Animal-related injuries in China:a literature analysis from the year 2013 to 2023

Shi Yuru; Yang Wanpeng; Liu Liangwei; Gou Yi; Lyu Bohui; Zhang Junfei; Feng Ke

doi:10.3969/j.issn.1009-4237.2025.06.006

Abstract：Objective To summarize the epidemiological characteristics of animal-related injuries in Chi-na,and to provide a basis for its prevention and control.Methods The literature published from Jan.1st,2013 to Dec.31th,2023 in CNKI,Wanfang Data,VIP Data and Chaoxing Journals were searched with the key words"动物伤害""动物致伤""狂犬病""流行病学".The information of gender,age,occupation,injury place,attac-king animals,etc.was collected.Data collation was conducted by 3 experienced physicians and analyzed by Excel.Results A total of 119 articles from 23 provinces/autonomous regions/centrally administered municipalities were included,including 2,049,861 patients injured by animals.Among them,1,943,187 cases recorded gender,of which 52.2％were males;772,416 cases recorded age,with the 20-29 years group accounting for the largest pro-portion(20.9％);365 420 cases recorded occupations,with the largest number of staff(41.4％),followed by students(18.7％),and the smallest number of individuals(1.3％);1,043,311 cases recorded the injury month,with the top three being July(11.5％),August(11.3％),and June(10.9％);45,388 cases recorded the injury place,with 71.4％in urban areas and 28.6％in rural areas;760,713 cases recorded the attacking animals,with dogs accounting for 67.0％,followed by cats(23.7％);998,035 cases recorded the injury region,with the upper limbs being the most frequent involved(52.7％);714,570 cases recorded the rabies exposure level,with the most being grade Ⅱ(56.0％);225,486 cases recorded the treatment after rabies exposure,with 87.0％patients re-ceived standardized management,6.4％with no management and 6.6％with unstandardized management;29,482 cases recorded the tetanus exposure management,with the marjourity of cases having no unrecorded tetanus preven-tion measures(70.2％).Conclusion In China,animal-related injuries have been a national-wide all-population public health problem.Its prevention and treatment are hard and need more attention,especially the prevention of tetanus after exposure.