In 1997, 32,436 deaths resulted from firearm-related injuries, making such injuries the second leading cause of injury mortality in the United States after motor-vehicle-related incidents (1). Also in 1997, an estimated 64,207 persons sustained nonfatal firearm-related injuries and were treated in U.S. hospital emergency departments (EDs); approximately 40% required inpatient hospital care. National firearm-related injury and death rates peaked in 1993, then began to decline (2). This report presents national data from 1993 through 1997, which showed that the decline in nonfatal and fatal firearm-related injury rates was substantial and consistent by sex, race/ethnicity, age, and intent of injury.