Fatal animal attacks in North Carolina over an 18-year period.

Injuries from animals are very common, but fortunately deaths are rare. Few studies, however, have evaluated human deaths due to both venomous and nonvenomous animals. Utilizing the Medical Examiner's Data Base, this study examines deaths due to venomous and nonvenomous wild and domestic animals in North Carolina. During 1972-1989, there were 92 deaths reported. Seven categories of "type of animal" involved in the attack were developed. Deaths were most likely to occur from June through November. Victims ranged in age from 1 to 93 (average, 46.1) years and 75% were male. Injuries occurred at the worksite in 18 cases, and 10 victims had detectable alcohol levels. Most deaths were due to insect stings, and several victims had a previous history of insect allergy. The majority of victims were injured at their residence. Although rare, many deaths were potentially preventable. Methods to decrease the number of injuries resulting from animals are discussed.