 In Cameroon and particularly in the northern part of the country, where the density of snakes is high, a few studies have been carried out. In 2002, the annual incidence of envenomings was estimated at 200100 000 inhabitants, of which 85 was due to Echis ocellatus, and the lethality was 23.9 in some centers. The Ministry of Public Health introduced snake bites in 2015 as a priority health problem in the list of diseases being monitored. Thus, a national epidemiological surveillance system, with a weekly count of snake bites, has been implemented. In the first year, the incidence of annual snake bites was 11.4100,000 inhabitants, representing more than 2,500 bites per year, including 43 deaths and a case fatality rate of up to 6 in some areas. The northern region Adamaoua, North and Far North regions savanna and mixed zone accounts for 40 of the countrys burden and 77 of the deadly burden, while the forest zone accounts for 32 of the burden Morbid disease and 16 of the fatal burden ministerial source. The monitoring is based on paper registers for bite reporting, supplemented by the sending of pharmacovigilance data by text messages, but this is very little used in current practice. The data collection system in Cameroon could therefore be improved in terms of both completeness and speed of centralizing data. 