In 2022, there were ****** fatalities caused by injuries related to firearms in the United States, a slight decrease from the previous year. In 2021, there were ****** firearm deaths, the highest number of gun deaths ever recorded in the country. However, this figure has remained relatively high over the past 25 years, with ****** firearm deaths in 1990, and a slight dip in fatalities between 1999 and 2002. Firearms in the United States The right to own firearms in the United States is enshrined in the 2nd Amendment of the U.S. Constitution, and while this right may be seen as quintessentially American, the relationship between Americans and their firearms has become fraught in the last few years. The proliferation of mass shootings in the U.S. has brought the topic of gun control into the national spotlight, with support for banning assault-style weapons a particularly divisive issue among Americans. Gun control With a little less than **** of all Americans owning at least one firearm and the highest rate of civilian gun ownership in the world, it is easy to see how the idea of gun control is a political minefield in the U.S. However, public opinion has begun to shift over the past ten years, and a majority of Americans report that laws governing the sale of firearms should be stricter than they are now.

IntroductionThe COVID-19 pandemic significantly changed society. We aimed to examine the systematic impact of the COVID-19 on injury burden in the United States.MethodsWe extracted mortality and morbidity data from CDC WONDER and WISQARS. We estimated age-standardized injury mortality rate ratio and morbidity rate ratio (MtRR and MbRR) with 95% confidence interval (95% CI) for all injuries, all unintentional injuries, homicide/assault by all methods, suicide/self-harm by all methods, as well as other 11 specific unintentional or intentional injury categories. Injury rate ratios were compared for 2020 vs. 2019 to those of 2019 vs. 2018 to demonstrate the influence of the COVID-19 pandemic on fatal and nonfatal injury burden. The ratio of MtRRs (RMtRR) and the ratio of MbRRs (RMbRR) with 95% CI between 2020 vs. 2019 and 2019 vs. 2018 were calculated separately.ResultsThe COVID-19 pandemic was associated with an increase in injury mortality (RMtRR = 1.12, 95% CI: 1.11, 1.13) but injury morbidity decreased (RMbRR = 0.88, 95% CI: 0.88, 0.89) when the changes of these rates from 2019 to 2020 were compared to those from 2018 to 2019. Mortality disparities between the two time periods were primarily driven by greater mortality during the COVID-influenced 2020 vs. 2019 from road traffic crashes (particularly motorcyclist mortality), drug poisoning, and homicide by firearm. Similar patterns were not present from 2019 vs. 2018. There were morbidity reductions from road traffic crashes (particularly occupant and pedestrian morbidity from motor vehicle crashes), unintentional falls, and self-harm by suffocation from 2019 to 2020 compared to the previous period. Change patterns in sexes and age groups were generally similar, but exceptions were observed for some injury types.ConclusionsThe COVID-19 pandemic significantly changed specific injury burden in the United States. Some discrepancies also existed across sex and age groups, meriting attention of injury researchers and policymakers to tailor injury prevention strategies to particular populations and the environmental contexts citizens face.