Generally feared more than any other Australian snake, It is classified as a snake of medical importance by the
World Health Organization. In 1935, local health authorities established a register of cases of injury by plants and animals in northern Queensland. By 1940, one survivor (who lost his sense of smell for some months) and two fatalities had been recorded from coastal taipan bites, with another three historical fatalities added in 1944. George Rosendale, a
Guugu Yimithirr man, was bitten through his boots and thick socks while stacking wood. He became sick 15–30 minutes later, with ptosis, nausea, and difficulty breathing, and was conveyed to Cooktown Hospital. A doctor visiting the area on holiday treated him with fluids, and
tiger snake antivenom flown up from Cairns. He was flown to Cairns Hospital the next day and was discharged after 19 days. He also reported losing his sense of smell. Rosendale became a Lutheran pastor and died at age 89 in 2019. Articles about how dangerous the species was appeared more frequently in newspapers and books from the late 1930s onwards, including wild tales of it hiding in trees and dropping on victims. After a specimen was found in the Northern Territory in 1947, fears were raised it may occur further south in more populated areas of Queensland. Mackay snakehandler
Ram Chandra traveled around Queensland and northern NSW, in part funded by the sugar industry. Sugarcane growers began to have trouble finding workers due to fears around the taipan. To counteract fears, the Queensland Cane Growers' Council produced an article in 1956 to calm panic, and
Eric Worrell and
David Fleay pointed out the snake's inherent shyness. Before he died, Budden requested the snake be sent to the
Commonwealth Serum Laboratories, which in turn forwarded it to Fleay for milking. Fleay did so successfully, but found wrestling with the surprisingly strong and muscular subject to be difficult. They procured 78 mg of whitish venom, which led to the development of taipan antivenom. The snake itself became a minor celebrity, discussed in many newspapers at the time. It was taken to and put on display in Melbourne Zoo, but died on 12 September 1950. Coastal taipans were responsible for 4% (31 cases) of identified snakebite victims in Australia between 2005 and 2015, though no deaths were recorded in this cohort. At least one death from this species was recorded in a coronial retrospective study of snakebites from 2000 to 2016, and two between 1981 and 1991. Bites from the coastal taipan account for most snakebites in New Guinea in the rainy season, when the snake becomes more active, particularly in southern parts of the island. Clinically, envenomation from coastal taipan bites commonly leads to neurotoxic effects, characterised by descending flaccid paralysis,
ptosis, diplopia,
ophthalmoplegia, bulbar weakness, intercostal weakness, and limb weakness. Severe cases require intubation.
Venom-induced consumption coagulopathy is also common, characterised by clotting abnormalities and haemorrhage. Less-common effects are muscle damage (myotoxicity), characterised by elevated creatine kinase and myalgia (muscle pain),
acute kidney injury (which can require dialysis in severe cases), and general systemic symptoms such as nausea and vomiting,
diaphoresis (sweating), and abdominal pain. White cell count is commonly elevated and platelet count is often low. There is generally little local reaction at the site of the bite. The average venom yield from one milking is 120 mg, with a maximum recorded of 400 mg. The
subcutaneous value of this species is 0.106 mg/kg, according to the Australian Venom and Toxin database, or 0.12 mg/kg, according to Engelmann and Obst (1981). The estimated lethal dose for humans is 3 mg. Its venom contains primarily
taicatoxin, a highly potent
neurotoxin, along with
taipoxin, which has an of 2 μg/kg. 124 μg of the latter can kill a healthy 62 kg adult.
Treatment Early administration (within 2–6 hours of bite) of antivenom and intubation for respiratory paralysis are keystones of management, but a chance of a hypersensivity reaction exists following antivenom administration. Neurotoxic symptoms may be irreversible once established due to the presynaptic nature of their pathology. ==Captivity==