1. 1 Cause, Setting, and Ownership Analysis of Dog Bites in Bay County, Florida from 2009-2010 James Matthias Michael Templin

2. 2 Background  CDC estimates more than 4.7 million dog bites occur annually  More than 800,000 Americans will receive medical care resulting from dog bites  Average cost of a dog bite-related hospital stay found to be $18,200 †  Data on dog bites typically collected through hospital discharge or emergency room visit data † http://www.hcup-us.ahrq.gov/reports/statbriefs/sb101.pdf

3. 3 How this data is different?  Hospital and Vital Statistics: Demographics Economics Short-term Outcomes Counts  Basically the WHO, WHAT, WHEN, WHERE, and HOW MUCH  Bay County Dataset Some Demographics Cause Restraint-levels Ownership Dog-Breed  Basically the WHO, WHERE, HOW, and WHY

4. 4 Presentation Objectives  Describe the 800 dog bite reports from 2009 to 2010  Focus on 3 main variables by age and sex: Victim’s relationship to the dog Restraint level of dog at time of bite Cause of the bite  Adapt prevention messages based on target audience

5. 5 About Bay County  Major City: Panama City  2010 Population *: 170,637  White : 144,758 (84.8%)  Black : 19,893 (11.7%)  Hispanic: 7,725 (4.5%)  Industry: Trade, Transportation, and Utilities (17.7%), then Leisure and Hospitality (16.7%)  Per capita income:$36,316  Est. Dog Pop.: 43,137 † *Population estimates from: floridacharts.com † Pet Population estimates from: AVMA U.S. pet ownership calculator

6. 6 Dog Bite Incidence Rates

7. 7 Role of Gender in Dog Bites

8. 8 Victim’s Relationship to Dog

9. 9 Role of Gender in Dog Bites * Victim’s relationship to dog is statistical significantly different by gender (p<0.001)

10. 10 Victim’s Relationship to Dog  Nationwide 80% of bites to people under 18 years old caused by family or neighbor’s dog  Similar for 0 – 5 year olds in this dataset 87% for 0 – 5 year olds Only 59% for 6 – 14 year olds  Acquaintance dog bites represent 45% of bites to 0 – 5 year old girls  Half of all dog bites to 15+ year olds from dogs unfamiliar to victim

11. 11 Restraint Status of the Dog  32% of all dog bites occurred from unrestrained dogs off of the owner’s property Comprised mostly of bites from an unfamiliar dog  28% of bites occur within the home of the owner  21% of bites occur from a dog restrained or confined on owners property

12. 12 Role of Gender in Dog Bites

13. 13 Dog Bites in the Home

14. 14 Causes of the Bite  Very little data on cause of dog bite most anecdotal  More than 90% of bites are provoked †  100% of bites could be prevented Modification of human behavior Modification of dog and dog behavior Modification of exposure and environment † http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477646/pdf/pubhealthrep00185-0052.pdf

15. 15 Causes of The Bite  Wide variety of causes with originally 24 different categories  Separating dog fights the number 1 cause of bites, unknown cause 2 nd, and territorial or protective dog bites being 3 rd  Cause of bite varies tremendously on age and sex of person bitten

16. 16 Role of Gender in Dog Bites * Primary causes of dog bites are statistically different by gender (p<0.001)

17. 17 Unknown Cause Dog Bites  39% of bites to 0 – 5 year olds were due to unknown causes Victim unable to describe incident Lack of parental supervision  Between 7 to 14% for the other age groups Systematic in most instances Lack of desire to indicate the circumstances that caused the bite in some instances

18. 18 Separating Dog Fight Bites

19. 19 A Unique Perspective  Able to gather bite information from sources outside of hospitals Account for higher incidence rates observed in this study Still required someone to report bite  Situational variables not commonly collected in statistical format including: Restraint of the dog Cause of the bite

20. 20 Different Strata, Different Outcomes  Incidence varies by sex and age caused by changes in: the cause of dog bites the location of the attack the relationship of the dog to the victim other factors  The need for prevention messages or interventions to be tailored to target populations and circumstances (i.e. young boys vs. middle-aged women)

21. 21 Questions?  Thank you to Michael Templin, Kalynn Pressly, and the Bay County Health Department for their time and effort in this project  Thank you to Kyla Shelton, Dr. Danielle Stanek, and members of the Florida Department of Health for their assistance in this project