Snakebite kills around 58,000 Indians annually, and a majority of snakebites that lead to death or disability are attributed to the 'big four' of Indian snakes—the Russell's viper (Daboia russelii), one of the deadliest snake species in the world, the spectacled cobra (Naja naja), the common krait (Bungarus caeruleus) and the saw-scaled viper (Echis carinatus). Commercial antivenom treatment for snakebite does not always prove effective, and despite the severity of the problem in India, few efforts have been made to understand why this is so.