1. Firearm Safety Michael P. Hirsh, M.D., FAACP.

2. Types of Firearms Handgun - a firearm that is held and fired with one hand Rifle - A firearm with a rifled bore, designed to be fired from the shoulder. An artillery piece or naval gun with spiral grooves. Shotgun - a light, smooth-bored gun, often double-barreled, specially designed for firing small shot at short range, and killing small game.

3. Epidemiology Everyday 11 people under 19 are killed by firearms. 1968 to 1991 study, firearm-related deaths in 1991 exceeded the number of motor vehicle related deaths in the United States. Firearm related injuries are the second leading cause of death for children ages 10-14 yrs. It is estimated that the number of children sustaining non-fatal firearm injuries is four to five times greater than the number of children who die from such injuries each year. Handguns account for the majority of firearm related injuries in the United States. Firearm Injury Statistics

4. Epidemiology Contd Epidemiology Continued Approximately 50% of all US homes have a firearm. Over 50% of handguns are stored loaded or with the ammunition. Keeping a gun in the home increases the chances of a homicide by three times and increases the chances of a suicide by five times. A gun kept in a household is 43 times more likely to kill someone that the family knows than to kill someone in self-defense. 77% of violent deaths in schools are caused by firearms. Firearm Prevalence Statistics

5. Firearm Facts in Children Firearm Exposure in Children Children watch an average of 45 violent acts on TV each day. Playing with toy guns may contribute to unintentional shootings.

6. Cost to Healthcare In 1994, the mean cost per injury due to gunshots was approximately $17,000. The injuries due to gunshots in 1994 alone,created a projected $2.3 billion in medical costs over a lifetime. Of the $2.3 billion, $1.1 billion will be paid by taxpayers.

7. Cost of Prevention Not having a gun in the house $0 Trigger locks for guns $10 Lockable cabinet $30 -$50 Home firearm safety training $50-$100 Fire-resistant safe $1500 Preventing a child death... Priceless Cost of Prevention

8. Firearm Injuries are Preventable Firearm Injuries Are Preventable

9. Firearm Safety Tips Keep Children Safe Parents and gun manufacturers need to take responsibility for safety. Research shows that telling children not to touch guns does not work.

10. Firearm Safety Tips Dont buy a gun unless you know how to use it safely. Store it unloaded and locked up. Lock it out of childrens reach. Lock up ammunition separately from the gun. Keep trigger locks on your guns for extra prevention, or disassemble your gun completely.

11. For Further Information Gun Buyback Programs Raise awareness about gun violence Demonstrate the need for home gun safety

12. For Further Information Contact: American Academy of Pediatrics at http://www.aap.org http://www.aap.org American Academy of Child and Adolescent Psychiatry at http://www.aacap.org http://www.aacap.org

13. ReferencesFor Further Information References 1. Center to Prevent Handgun Violence. Children & guns: a lethal combination. Washington: The Center; 2000. 2. American Academy of Pediatrics, www.aap.org.www.aap.org 3. Stennies G, Ikeda R, Leadbetter S, Houston B, Sacks J. Firearm storage practices and children in the home, United States, 1994. Arch Pediatr Adolesc Med 1999;153: 586-90. 4. Cummings P, Grossman DC, Rivara FP, Koepsell TD. State gun storage laws and child mortality due to firearms. JAMA 1997;278:1084-6. 5. American Academy of Child and Adolescent Psychiatry, www.aacap.org/info_families/NationalFacts/coGunViol.htm. www.aacap.org/info_families/NationalFacts/coGunViol.htm 6. Harruff RC. So-called accidental firearm fatalities in children and teenagers in Tennessee, 1961-1988. Am J Forensic Med Pathol 1992;13:290-8. 7. Effectiveness in disease and injury prevention: deaths resulting from firearm- and motor-vehicle-related injuries-United States, 1968- 1991. MMWR Morbid Mortal Wkly Rep 1994;43:37-42.