178987 Dog bite injuries and fatalities in Texas and the United States

Tuesday, October 28, 2008: 11:15 AM

Nancy Manning Crider, MS, RN, CNAA , School of Public Health, University of Texas Health Science Center at Houston, Houston, TX
Dog bites are under-reported, occur most frequently in children and are mainly preventable. The Centers for Disease Control and Prevention estimates > 4.7 million people, (~ 2% of the U.S. population) are bitten by a dog yearly. Relative to other states, Texas accounts for a high number of the 20-25 dog bite-related fatalities that occur each year. According to the Texas Department of State Health Services (DSHS), 7 such fatalities were reported in 2006. Analysis of DSHS dog-bite registry database revealed 57% of the victims of fatal dog bites were children <10 years of age. Nationwide, severe dog-bite injuries result in approximately 350,000 emergency room visits annually. Dog bites entail not only direct medical costs, but also social and emotional trauma, increased insurance claims, and legal costs. Assessment of the dog-bite injury data for weekly and annual time patterns in events were completed using autocorrelation and cosine analysis special software programs written in Stata 9; assessment of the spatial distributions of dog bite in the U.S and in Texas were accomplished using Mapmaker Professional 8 computer software. Pit Bull, Rottweiler, and German Shepherd breeds were most likely to be involved in fatal attacks, which involved children more often than adults. United States non-fatal dog bites showed an annual cycle, with a summer peak and winter trough. In Texas, non-fatal dog bites also displayed temporal and spatial patterns. Public education, enactment and enforcement of local animal control laws, and improved reporting were identified as prevention strategies. Presentation will illustrate identified patterns.

Learning Objectives:
1. Describe why children under 10 years of age are at greatest risk for severe dog bite injuries and fatalities. 2. Identify 3 strategies to decrease the incidence of dog bite injuries and fatalities.

Keywords: Injury Prevention, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: BS,University of Connecticut,Storrs, CT, Nursing, 1974; MS, Russell Sage College, Troy, NY, Nursing, 1978; Diploma School of Management Polytechnic of Central London, England,UK, Accounting & Finance,1985. Ms. Crider is an experienced healthcare administrator. She holds a MS in nursing and has practiced in numerous leadership positions in hospitals, ambulatory care and community health services. She has served as nursing faculty to both undergraduate and graduate nurses. In her current position as Program Manager of the Texas Pubic Health Training Center she works closely with the City of Houston Bureau of Community and Children’s Environmental Health and serves as a training partner for the National Center for Healthy Housing. She also coordinates the monthly Public Health Grand rounds with the Texas Association of Local Health Officials, the Houston Department of Health and Human Services and other health departments across the state. Ms. Crider is currently a doctoral candidate at the University of Texas School of Public Health and is working on decreasing the incidence of illness and injuries to children and families by utilizing a holistic, low cost evidence based approach to improving housing conditions known to adversley impact the health of individuals.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.