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The treatment of pit viper envenomation focuses on the treatment of the venom, not the removal of the viper. In the United States, antivenin is the only treatment available for pit viper envenomation. The use of antivenin is indicated for all but very mild bites, and for most bites that involve nonvenomous species. The American Association of Poison Control Centers reports that antivenin is rarely used in the United States, with only 7.5% of reported snakebites receiving antivenin treatment and an additional 2.6% receiving the antivenin first-aid treatment.[7] All vipers are venomous, and a small number of viper species have been shown to deliver toxic amounts of venom. While treatment of the envenomation is the main focus, prevention of the bite is important for any bite, whether from a venomous viper or not. Pit vipers are in general not aggressive or defensive in nature and do not strike unless provoked. Prevention is the best method for avoiding snakebites, and avoiding or removing a pit viper is the only method for preventing envenomation. Pit vipers are most commonly found in North America, Central America, and the Caribbean. While mostly nocturnal, pit vipers may be active during the day. Subspecies found in the United States include the cottonmouth, rat snake, and water moccasin.
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