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Am J Health Behav. 2020 Jan 1;44(1):13-17. doi: 10.5993/AJHB.44.1.2.

49,000 Avocado Cutting Injuries.

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Assistant Professor, Department of Global and Community Health, George Mason University, Fairfax, VA;, Email:
Student, Eastern Virginia Medical School, Norfolk, VA.
Research Associate Professor, Department of Behavioral Sciences/Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Dean, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX.


Objectives: In the United States (US), avocado consumption has increased dramatically since the year 2000. Despite media attention concerning injuries resulting from cutting or pitting avocados, such injuries have not been monitored systematically. The current study is the first to estimate the number of people with avocado cutting injuries presenting to US hospital emergency departments. Methods: We utilized cross-sectional data from the US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS). We used keyword searches of case narrative text to identify avocado cutting and pitting injuries from 2000 to 2017. Sampling weights were applied to generate national estimates of avocado cutting injuries. Results: From 2000 to 2017, there were an estimated 49,331 avocado cutting injuries presenting to US emergency departments (95% CI 34,178-64,483). The increase in these injuries appears to coincide with increases in per capita avocado consumption. Avocado cutting injuries now constitute nearly 2% of knife-related injuries presenting to US hospital emergency departments. Conclusions: Due to the increase in avocado cutting injuries and the severity of these injuries, more systematic surveillance is needed as well as improved safety measures.


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