The purpose of this review is to characterize the public health problem of
dog bites in New York City. Dog bites represent a major source of morbidity
, mortality, disability, and health care cost in the United States. The mos
t severe injuries are frequently referred to the plastic surgeon. The autho
rs have recently treated several severe cases of unprovoked dog attacks in
children. To characterize the dog bite problem in New York City, data were
obtained for 1998 from the New York City Department of Health. During that
year, 6568 bites were reported by the mandated physician reporters in the f
ive boroughs of New York City. The upper extremities, lower extremities, an
d face were predominantly affected. The peak incidence occurred during the
summer months and in children ages 7 to 9 years old. Preventive measures ar
e discussed.