western">
<surname>Habib</surname>
<given-names>Abdulrazaq G.</given-names>
</name>
<role>Guest Editor</role>
</contrib>
<contrib contrib-type="author">
<name name-style="western">
<surname>Gutiérrez</surname>
<given-names>José María</given-names>
</name>
<role>Deputy Editor</role>
</contrib>
</contrib-group>
<permissions>
<copyright-year>2021</copyright-year>
<copyright-holder>Habib, Gutiérrez</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
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<body>
<p>
<named-content content-type="letter-date">27 Oct 2020</named-content>
</p>
<p>Dear Dr Goldstein,</p>
<p>Thank you very much for submitting your manuscript "Integrating human behavior and snake ecology with agent-based models to predict snakebite in high risk landscapes" for consideration at PLOS Neglected Tropical Diseases. As with all papers reviewed by the journal, your manuscript was reviewed by members of the editorial board and by several independent reviewers. The reviewers appreciated the attention to an important topic. Based on the reviews, we are likely to accept this manuscript for publication, providing that you modify the manuscript according to the review recommendations. </p>
<p>Please do find the two attachments accompanying the reviews..</p>
<p>Please prepare and submit your revised manuscript within 30 days. If you anticipate any delay, please let us know the expected resubmission date by replying to this email.  </p>
<p>When you are ready to resubmit, please upload the following:</p>
<p>[1] A letter containing a detailed list of your responses to all review comments, and a description of the changes you have made in the manuscript. </p>
<p>Please note while forming your response, if your article is accepted, you may have the opportunity to make the peer review history publicly available. The record will include editor decision letters (with reviews) and your responses to reviewer comments. If eligible, we will contact you to opt in or out</p>
<p>[2] Two versions of the revised manuscript: one with either highlights or tracked changes denoting where the text has been changed; the other a clean version (uploaded as the manuscript file).</p>
<p>Important additional instructions are given below your reviewer comments. </p>
<p>Thank you again for your submission to our journal. We hope that our editorial process has been constructive so far, and we welcome your feedback at any time. Please don't hesitate to contact us if you have any questions or comments.</p>
<p>Sincerely,</p>
<p>Abdulrazaq G. Habib</p>
<p>Guest Editor</p>
<p>PLOS Neglected Tropical Diseases</p>
<p>José Gutiérrez</p>
<p>Deputy Editor</p>
<p>PLOS Neglected Tropical Diseases</p>
<p>***********************</p>
<p>Please do find the two attachments accompanying the reviews..</p>
<p>Reviewer's Responses to Questions</p>
<p><bold>Key Review Criteria Required for Acceptance?</bold></p>
<p>As you describe the new analyses required for acceptance, please consider the following:</p>
<p><bold>Methods</bold></p>
<p>-Are the objectives of the study clearly articulated with a clear testable hypothesis stated?</p>
<p>-Is the study design appropriate to address the stated objectives?</p>
<p>-Is the population clearly described and appropriate for the hypothesis being tested?</p>
<p>-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested?</p>
<p>-Were correct statistical analysis used to support conclusions?</p>
<p>-Are there concerns about ethical or regulatory requirements being met?</p>
<p>Reviewer #1: The method is relevant and well explained.</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: The introduction is adequate, objectives are well presented.</p>
<p>The study design appropriate</p>
<p>--------------------</p>
<p><bold>Results</bold></p>
<p>-Does the analysis presented match the analysis plan?</p>
<p>-Are the results clearly and completely presented?</p>
<p>-Are the figures (Tables, Images) of sufficient quality for clarity?</p>
<p>Reviewer #1: The results are presented according to the analysis plan and clearly exposed.</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: The data generated are well articulated</p>
<p>--------------------</p>
<p><bold>Conclusions</bold></p>
<p>-Are the conclusions supported by the data presented?</p>
<p>-Are the limitations of analysis clearly described?</p>
<p>-Do the authors discuss how these data can be helpful to advance our understanding of the topic under study?</p>
