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key takeaway: "Excess mortality analysis found that a group of states with the most permissive firearm laws after 2010 experienced more than 6029 firearm deaths in children and adolescents aged 0 to 17 years between 2011 and 2023 and 1424 excess firearm deaths in a group of states with permissive laws. In the most permissive states, the largest increase occurred in the non-Hispanic Black pediatric population; among all states, 4 states had statistical decreases in pediatric firearm mortality during the study period, all of which were in states with strict firearm policies."

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