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Tuesday, January 8, 2013

Gun Violence: How Bad Is It for Children?

It is really bad.

Prevention is the core of saving children. We aim to protect children from all things that can harm them. Injuries are the biggest threat to U.S. children over 1 year of age. In 2010, gun-related injuries accounted for 6570 deaths of children and young people (1 to 24 years of age). That amounts to 7 deaths per day. Gun injuries cause twice as many deaths as cancer, 5 times as many as heart disease, and 15 times as many as infections

This is taken directly from the New England Journal of Medicine Perspective column of Dec. 28, 2012 , written by Judith Palfrey, which is worth reading in full (http://www.nejm.org/doi/full/10.1056/NEJMp1215606):

"Since 1994, the AAP has conducted periodic member surveys to ascertain physicians' attitudes about gun safety and to see whether doctors are performing recommended screening and counseling. In both 2000 and 2008, approximately 70% of physicians reported that they “always or sometimes” asked whether there were guns in the home and recommended unloading and locking guns. In 2008, 50% of the doctors surveyed reported “always or sometimes recommending the removal of the guns from the house.” A recent AAP research analysis of these data show that doctors who live in states with high levels of gun ownership are just as likely as those in states with low levels to ask about guns in the home but are likely to counsel families about safe gun storage rather than removal.

In a randomized, controlled, cluster-design study by the Pediatric Research in Office Settings network, the intervention group that received specific gun-safety counseling from their doctors reported significantly higher rates of handgun removal or safe storage than did the control group. This study showed that families do follow through on pediatricians' recommendations about gun safety.



Despite this evidence, in 2011, Florida passed legislation, the Firearms Owners' Privacy Act, making it illegal for a doctor to conduct preventive screening by asking families about guns in the home — essentially “gagging” health care providers. Under the aegis of the Second Amendment, the First Amendment rights and the Hippocratic responsibilities of physicians were challenged. In response, the AAP's Florida chapter brought suit, and in June 2012, Miami-based U.S. District Judge Marcia Cooke issued a permanent injunction banning the state from enforcing the law. Governor Rick Scott has appealed the ruling, and similar bills have been introduced in three additional states.

At the federal level, problematic language was introduced into the Affordable Care Act. Section 2717(c) sets restrictions on the collection and aggregation of data on guns in the home. Furthermore, Congress has restricted the research activities of the Centers for Disease Control and Prevention (CDC) by stipulating that no funds that are made available for injury prevention and control at the CDC “may be used to advocate or promote gun control.” Strictures like these often have a chilling effect on the gathering of important public health data.

Based on this data, more children have been killed since the Newtown shootings than were killed there.  This is happening every day in America.

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