Objectives:The controversy about firearm fatalities amongst American Youth (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) continues and this study examines whether a public health approach could reduce USA gun-related Youth deaths.Study Design: US and international population-based analysis.
Methods: Data from USA National Archives of American Military fatalities from the Vietnam, Afghan and Iraq wars are contrasted against current USA Civilian Violent Deaths (CVD) (suicides, assaults and road deaths), using WHO data, with special focus upon Youth (15-24) CVD. To place USA CVD results in a wider context American CVD rates are compared with the seven Major Western Countries (MWC) based upon latest WHO data on CVD for 2015. Road deaths fatalities, between 1979-2015, are analysed, compared to suicide rates, to demonstrate the effectiveness of a public health policy, when Governments intervened to ensure technical improvements and change public behaviour to improve public safety. Results: American Vietnam, Afghan and Iraq wars fatalities totalled 65,771. Vietnam deaths averaged 5,838p.a. 2015 total USA CVD 101,456 consisted of 39,675 road deaths, 44,193 suicides and 17,588 homicides of which 30,891 probably gun-related.American CVD significantly higher than the other MWC. American Youth (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) suicides and homicides totalled 10,223, minimum 5,112 gun-related. Public health approach significantly reduced road deaths, compared to suicides, in every country.Conclusions: Government intervention reduced transports deaths, so too, with gunrelated violence by America appreciating its level of CVD compared to military deaths and other MWC rates. This would show that a Public Health approach is needed to reduce firearms deaths and make America safer.