Introduction and objective:
Animal bites are among the most critical in public health problems. Dogs are the leading cause of bite injuries. The study aimed to investigate the epidemiology and clinical features of dog bite cases admitted to an emergency department, as well as their temporal trends, seasonality, and tr relationship with meteorological data.

Material and methods:
Study data comprised eight years (2012–2019) emergency room records of a tertiary center. Demographic characteristics of the cases, bite anatomical area, treatment applied, hospitalization, and death rates were determined. The incidence rates and distribution of meteorological data by years were examined using ANOVA and Kruskal Wallis tests. Seasonality and temporal trends were investigated for incidence rates using the additive decomposition technique. The temporal relationship of incidence rates with meteorological data was evaluated using the Autoregressive Distributed Delayed Boundary Test. Causality verification was perfoirmed using the Granger test.

Dog bite cases consisted of 1,335 records of partients with a mean age of 26.6±0.2 years. Bite cases were most common in the 20–44 age group (44.7%), males (76.4%), and lower extremities (48.2%). The frequency of hospitalization was 4.1%. Annual incidence rates ranged from 52.7–49.9/100,000, with a non-significant increasing trend. The incidence of bites had two peaks, in June and August. A co-integration relationship was observed between incidence rates and air temperature and humidity levels (p<0.001).

Effective implementation of prevention programmes is needed for high-risk demographic groups. In addition, a national monitoring and reporting system could evaluate the effectiveness of any prevention programme and reduce the incedence of dog bites.

Animal bites; 2023 [cited 2023 Mar 6]. Available from: URL:
Villagra V, Cáceres D, Alvarado S, Salinas E, Caldera ML, Lucero E, et al. Caracterización epidemiológica de mordeduras en personas, según registro de atención de urgencia: Provincia de Los Andes, Chile. Rev Chilena Infectol. 2017;34(3):212–20.
Essig GF, Sheehan C, Rikhi S, Elmaraghy CA, Christophel JJ. Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis. Int J Pediatr Otorhinolaryngol. 2019;117:182–8.
Tuckel PS, Milczarski W. The changing epidemiology of dog bite injuries in the United States, 2005–2018. Inj Epidemiol. 2020;7(1):57.
Westgarth C, Brooke M, Christley RM. How many people have been bitten by dogs? A cross-sectional survey of prevalence, incidence and factors associated with dog bites in a UK community. J EpidemiolCommunity Health. 2018;72(4):331–6.
Republic of Turkey Ministry of Health. Rabies Prophylaxis Guide 2019 [in Turkish]. Accessed: 7 July 2022. Available at:
Rothe K, Tsokos M, Handrick W. Animal and Human Bite Wounds. Dtsch Arztebl Int. 2015;112(25):433–42; quiz 443.
Maksymowicz K, Janeczek A, Szotek S, Łukomski R, Dawidowicz J. Dog bites in humans in a large urban agglomeration in the southwest of Poland, an analysis of forensic medical records. Journal of Veterinary Behavior. 2016;12:20–6.
Lachica ZPT, Peralta JM, Diamante EO, Murao LAE, Mata MAE, Alviola Iv PA. A cointegration analysis of rabies cases and weather components in Davao City, Philippines from 2006 to 2017. PLoS One. 2020;15(8):e0236278.
TÜIK Kurumsal; 2023 [cited 2023 Mar 6]. Available from: URL:
Search media – Wikimedia Commons; 2023 [cited 2023 Feb 5]. Available from: URL:
Bashir K, Haq I, Khan SMS, Qurieshi MA. One-year descriptive analysis of patients treated at an anti-rabies clinic-A retrospective study from Kashmir. PLoS Negl Trop Dis. 2020;14(8):e0007477.
Janatolmakan M, Delpak M, Abdi A, Mohamadi S, Andayeshgar B, Khatony A. Epidemiological study on animal bite cases referred to Haji Daii health Center in Kermanshah province, Iran during 2013–2017. BMC Public Health. 2020;20(1):412.
Ghaffari-Fam S, Hosseini SR, Daemi A, Heydari H, Malekzade R, Ayubi E, et al. Epidemiological patterns of animal bites in the Babol County, North of Iran. J Acute Dis. 2016;5(2):126–30.
Can FK, Tekin E, Sezen S, Clutter P. Assessment of Rabies Prophylaxis Cases in an Emergency Service. J Emerg Nurs. 2020;46(6):907–13.
Bay V, Jafari M, Shirzadi MR, Bagheri A, Masoudi Asl I. Trend and epidemiological patterns of animal bites in Golestan province (Northern Iran) between 2017 and 2020. PLoS One. 2021;16(5):e0252058.
Loder RT. The demographics of dog bites in the United States. Heliyon. 2019; 5(3):e01360.
Cohen-Manheim I, Siman-Tov M, Radomislensky I, Peleg K. Epidemiology of hospitalizations due to dog bite injuries in Israel, 2009–2016. Injury. 2018;49(12):2167–73.
Park JW, Kim DK, Jung JY, Lee SU, Chang I, Kwak YH, et al. Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. PLoS One. 2019;14(2):e0210541.
Khan A, Al-Kathiri WH, Balkhi B, Samrkandi O, Al-Khalifa MS, Asiri Y. The burden of bites and stings management: Experience of an academic hospital in the Kingdom of Saudi Arabia. Saudi Pharm J. 2020;28(8):1049–54.
Abedi M, Doosti-Irani A, Jahanbakhsh F, Sahebkar A. Epidemiology of animal bite in Iran during a 20-year period (1993–2013): a meta-analysis. Trop Med Health. 2019;47:55.
Emet M, Beyhun NE, Kosan Z, Aslan S, Uzkeser M, Cakir ZG. Animal-related injuries: epidemiological and meteorological features. Ann Agric Environ Med. 2009;16(1):87–92.
Amiri S, Maleki Z, Nikbakht H-A, Hassanipour S, Salehiniya H, Ghayour A-R, et al. Epidemiological Patterns of Animal Bites in the Najafabad, Center of Iran (2012–2017). Ann Glob Health. 2020;86(1):38.
Barrios CL, Vidal M, Parra A, Valladares C, González C, Pavletic C. Epidemiological characterization of bites: A retrospective study of dog bites to humans in Chile during 2009. J Veterinary Behavior. 2019;33:31–7.
Lynn C. European Study of Dog Bite Fatalities Suggests Rise in Deaths Could be Due to Increasing Number of Dangerous Breeds. 2021 May 5 [cited 2022 Aug 3]. Available from: URL:
Review: Effects of Climate Change on Infectious Diseases – Princeton Public Health Review; 2023 [cited 2023 Mar 5]. Available from: URL:
Grobusch LC, Grobusch MP. A hot topic at the environment-health nexus: investigating the impact of climate change on infectious diseases. Int J Infect Dis. 2022;116:7–9. Available from: URL:
McDermott A. News Feature: Climate change hastens disease spread across the globe. Proc Natl Acad Sci USA. 2022;119(7).
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