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Self defense tips and techniques on how to survive a large dog attack. Approximately 4.5 million Americans are bitten every year, 6,000 to 13, 000 result in hospitalization, and approximately 30 to 50 deaths. According to the American Animal Hospital Association, the breeds that cause the most damage each year are pit bulls, German Shepherds, terriers, and Rottweilers; in that order. ....