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Examination of local health department capacity and infrastructure for injury and violence prevention.

I njury and violence are significant public health problems and have many negative effects on the health of Americans, including premature death and disability, poor mental health, lost productivity, and increased health care costs. In 2010, injuries and violence combined were the third leading cause of death in the United States. More than 170 000 deaths are attributed to injury and violence each year, most of which are due to poisoning (including prescription drug overdose), motor vehicle injury, firearms, and falls. Injury is the leading of death for Americans 1 to 44 years of age and the fifth leading cause of death among people of all ages. Violence affects people of all ages, from infancy to adulthood. In 2010, more than 16 000 Americans were victims of homicide and more than 38 000 died by suicide. Unintentional injury and violence are also among the leading cause of years of potential life lost. Nearly 30 million people receive treatment in emergency departments as a result of injury and violence each year. In fact, injuries account for more than 35% of emergency department visits annually. In a single year, injuries and violence cost the United States $406 billion, which includes more than $80 billion in medical costs (6% of total health expenditures) and $326 billion in lost productivity.