During 1996, a total of 786 severe animal attacks or bites were voluntarily
reported to the Zoonosis Control Division of the Texas Department of Health
by local health departments, law enforcement agencies, animal control agencies,
and emergency health care providers. "Severe attack" is defined as one
in which the animal repeatedly bites or vigorously shakes its human victim,
and the victim, or a person intervening, has extreme difficulty terminating
the attack. "Severe bite" is defined as a puncture or laceration made by
an animal's teeth which breaks the person's skin, resulting in a degree
of trauma which would cause most prudent and reasonable people to seek
medical care for treatment of the wound, without consideration of rabies
prevention alone. Reports were submitted from 86 of Texas' 254 counties
(Figure 1).


Species
Species reported to be involved in severe attacks
were domestic dog (681 reports, 86.6%); domestic cat (81 reports,
10.3%); rat, wolf-dog hybrid (4 reports each, 0.5%); mouse, raccoon,
skunk, and unknown (2 reports each, 0.3%); and bear, ferret, iguana, monkey,
pot-bellied pig, squirrel, wolf, and zebra, (one report each, 0.1%) (Figure
2).
Canine Breeds
When only reports involving canines (domestic dogs, wolves, and wolf-dog
hybrids) are examined, 641 reports listed the specific breed. Of the 90
breeds and breed crosses reported, 8 breeds and breed crosses constituted
53.7% of the reports (Table 1). (Note: the number of animals in various
dog breeds in the overall canine population is unknown; therefore, no conclusions
can be drawn concerning whether dogs of these 8 breeds are prone to biting
more often than other breeds or if these are merely the most popular breeds.)
No other breeds or breed crosses represented more than 3% of the reports.
Small breeds of dogs were infrequently reported because they are less likely
than large breeds to inflict severe wounds.

Animal's Sex
Of the attacks involving canines (domestic dogs, wolves, or wolf-dog
hybrids), the animal's sex was specified in 335 reports. Of the 77 female
canines, 12 (15.6%) were spayed and 65 (84.4%) were intact. Of the 258
male canines, 29 (11.2%) were castrated and 229 (88.8%) were intact (Figure
3). (Note: the
proportion of sterilized versus intact animals in the overall canine
population is unknown.)

Animal's Behavior
Of the 661 reports that listed the animal's behavior prior to the attack,
the animal was described as docile or friendly in 399 cases (60.4%). In
211 reports, the animal displayed warning signals (such as barking, growling,
hissing, or baring teeth) prior to the attack. Of the 681 reports stating
whether multiple animals were involved, 72 (10.6%) incidents involved an
attacking animal that was part of a larger group of animals while in 609
(89.4%) incidents, the animal acted alone.
Rabies Vaccination Status
Of the 767 reports involving canines (domestic dogs, wolves, or wolf-dog
hybrids) or domestic cats that indicated the animal's rabies vaccination
status, the number of vaccinated animals equalled the number of unvaccinated
animals (255). Slightly over one-third of the reports did not specify whether
the animal was vaccinated (Figure 4).

Animal Involved in Previous Attacks
Of the 519 reports in which it was definitely known whether or not
the animal was involved in previous attacks on people or animals, 392 (75.5%)
had not been involved in previous attacks and 127 (24.5%) had been involved
in previous attacks. Of the 104 reports that included information on whether
the previous attacks were against people or animals, 88 animals had been
involved in attacks against people and 16 were involved in attacks against
other animals.
Provocation/Special Circumstances
Of the 734 reports that listed whether the attack was provoked, 451
(61.4%) were considered by the reporting entity as not provoked, and 283
(38.6%) were considered provoked. No association was found between the
victim's age and whether the attack was provoked. Special circumstances
involved in the attacks included (in order of frequency) guarding, being
startled, teasing, dog fight, injury, hunger/eating, puppies/kittens, and
estrus.
Extent of Injury
When the extent of the injury was specified, 46 attack victims required
surgery, 62 required hospitalization, and 231 required sutures.
When only records in which the victim was hospitalized were reviewed,
23 dog breeds or breed crosses were included in 57 reports. Of these, 6
breeds were involved in 63.2% of the attacks (Table 2). No other breeds
or breed crosses represented more than 5% of the reports.

