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AJPH First Look, published online ahead of print Feb 28, 2007
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AJPH.2005.085340v1
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April 2007, Vol 97, No. 4 | American Journal of Public Health 626-629
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2005.085340


COMMENTARY

Firearm Injuries: Epidemic Then, Endemic Now

Katherine Kaufer Christoffel, MD, MPH

The author is with the Children’s Memorial Research Center and the Departments of Pediatrics and Preventive Medicine, Fein-berg School of Medicine, Northwestern University, Chicago, Ill.

Correspondence: Requests for reprints should be sent to Katherine Kaufer Christoffel, MD, MPH, 2300 Children’s Plaza, Box 157, Chicago, IL 60614 (e-mail: kkauferchristoffel{at}northwestern.edu).

There has been a transition in US firearm injuries from an epidemic phase (mid-1980s to early 1990s) to an endemic one (since the mid-1990s). Endemic US firearm injuries merit public health attention because they exact an ongoing toll, may give rise to new epidemic outbreaks, and can foster firearm injuries in other parts of the world.

The endemic period is a good time for the development of ongoing prevention approaches, including assessment and monitoring of local risk factors over time and application of proven measures to reduce these risk factors, development of means to address changing circumstances, and ongoing professional and public education designed to weave firearm injury prevention into the fabric of public health work and everyday life.




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