RT Journal T1 THe annual fourth of july record JF JAMA JO JAMA YR 2009 FD September 16 VO 302 IS 11 SP 1236 OP 1236 DO 10.1001/jama.2009.1199 UL http://dx.doi.org/10.1001/jama.2009.1199 AB In this issue of THE JOURNAL appears the seventh annual compilation of deaths and injuries resulting from the celebration of the Fourth of July. The fact that the celebration was spread over three days this year, since the Fourth came on Sunday, may be partly responsible for the increased number of tetanus cases, the total being nearly double that of last year . . . . More serious has been the absence or non-enforcement of restrictions on the use of blank cartridges, which, of course, accounts for the increase of tetanus cases.