The 26 experts from various fields who attended the consultation were asked to suggest their highest priority strategies in advance of the consultation. These became the basis for discussions that produced strategies most likely to make a significant impact on saving children's lives quickly (5 to 10 years). The central conclusion of the consultation was that not one gun death of a child can be acceptable. The general framework of the proposed national strategy has three key components: legislation that must be passed, research that must be done, and a movement that must be built. Consultation participants favor a flat tax on handguns that will be high enough to make the purchase decision less casual and also help to fund research, trauma centers, and necessary community initiatives. Participants also support the right of communities to try their own creative pro-child gun strategies. This approach would preclude the enactment of State gun laws that nullify local laws. The recommended research would focus on the evaluation of various strategies that have been and will be tried, so as to provide an empirical data base that will guide the development and implementation of effective strategies. A strategy that requires new legislation, research, and modification of the social climate must be fueled by a powerful movement. The sentiments necessary for a pro-child movement are strong within America, but there must be a structure for a common voice and cooperation on common strategies. The report provides detailed suggestions for legislation, research, and movement-building. Appended firearm facts, supplementary notes on the extent of the problem, and recommended strategies considered by participants