<p>-Is public health relevance addressed?</p>
<p>Reviewer #1: The limitations of the model are mentioned.</p>
<p>The authors clearly show implication of the model and its public health relevance, in Sri Lanka but also in other regions of the world where snakebite envenomation is an issue.</p>
<p>The conclusions are consistent and reliable.</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: The conclusion need editing to relate the finding of the study to real time realities in the study sites</p>
<p>--------------------</p>
<p><bold>Editorial and Data Presentation Modifications?</bold></p>
<p>Use  this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. If the only modifications needed are minor and/or editorial, you may wish to recommend “Minor Revision” or “Accept”. </p>
<p>Reviewer #1: Minor comments:</p>
<p>Page 17, 2nd paragraph, line 3: divisions 4 (not divions 4)</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>--------------------</p>
<p><bold>Summary and General Comments</bold></p>
<p>Use  this section to provide overall comments, discuss strengths/weaknesses of the study, novelty, significance, general execution and scholarship. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. If requesting major revision, please articulate the new experiments that are needed.</p>
<p>Reviewer #1: Goldstein et al’s manuscript “Integrating human behavior and snake ecology with agent-based models to predict snakebite in high risk landscapes” described an agent based modelling to explain the determinants of man – snake encounter. Results of the study corroborate the observations from several authors and are both convincing and rational.</p>
<p>Although it has been hypothesized since a long time that human-snake encounter was influenced by combinations between human activity and snake behavior (in addition to references quoted by the authors: Chippaux et al. Bull Soc Path Exot. 1981; 74 (4): 458-67; Sawai et al. Problem snake management. The Habu and the Brown Treesnake. Cornell University Press, Ithaka, 1999:107-15; Bochner &amp; Struchiner. Cad Saude Publica. 2004;20(4):976-85; Chippaux. Snake venoms, Envenomations. Krieger Publishing Co, Malabar, 2006; Stock et al. Nat Biotechnol. 2007; 25 (2): 173-7; Chippaux. Med Sci (Paris). 2009;25(10):858-62), it had never been proposed a model –particularly an agent based modeling– to predict its impact and define a preventive strategy.</p>
<p>I am not an expert in modeling and I cannot give a relevant opinion on this topic. However, on the one hand the approach is perfectly appropriate and justified and, on the other hand, the variables considered to build the model seem adequate.</p>
<p>As pointed by the authors, some determinants concerning snake population and behavior should be considered in more sophisticated models. For example, several studies have shown that during the mating period, males were encountered 5 to 10 times more than in other seasons of the year and, at the same moment, than females (see Wang et al. Zool Stud. 2003;42(2):379-85; Chippaux. Med Sci (Paris). 2009;25(10):858-62; Bauwens &amp; Claus. Ecol Evol. 2019;9(10):5821-34), which proportionately increases the risk of snakebites. However, it is not certain that such improvements lead to significantly better predictions.</p>
<p>For more detailed analysis of the relationship between human activities and snake behavior, the authors should refer to the chapter by Sawai et al. (in Problem snake management. The Habu and the Brown Treesnake. Cornell University Press, Ithaka, 1999:107-15).</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: The study is novel and well presented</p>
<p>--------------------</p>
<p>PLOS authors have the option to publish the peer review history of their article (<ext-link ext-link-type="uri" xlink:href="https://journals.plos.org/plosntds/s/editorial-and-peer-review-process#loc-peer-review-history" xlink:type="simple">what does this mean?</ext-link>). If published, this will include your full peer review and any attached files.</p>
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<p><bold>Do you want your identity to be public for this peer review?</bold> For information about this choice, including consent withdrawal, please see our <ext-link ext-link-type="uri" xlink:href="https://www.plos.org/privacy-policy" xlink:type="simple">Privacy Policy</ext-link>.</p>
<p>Reviewer #1: No</p>
<p>Reviewer #2: Yes: Nafiu Hussaini, PhD</p>
<p>Reviewer #3: No</p>