Victim's Sex and Age
The victim's sex was specified in 782 records. For victims 20 years
of age and younger, males were more likely than females to be victims of
an attack (59.5% versus 40.5%). For victims over the age of 20, the ratio
of males to females sustaining a severe attack reflected their respective
proportions in the overall
population.
The victim's age was listed on 772 records. Age distribution in years
is listed in Table 3. Almost half (47.4%) the victims were less than 11
years of age (Table 3). The mean was 21.7 years, the median was 11.0 years,
and the mode was 3.0 years (Figure 5). When considering the overall population
of Texas, children less than 11 years of age were 4 times more likely than
the remainder of the population to be a victim of a severe animal attack.
Table 3. Age of victims of severe animal attacks
Anatomic Location of Injury
Many of the attack victims received wounds at multiple anatomic locations.
Of the 775 reports that specified the site of injury, the following sites
were listed:
266 (34.3%) involved the legs
215 (27.7%) involved the head
165 (21.3%) involved the hands
180 (23.2%) involved the arms
89 (11.5%) involved the torso
27 (3.5%) involved the feet
21 (2.7%) involved the neck
When the site of injury is compared to age, the percent experiencing
trauma to the head drops significantly as the victim's age (and presumably
height) increases (Figure 6). Children less than 11 years of age were victims
in 47.4% of the severe attacks, yet sustained 75.6% of the head injuries
(Table 4).
Figure 6. Comparison of victim's age to percent receiving head trauma
from a severe animal attack -1996
Table 4. Age of severe attack victim receiving head trauma - 1996
High Risk Occupation
Thirty-four reports included victims who were engaged in what would
typically be considered a high risk occupation or hobby for animal bites,
including:
postal worker (10)
animal control officer (6)
exotic animal owner (3)
law enforcement officer (3)
delivery person (2)
animal shelter employee (1)
dog groomer (1)
game ranch owner (1)
home health nurse (1)
hunter (1)
meter reader (1)
salesman (1)
veterinarian (1)
veterinary technician (1)
veterinary technician student (1)
Charges Filed
Of the 767 reports involving canines (domestic dogs, wolves, and wolf-dog
hybrids) and domestic cats, charges were filed against the animal's owner
in 55 (7.2%) reports. Twenty reports contained multiple violations. The
violations were as follows:
25 animal-at-large
19 failure to vaccinate against rabies
9 dangerous/vicious dog
8 failure to license
1 failure to quarantine
Recommendations
A review of the surveillance data can help formulate prevention strategies.
As with many other public health efforts, education and legislation are
two key components in reducing the frequency of animal bites.
Education
Educational efforts can originate from humane organizations, animal
control agencies, schools, family care practitioners, veterinarians, and
parents.
Children should be taught to understand basic canine behavior and to avoid circumstances that may evoke an angry response from a dog.
Informed dog owners, through their interaction with the pets, can reduce the likelihood of owning an animal that will bite.
Lack of socialization, improper training, abuse, and failure to observe early signs of aggression can all contribute to a dog attack.
Breeds that have a reputation for being unpredictable or aggressive should be avoided, particularly by families with children.
Obstetricians and pediatricians should advise parents that infants and young children should never be left unsupervised around any dog, even the family pet, regardless of how friendly the dog may appear. Extra attention should be lavished on the family dog when a new baby is brought into the home so the pet does not feel "jealous" or that its position is being threatened.
Although Texas' data is insufficient to draw such a conclusion, other studies have shown that dogs that have been spayed or castrated are up to 3 times less likely to be involved in a bite incident. Veterinarians should promote surgical sterilization for the animal's safety as well as health benefits.
Legislation
Although reports indicated that 50% of the biting dogs and cats were
currently vaccinated against rabies, citations were issued in only 9% of
the cases (despite a Texas law that states that failure to vaccinate dogs
and cats annually is a Class C misdemeanor). Increased enforcement of this
law and existing local leash laws may provide incentives for dog owners
to act responsibly.
Where community laws are lacking, local leash and nuisance laws should be enacted and enforced.
Local law enforcement agencies should enforce the Texas Dangerous Dog Act (Chapter 822 of the Texas Health and Safety Code), which is designed to minimize human exposure to dogs deemed to be dangerous.
Texas residents should be encouraged to report all bites to the Local
Rabies Control Authority (as mandated by Chapter 826 of the Texas Health
and Safety Code). Reported rates influence public health polices in such
matters as leash laws, the impounding of strays, the amount of money allocated
for animal
control, and rabies vaccination programs for both pets and people.
Chapter 828 of the Texas Health and Safety Code requires surgical sterilization of all animals adopted from animal shelters in cities with a population greater than 10,000 and counties with a population greater than 20,000.
Last Updated 10/13/97
Please send comments and suggestions to jlain@zoo.tdh.state.tx.us.
The Texas Department of Health
Zoonosis Control Division
1100 West 49th Street
Austin, TX 78756-3199
Phone: (512)458-7255