Abstract: Objective To understand the epidemiological characteristics of injury cases in Xinchang, Zhejiang province and provide evidence for the prevention and control of injury. Methods Sentinel surveillance for injury was conducted in 3 hospitals in Xinchang from 1 January to 30 December 2013. Data base was established by using EpiData 3.02 software and data were analyzed by using Excel 2003 and SPSS 13.0. Results A total of 9694 new injury cases were recorded in Xinchang in 2013. More cases occurred in males than in females with the ratio of 1.56 : 1. The injury cases in people aged 15-44 years accounted for 37.11% of the total. The cases were mainly distributed in farmers/fishers (29.54%), migrant workers (25.06%) and workers (22.74%). The injuries mainly occurred at home (33.41%), in working place (28.19%), on city street (19.25%) and on road (12.54%). The first 5 injury causes were fall (26.82%), traffic accident (25.02%), blunt strike (19.26%), sting/cut (17.80%) and animal bite (7.22%). The first 3 injury sites were upper limb (31.30%), lower limb (27.85%) and head (27.11%). Up to 99.72% of the cases were mild superficial or moderate injuries and 97.92% of the cases were unintentional injuries Conclusion The incidence of injury was high in Xinchang. Injury prevention and control should be strengthened in high risk population.