Objective: To determine the magnitude of snake poisoning and its incidence in pediatric population in rural of southern Sindh (Tharparkar).

Methodology: It is a hospital based descriptive, retrospective study conducted at Civil Hospital Mithi, Sindh in January 2017 to December 2017. The frequency and demographic characteristics and outcomes were obtained from case records and were analyzed.

Results: Total number of snakebites reported in the year 2017 was 454, out of them 81% were males and 19% were females with male to female ratio of 4.26:1. Out of all 22% were children having age <15 years. Based on clinical features the majority of snakebites were poisonous as out of all 350 patients (77%) were victim of poisonous snakes, whereas 104 patients (23%) were bitten by non-poisonous snakes. Total 6 (1.3%) patients out of 454 were died. Number of poisonous adults were significantly higher than poisonous children (p=0.001). Mortality rate in children was slight higher than the adults, while statistically insignificant (p=0.200).

Conclusion: This is a significant problem in rural of Sindh. Children are also affected. Delay in seeking medical care, long distances, poor communication and deep rooted superstitious beliefs contribute to the morbidity and underestimation of data.