Objective To investigate the characteristics of fall injuries among primary and middle school students in Yinzhou District,Ningbo City,Zhejiang Province from 2010 to 2022,so as to provide insights into prevention and con-trol of fall injuries among primary and middle school students.Methods Data of 6 to 17 year-old primary and middle school students with initial diagnosis of fall injury from 2010 to 2022 were collected through Injury Subsystem of Zheji-ang Provincial Chronic Disease Surveillance Information Management System.The time,place,activity and clinical char-acteristics of fall injury were analyzed using a descriptive method.Results Totally 7 808 fall injury cases among pri-mary and middle school students were reported in Yinzhou District from 2010 to 2022,accounting for 45.72%of the to-tal injury cases in the same age.There were 5 413 boys and 2 395 girls,with a boy/girl ratio of 2.26:1.Primary school students were the majority,accounting for 55.10%.The incidence of fall injuries among girls,junior high school students and high school students showed increasing trends from 2012 to 2022(both P<0.05).The primary peak of fall injury was from September to November,and the secondary peak was from May to July,with 4 510 cases(57.76%).The place of fall injury development mainly included schools(2 680 cases,34.32%),homes(2 343 cases,30.01%)and streets/urban areas(2 247 cases,28.78%).The activities at the time of fall injury mainly included leisure time(3 490 cases,44.70%),sports(2 861 cases,36.64%)and school activities(1 094 cases,14.01%).Soft tissue injury was the main characteristics(6 224 cases,79.71%).Lower limbs(3 101 cases,39.72%),head(2 419 cases,30.98%)and upper limbs(1 974 cases,25.28%)were the main injury sites.Mild injury was predominant(5 896 cases,75.51%).Conclu-sions Boys and primary school students are high-risk groups of fall injury in Yinzhou District,schools are high-risk places of fall injury.Schools should be regarded as key intervention places and health education on fall injury preven-tion should be strengthened.