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BALTIMORE (AP) — The year 2015 has been an appalling one for bloodshed in Baltimore, with a homicide rate higher than it has been since 1993.

But while it is the deaths that have grabbed headlines, it’s the hundreds of nonfatal shootings that really capture the magnitude of the violence that has plagued swaths of Baltimore for decades.

This year, the city saw 637 nonfatal shootings, up 72 percent from last year’s 370. Between January and November, 412 gunshot wound victims were treated in the Shock Trauma Center at the University of Maryland Medical Center in Baltimore. Of those, 322 survived.

Some are disabled, according to Physician-In-Chief Thomas Scalea. All live with pain. And the economic costs are staggering: Scalea says the surgery alone for a gunshot wound costs an average of $112,000.