<p>Figure Files:</p>
<p>While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, <ext-link ext-link-type="uri" xlink:href="https://pacev2.apexcovantage.com. PACE" xlink:type="simple">https://pacev2.apexcovantage.com. PACE</ext-link> helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email us at <email xlink:type="simple">figures@plos.org</email>.</p>
<p>Data Requirements:</p>
<p>Please note that, as a condition of publication, PLOS' data policy requires that you make available all data used to draw the conclusions outlined in your manuscript. Data must be deposited in an appropriate repository, included within the body of the manuscript, or uploaded as supporting information. This includes all numerical values that were used to generate graphs, histograms etc.. For an example see here: <ext-link ext-link-type="uri" xlink:href="http://www.plosbiology.org/article/info%3Adoi%2F10.1371%2Fjournal.pbio.1001908#s5" xlink:type="simple">http://www.plosbiology.org/article/info%3Adoi%2F10.1371%2Fjournal.pbio.1001908#s5</ext-link>.</p>
<p>Reproducibility:</p>
<p>To enhance the reproducibility of your results, PLOS recommends that you deposit laboratory protocols in protocols.io, where a protocol can be assigned its own identifier (DOI) such that it can be cited independently in the future. For instructions see <ext-link ext-link-type="uri" xlink:href="http://journals.plos.org/plosntds/s/submission-guidelines#loc-materials-and-methods" xlink:type="simple">http://journals.plos.org/plosntds/s/submission-guidelines#loc-materials-and-methods</ext-link></p>
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<name name-style="western">
<surname>Habib</surname>
<given-names>Abdulrazaq G.</given-names>
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<role>Guest Editor</role>
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<name name-style="western">
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<named-content content-type="letter-date">7 Dec 2020</named-content>
</p>
<p>Dear Dr Goldstein,</p>
<p>We are pleased to inform you that your manuscript 'Integrating human behavior and snake ecology with agent-based models to predict snakebite in high risk landscapes' has been provisionally accepted for publication in PLOS Neglected Tropical Diseases.</p>
<p>Before your manuscript can be formally accepted you will need to complete some formatting changes, which you will receive in a follow up email. A member of our team will be in touch with a set of requests.</p>
<p>Please note that your manuscript will not be scheduled for publication until you have made the required changes, so a swift response is appreciated.</p>
<p>IMPORTANT: The editorial review process is now complete. PLOS will only permit corrections to spelling, formatting or significant scientific errors from this point onwards. Requests for major changes, or any which affect the scientific understanding of your work, will cause delays to the publication date of your manuscript.</p>
<p>Should you, your institution's press office or the journal office choose to press release your paper, you will automatically be opted out of early publication. We ask that you notify us now if you or your institution is planning to press release the article. All press must be co-ordinated with PLOS.</p>
<p>Thank you again for supporting Open Access publishing; we are looking forward to publishing your work in PLOS Neglected Tropical Diseases.</p>
<p>Best regards,</p>
<p>Abdulrazaq G. Habib</p>
<p>Guest Editor</p>
<p>PLOS Neglected Tropical Diseases</p>
<p>José Gutiérrez</p>
<p>Deputy Editor</p>
<p>PLOS Neglected Tropical Diseases</p>
<p>***********************************************************</p>
<p><!-- <span class="s1"> -->Reviewer's Responses to Questions<!-- </span> --></p>
<p><bold>Key Review Criteria Required for Acceptance?</bold></p>
<p>As you describe the new analyses required for acceptance, please consider the following:</p>
<p><bold>Methods</bold></p>
<p>-Are the objectives of the study clearly articulated with a clear testable hypothesis stated?</p>
<p>-Is the study design appropriate to address the stated objectives?</p>
<p>-Is the population clearly described and appropriate for the hypothesis being tested?</p>
<p>-Is the sample size sufficient to ensure adequate power to address the hypothesis being tested?</p>
<p>-Were correct statistical analysis used to support conclusions?</p>
<p>-Are there concerns about ethical or regulatory requirements being met?</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>**********</p>
