How many people have died from hornet stings?

How many people have died from hornet stings is difficult to give exact number because hornet sting deaths are often grouped with wasp and bee sting deaths in statistics as Hymenoptera stings, and reporting varies by country and year. In the United States, an average of about 60 to 100 people die each year from all stinging insect allergies, including bees, wasps, and hornets, according to CDC data, with most deaths due to anaphylaxis, severe allergic reaction to venom, rather than toxicity of single sting unless many stings occur. Globally, deaths are higher, with hundreds per year, particularly in Asia where Asian giant hornet stings cause more fatalities due to larger venom load and allergic reactions, with Japan reporting around 20 to 40 deaths per year from giant hornet stings historically. Deaths from hornet stings alone are relatively rare considering millions of stings occur yearly, as most people have only local pain and swelling, but for allergic individuals, single sting can be fatal without epinephrine. Multiple stings from disturbed colony can cause toxic envenomation even in non-allergic people, leading to organ damage. Numbers fluctuate, and many deaths are preventable with allergy testing, carrying epinephrine auto-injector, and avoiding nests. For context, lightning kills fewer people than stinging insects in US. So while hornet sting deaths occur yearly, they are part of broader wasp and bee sting deaths averaging dozens in US and hundreds worldwide.