1. WORK TO BE DONE

2. Time line March-May 2013-Preparation June 2013-November 2014- Data collection December 2014-February 2015- Analysis and report preparation

3. Preparatory phase

4. Clinical centres 1.Identify local coordinator (study co-investigator) 2.Identify person for data collection (nurse/junior doctor/science graduate/paramedic) 3. Identify place for storage of snakes in hospital 4. Initiate publicity for study in local community 5. Training of person involved in data collection 6.Dummy run for data collection and sample collection 7.Discussion with hospital staff

5. CMC 1.Setting up data collection software and programme 2.Training of clinical centre coordinators and staff involved in data collection (through video conferencing)- clinical assessment, dead snake storage, data entry and transfer 3.Pilot testing of forms, data entry and transfer 4.Supply of snake collection and sample collection containers

6. Groups Venom detection group Procedure for sample collection, storage, transfer Proposal for project to analyse these samples Herpetology Method of dead snake collection and storage Method of photography of dead snakes Time line of visits to hospital for snake identification Details in proforma regarding dead snake specimens Members of herpetology group Proposal for herpetology study

7. Data management group Setting up software and data acquisition methods Procedure for data entry, data transfer and data management

8. Data collection phase 1.Document all cases prospectively according to study protocol. 2.Collect and photograph dead snakes brought to hospital. 3.Collect and store single sample: swabs from bite site, serum and urine (if venom detection can be performed) 4.Send all clinical data monthly electronically or by post 5.Monthly phone call by project officer in CMC to clinical coordinators in collaborating hospitals 6.3 monthly phone/video conference with all clinical centres