<p><bold>Results</bold></p>
<p>-Does the analysis presented match the analysis plan?</p>
<p>-Are the results clearly and completely presented?</p>
<p>-Are the figures (Tables, Images) of sufficient quality for clarity?</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>**********</p>
<p><bold>Conclusions</bold></p>
<p>-Are the conclusions supported by the data presented?</p>
<p>-Are the limitations of analysis clearly described?</p>
<p>-Do the authors discuss how these data can be helpful to advance our understanding of the topic under study?</p>
<p>-Is public health relevance addressed?</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>**********</p>
<p><bold>Editorial and Data Presentation Modifications?</bold></p>
<p>Use this section for editorial suggestions as well as relatively minor modifications of existing data that would enhance clarity. If the only modifications needed are minor and/or editorial, you may wish to recommend “Minor Revision” or “Accept”.</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>**********</p>
<p><bold>Summary and General Comments</bold></p>
<p>Use this section to provide overall comments, discuss strengths/weaknesses of the study, novelty, significance, general execution and scholarship. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. If requesting major revision, please articulate the new experiments that are needed.</p>
<p>Reviewer #2: (No Response)</p>
<p>Reviewer #3: (No Response)</p>
<p>**********</p>
<p>PLOS authors have the option to publish the peer review history of their article (<ext-link ext-link-type="uri" xlink:href="https://journals.plos.org/plosntds/s/editorial-and-peer-review-process#loc-peer-review-history" xlink:type="simple">what does this mean?</ext-link>). If published, this will include your full peer review and any attached files.</p>
<p>If you choose “no”, your identity will remain anonymous but your review may still be made public.</p>
<p><bold>Do you want your identity to be public for this peer review?</bold> For information about this choice, including consent withdrawal, please see our <ext-link ext-link-type="uri" xlink:href="https://www.plos.org/privacy-policy" xlink:type="simple">Privacy Policy</ext-link>.</p>
<p>Reviewer #2: No</p>
<p>Reviewer #3: No</p>
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<name name-style="western">
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<copyright-holder>Habib, Gutiérrez</copyright-holder>
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<p>
<named-content content-type="letter-date">17 Jan 2021</named-content>
</p>
<p>Dear Mr. Goldstein,</p>
<p>We are delighted to inform you that your manuscript, "Integrating human behavior and snake ecology with agent-based models to predict snakebite in high risk landscapes," has been formally accepted for publication in PLOS Neglected Tropical Diseases.</p>
<p>We have now passed your article onto the PLOS Production Department who will complete the rest of the publication process. All authors will receive a confirmation email upon publication.</p>
<p>The corresponding author will soon be receiving a typeset proof for review, to ensure errors have not been introduced during production. Please review the PDF proof of your manuscript carefully, as this is the last chance to correct any scientific or type-setting errors. Please note that major changes, or those which affect the scientific understanding of the work, will likely cause delays to the publication date of your manuscript. Note: Proofs for Front Matter articles (Editorial, Viewpoint, Symposium, Review, etc...) are generated on a different schedule and may not be made available as quickly.</p>
<p>Soon after your final files are uploaded, the early version of your manuscript will be published online unless you opted out of this process. The date of the early version will be your article's publication date. The final article will be published to the same URL, and all versions of the paper will be accessible to readers.</p>
<p>Thank you again for supporting open-access publishing; we are looking forward to publishing your work in PLOS Neglected Tropical Diseases. </p>
<p>Best regards,</p>
<p>Shaden Kamhawi</p>
<p>co-Editor-in-Chief</p>
<p>PLOS Neglected Tropical Diseases</p>
<p>Paul Brindley</p>
<p>co-Editor-in-Chief</p>
<p>PLOS Neglected Tropical Diseases</p>
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