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In 1903 The Journal began the collection of statistics regarding deaths and injuries resulting from the use of fireworks in the celebration of the Fourth of July, and for fourteen years has fought for a betterment of conditions. In addition to securing data through news-clipping bureaus, blanks were sent to physicians, health officers and hospitals, requesting lists of casualties. From the beginning special efforts were made to obtain information as to cases of tetanus resulting from these injuries. The tabulated figures of injuries and the enormous proportion of deaths from lockjaw in that first year were appalling. In the 1903 report it was shown that 4,449 persons had been injured, and that 466 had died. Of those injured, many had lost their sight, had legs, arms or hands blown off, or were otherwise mutilated for life. Of those fatally injured, 406, mostly children, died from tetanus, or lockjaw. In the
A SAFE AND SANE FOURTH. JAMA. 1916;LXVII(9):683-684. doi:10.1001/jama.1916.02590090037013