Abstract: Objectives The present analysis was made to understand the epidemic characteristics of injuries in rural areas in western Zhejiang.Methods One hospital at the county level in a typical rural area,one central township hospital and one peripheral township hospital were selected to establish an emergency injury surveillance system.Investigation on the injured victims who visited one of the 3 hospitals the first time after injury was made from January 1,2004 to Dec.31,2005.Results A total of 15 033 cases(males 69.09%,females 30.91%) under surveillance with valid data were included in the analysis.The top 3 causes of injury were falls(31.44%) traffic accidents(20.32%)and blunt trauma(17.43%).Conclusion Interventions should be taken based on different sexes,ages and occupations.