title: Increased incidence of dog-bite injuries after the Fukushima nuclear accident.
abstract: OBJECTIVE
  The objective of this study is to assess the localized incidence of dog bites following the nuclear accident related to the Great East Japan Earthquake in March 2011.
  
  
  METHODS
  We identified the patients with dog bites in our hospital in Minamisoma City, Fukushima, during the period from 1year prior to the earthquake to 3.5months following it, and calculated the monthly and weekly incidence proportions by dividing the patient number by the total emergency room visits. We also analyzed the data by the characteristics of the patients.
  
  
  RESULTS
  We identified 27 dog-bite cases during the post-disaster period. The median monthly incidence proportion during the pre-disaster period and the highest monthly incidence proportion during the post-disaster period were 0.21 and 6.50 per 100 visits, respectively. The weekly incidence proportion peaked at 3weeks after the earthquake and thereafter decreased to the baseline level.
  
  
  CONCLUSIONS
  The Fukushima nuclear accident may be associated with an increased incidence of dog bites, and the prolonged evacuation in response to the radiation contamination may have prolonged the increased incidence after the disaster. Physicians and local residents should recognize this potential hazard. Countermeasures to contend with this risk should be a mandatory aspect of disaster preparedness, including for nuclear accidents.
authors.affiliation: Division of Internal Medicine, Jyoban Hospital, Tokiwakai, 57, Jyoban-kamiyunaga-tanimachi-kaminodai, Iwaki City, Fukushima 972-8322, Japan. Electronic address: jin_ichi@hotmail.com.
authors.forename: Jinichi
authors.initials: J
authors.lastname: Mori
authors.forename: Masaharu
authors.initials: M
authors.lastname: Tsubokura
authors.forename: Amina
authors.initials: A
authors.lastname: Sugimoto
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tanimoto
authors.forename: Masahiro
authors.initials: M
authors.lastname: Kami
authors.forename: Tomoyoshi
authors.initials: T
authors.lastname: Oikawa
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kanazawa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001733:Bites and Stings / Q000453:epidemiology*; D004285:Dogs; D005260:Female; D062406:Fukushima Nuclear Accident; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D055815:Young Adult
keywords: Animal bite; Disaster medicine; Natural disaster