This report uses data from the Kingston and Region Injury Surveillance Program (KRISP), a subset of the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), to describe rates and identify patterns of hospitalized injury in Kingston and area. During 1994 and 1995, there were 998 reported hospitalizations for injury, resulting in an overall rate of 30.0 injuries per 10,000 per year (males: 30.3 per 10,000; females: 29.7 per 10,000). Major patterns of hospitalized injury were identified as priorities for intervention: 1) falls in all age groups, but especially those in children, and falls leading to hip and pelvic fractures among older adults, the majority of which occurred in residential settings; 2) motor vehicle and other transport injuries (e.g. motorcycle injuries) in all age groups; and 3) intentional injuries (e.g. fights) among males aged 20 64 years. Discussion focuses on the use of the surveillance system to set priorities for prevention and further research within this population.