Abstract: Objective To understand the epidemiological characteristics of injury in Xinchang and provide evidence for the prevention and control of injury. Methods The injury cases seeking medical care for the first time in 3 sentinel hospitals in Xinchang from January 1 to December 2012 were included in descriptive epidemiological analysis. Results A total of 10 971 injury cases were recorded in 2012. The male to female ratio of the cases was 1.61:1. The injury cases were mainly distributed in people aged 15-44 years (40.99%) and in farmers/fisher man, migrant workers and workers accounting for 26.01%, 24.55% and 24.41% respectively. The injuries mainly occurred at home (35.90%). The top five injury causes were fall (26.58%), traffic accident (23.93%), blunt injury (22.11%), pricking/cutting (15.68%) and animal bite (7.79%). The most common injury site was upper limb (29.59%). Most injuries were mild and moderate severe (98.20%). Unintentional injuries accounted for 96.43% of the total. Conclusion The incidence of injury was high in Xinchang. It is necessary to conduct targeted prevention to reduce the incidence of injury.