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Private Guns Public Health “In scholarly, sober analytic assessments, including rigorous critiques of NRApopularized pseudoscience, David Hemenway constructs a convincing case that firearm availability is a critical and proximal cause of unparalleled carnage. By formulating such violence as a public health issue, he proposes workable policies analogous to ones that reduced injuries from tobacco, alcohol, and automobiles.” —JEROME P. KASSIRER, EDITOR-IN-CHIEF EMERITUS, NEW ENGLAND JOURNAL OF MEDICINE, AND DISTINGUISHED PROFESSOR, TUFTS UNIVERSITY SCHOOL OF MEDICINE “Much has been said in recent years about the ‘public health approach to violence,’ but it is unclear whether many well-intentioned people using that phrase understand what it means. Hemenway identifies problems in widely cited research and provides a clear and concise description of how public health approaches can be used to reduce firearm-related injuries and deaths.The book, which intersperses dispassionate critiques of population-based research with news bulletins about individuals, reads quickly and easily.” —SUSAN B. SORENSON, UCLA SCHOOL OF PUBLIC HEALTH “David Hemenway marshals solid empirical evidence to weave a forceful and persuasive argument for reasonable policies to minimize the harm from guns. He carefully constructs the argument for a regulatory structure that borrows from successful efforts to reduce injuries in everyday life.Every legislator should read this book.” —JEFFREY FAGAN, PROFESSOR OF LAW AND PUBLIC HEALTH, COLUMBIA UNIVERSITY “The rate of gun-related homicide, suicide, and accidental injury has reached epidemic proportions in American society. Diagnosing and treating the gun violence epidemic demands the development of public health solutions in conjunction with legislative and law enforcement strategies.” —KWEISI MFUME, PRESIDENT AND CEO OF NAACP “Hemenway’s book provides a comprehensive look at the epidemic of firearm injury in the United States. He writes that the experience of high-income nations shows that when there are reasonable restrictions on guns, gun injuries need not be such a large public health problem. This book is an important resource for educating politicians and the public who are looking to build safer communities. It is also an important reference for members of the public health and medical communities who see the results of firearm injuries and are struggling to find solutions to the gun wars waged both in our homes and on our streets.” —BARBARA BARLOW, DIRECTOR OF SURGERY AT HARLEM HOSPITAL CENTER Private Guns Public Health David Hemenway Updated with a New Preface university of michigan press Ann Arbor Copyright © 2004, 2017 by David Hemenway All rights reserved. First edition 2004. Paperback with new afterword 2006. New edition with new preface published 2017. This book may not be reproduced, in whole or in part, including illustrations, in any form (beyond that copying permitted by Sections 107 and 108 of the U.S. Copyright Law and except by reviewers for the public press), without written permission from the publisher. Published in the United States of America by the University of Michigan Press Manufactured in the United States of America c Printed on acid-­ free paper 2020 2019 2018 2017  4 3 2 1 A CIP catalog record for this book is available from the British Library. Library of Congress Cataloging-­ in-­ Publication Data Names: Hemenway, David, 1945–­author. Title: Private guns, public health / David Hemenway. Description: New edition. | [Ann Arbor, Michigan] : University of Michigan Press, 2017. | Includes bibliographical references and index. Identifiers: LCCN 2017011659| isbn 9780472037018 (paper : alk. paper) | isbn 9780472123254 (ebook) Subjects: LCSH: Gunshot wounds—­ United States—­ Prevention. | Firearms—­ Law and legislation—­ United States. | Gun control—­ United States. | Medical policy—­ United States. | Firearms ownership—­ United States. Classification: LCC rd96.3 .h45 2017 | DDC 617.1/45—­ dc23 LC record available at         Nothing is so powerful as an idea whose time has come. —Victor Hugo ...