The past two years have been marked in the United States by a national awakening to and intense focus on the pervasiveness of racism and its effects. An important part of this reckoning is to understand that the high rates of the most common cause of death for children and adolescents, intentional and unintentional injuries, is rooted in the history and consequences of structural racism in the nation.

Most realize that injuries do not occur randomly. They are not acts of God nor chance or certainly not fate. This is one of the reasons why the term “accident” is no longer used to describe these events. In fact, injuries are predictable at the population level.

Injuries also do not affect the members of communities equally. Figure 1 shows the higher rate of injury deaths in Black youth, American Indian youth, and Hispanic youth compared with White or Asian American youth...

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