Medical

Are Arizona bark scorpions deadly?

Direct answer

Rarely. The Arizona bark scorpion has the most medically significant sting of any US scorpion, but deaths are exceptional where medical care is available: the commonly cited figure is two confirmed Arizona deaths since 1968, against tens of thousands of stings every year.[1][2] The people at real risk of severe envenomation are children under 10 and adults over 70, who should be evaluated promptly for any systemic sign.[3][2]

Stung and worried? Call Poison Help, free and 24/7: 1-800-222-1222. Go to an emergency department for roving eye movements, drooling, trouble swallowing, muscle jerking, or any systemic sign in a young child or older adult.[4]

How many people have died from bark scorpion stings?

Very few. Wikipedia's summary of Arizona records, drawing on state and university sources, cites two confirmed deaths in Arizona since 1968.[1] The Arizona-Sonora Desert Museum and UArizona Extension both describe the sting as potentially life-threatening yet rarely fatal, especially since the antivenom Anascorp became available in 2011.[5][6][7] This site does not publish a national death count because the national poison-data reports that would contain it were not retrievable for verification; that gap is noted honestly rather than filled with a guess.

How many stings happen?

A lot more than the fatality numbers suggest. US poison centers logged 185,402 scorpion exposures from 2005 to 2015, and Arizona accounted for 68.2% of them; 97.8% happened at home and 90.1% were managed without a hospital visit.[2] Population-adjusted rates in Phoenix (up to 677 per 100,000) and Tucson (584 per 100,000) are the highest in the country.[8]

Scorpion envenomations in Maricopa County, 2017 to 2021: reported versus estimated Reported cases 45,179. Capture-recapture estimate of actual envenomations 178,625, about four times the reported figure. Reported (hospital + poison center)45,179Estimated actual (capture-recapture)178,625 Burr et al. 2025, Vector-Borne and Zoonotic Diseases. Five-year totals for one county.
Figure 1. Reported versus estimated scorpion envenomations in Maricopa County, 2017 to 2021.[9]

Even those figures undercount. A 2025 study in Vector-Borne and Zoonotic Diseases matched hospital discharge records against poison-center records for Maricopa County, 2017 through 2021. The two systems together recorded 45,179 envenomations; the capture-recapture estimate of the true total was 178,625, roughly four times higher.[9] That is about 36,000 stings a year in one county.

Who is actually at risk?

Children under 10 have the highest rates of systemic effects, hospitalization, and ICU admission in Arizona and Nevada data.[2] Adults over 70 are the other high-risk group.[3] In healthy adults, a bark scorpion sting is an intensely painful but almost always self-limited event.[4] Severe (grade III and IV) envenomation is the exception, and it is treatable.[10][11]

Why are deaths so rare if the venom is potent?

Three reasons. The dose is small: a bark scorpion injects a fraction of a milligram. Medical care is close: Arizona's poison centers and emergency departments see these stings constantly and follow a well-established grading and treatment protocol.[10] And since 2011 an FDA-approved antivenom reverses neurotoxic signs within hours in the great majority of treated children.[11][7] Before the antivenom, severe pediatric cases were managed with days of intensive sedation, which carried its own risks.[11]

How does it compare with other venomous Arizona animals?

Rattlesnake bites are far less common but far more likely to cause lasting tissue damage or death; scorpion stings are far more common and almost never fatal.[12] Bee stings kill more Americans each year than scorpions do, through allergic reactions, which bark scorpion venom does not typically provoke.[4]

The bottom line

Treat every sting seriously, call Poison Help, and go to the emergency department for systemic signs or for any sting in a small child or frail adult. Do not treat the animal as a death sentence, because the data say it is not one.[2][1]

What is not knownA current, verified national scorpion fatality count. Long-term outcomes after severe pediatric envenomation. Whether the Maricopa County under-reporting ratio holds statewide.[9]
Cite this pageDevon "The Scorpion Guy" at ArizonaBarkScorpion.org. "Are Arizona Bark Scorpions Deadly? What 50 Years of Data Say." 2026-09-12. https://arizonabarkscorpion.org/deadly/

Related

Sources for this page

  1. Wikipedia contributors. Arizona bark scorpion. Wikipedia (cross-reference; consult its citations for primary sources). en.wikipedia.org/wiki/Arizona_bark_scorpionTier 2
  2. Kang AM, Brooks DE. Nationwide Scorpion Exposures Reported to US Poison Control Centers from 2005 to 2015. Journal of Medical Toxicology 13(2), 2017. link.springer.com/article/10.1007/s13181-016-0594-0Tier 1
  3. Bennett BK, Boesen KJ, Welch SA, Kang AM. Study of Factors Contributing to Scorpion Envenomation in Arizona. Journal of Medical Toxicology 15(1):30-35, 2018. pmc.ncbi.nlm.nih.gov/articles/PMC6314927/Tier 1
  4. Ruha A-M, MD. What You Need to Know About Scorpion Stings. University of Arizona Health Sciences, June 12, 2023. healthsciences.arizona.edu/news/blog/what-you-need-know-about-scorpion-stingsTier 2
  5. Arizona-Sonora Desert Museum. Animal Fact Sheet: Bark Scorpion. www.desertmuseum.org/kids/oz/long-fact-sheets/Bark%20Scorp.phpTier 2
  6. Gouge DH, Li S, Bibbs C, Nair S. Scorpions of the Desert Southwest United States. University of Arizona Cooperative Extension, publication AZ1768, 2018. acis.cals.arizona.edu/community-ipm/community-ipm-output/publications/publications-view/scorpions-of-the-desert-southwest-united-statesTier 1
  7. Flinn Foundation. FDA grants approval to scorpion antivenom tested by UA team, 2011. www.flinn.org/fda-grants-approval-to-scorpion-antivenom-tested-by-ua-team/Tier 2
  8. Kang AM, Brooks DE. Geographic Distribution of Scorpion Exposures in the United States, 2010-2015. American Journal of Public Health 107(12):1958-1963, 2017. ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2017.304094_7.htmlTier 1
  9. Burr KG, Dale AP, Roland M, Schmid K, Sunenshine R, Brooks DE. Bark Scorpion Envenomation Capture-Recapture Estimate in Maricopa County, Arizona, 2017-2021. Vector-Borne and Zoonotic Diseases, 2025. pubmed.ncbi.nlm.nih.gov/40742803/Tier 1
  10. Grigsby A, DO. Bark Scorpion Stings. American Academy of Emergency Medicine Resident and Student Association, 2017. www.aaemrsa.org/bark-scorpion-stings/Tier 2
  11. Boyer LV, Theodorou AA, Berg RA, et al. Antivenom for Critically Ill Children with Neurotoxicity from Scorpion Stings. New England Journal of Medicine 360(20):2090-2098, 2009. www.nejm.org/doi/full/10.1056/NEJMoa0808455Tier 1
  12. Banner Health Poison and Drug Information. Bark Scorpions. www.bannerhealth.com/services/poison-drug-information/desert-critters/bark-scorpionsTier 2