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Executive Summary As coronavirus cases continue to drop across California, Independence Day celebrations began to transition back to normal in 2021. With Orange County starting to open back up along with the rest of the state, many venues returned and hosted celebration events this year. 10 Orange County cities permitted the sale of safe and sane fireworks in 2021, for a total of 201 stands throughout the County. A total of 28 public fireworks displays provided safe celebration options for the communities within Orange County. In 2021, the injuries associated with fireworks increased to 46 total reported injuries. Last year, Orange County reported 32 injuries that were related to fireworks. In comparison to the Consumer Product Safety Commission's (CPSC) 2020 fireworks injury statistics, Orange County's total fireworks injuries are less than expected for our population. While in 2020, reported Safe and Sane fireworks -related injuries accounted for 6% of total injuries, this year, Safe and Sane injuries accounted for only 4% of reported county -wide injuries. 50% of fireworks -related injuries were due to illegal fireworks while the outstanding 46% of injury origins remain unknown. The majority of reported injuries within Orange County were contusions/lacerations and burns to the head, face, ears, hands and fingers. Firework injuries reported by hospital emergency rooms and urgent care facilities were mapped and compared to areas where the sale of Safe and Sane fireworks has been permitted. Results are a clear indication that hospitals near the cities where Safe and Sane firework sales are permitted, did not necessarily report more injuries than those hospitals that are not near those same cities. Orange County experienced an increase in estimated property loss this year. However, the acreage loss due to fireworks -related fires was significantly lower than it was in previous years. Additionally, the reported amount of both consumer and illegal fireworks that were confiscated by local fire departments during the Independence Day holiday remained very consistent with the numbers from 2020. We would like to take this opportunity to thank all the fire departments and medical providers in Orange County who contributed data to the analysis in this report. 3