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Objective To investigate the epidemiological profile of snakebite accident cases, their determinants and risk areas in the state of Tocantins. Methods This was an ecological study using data from the Notifiable Health Conditions Information System, from 2007 to 2015. Multiple linear regression and the Mann-Whitney and Kruskal-Wallis tests were used. Results A total of 7,764 snakebite accidents were reported (incidence 62.1/100,000 inhab.; lethality 0.5%). The variables associated with snakebite were population density (Coeff.=1.36, 95%CI