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Treat gun violence like the public health crisis it is
 

Last month’s mass shooting in Las Vegas, which killed 59 people and wounded 500, was committed by a single individual who legally purchased an arsenal that allowed him to fire hundreds of high-caliber bullets within minutes into a large crowd. This is just the latest in a series of high-profile mass killings that appear to be increasing in frequency.1

As terrifying as mass murders are, they account for only a small fraction of gun-related mortality. Everyday about 80 people in the United States are killed by a gun, usually by someone they know or by themselves (almost two-thirds of gun-related mortality involves suicide).2 No other developed country even comes close to our rate of gun-related violence.2

What to do? Recall anti-smoking efforts. Gun violence is a public health issue that should be addressed with tried and proven public health methods. A couple of examples from history hold valuable lessons. While tobacco-related mortality and morbidity remain public health concerns, we have made marked improvements and saved many lives through a series of public health interventions including increasing the price of tobacco products, restricting advertising and sales to minors, and prohibiting smoking in public areas, to name a few.3

 

 

 

These interventions occurred because the public recognized the threat of tobacco and was willing to adopt them. This was not always the case. During the first half of my life, smoking in public, including indoors at public events and even on airplanes, was accepted, and the “rights of smokers” were respected. This now seems inconceivable. Public health interventions work, and public perceptions and attitudes can change.

If we gather data and fund research, we can make changes to reduce deaths while maintaining the right to own a firearm.

Consider inroads made in driver safety, too. We have also made marked improvements in motor vehicle crash-related deaths and injuries.4 For decades, we have recorded hundreds of data points on every car crash resulting in a death in a comprehensive database—the Fatality Analysis Reporting System (FARS). These data have been used by researchers to identify causes of crashes and crash-related deaths and have led to improvements in car design and road safety. Additional factors leading to improved road safety include restrictions on the age at which one can drive and on drinking alcohol and driving.

We can achieve similar improvements in gun-related mortality if we establish and maintain a comprehensive database, encourage and fund research, and are willing to adopt some commonsense product improvements and ownership restrictions that, nevertheless, preserve the right for most to responsibly own a firearm.

Don’t you think it’s time?

References

1. Blair JP, Schweit KW. A study of active shooter incidents in the United States between 2000 and 2013. Texas State University and the Federal Bureau of Investigation, US Department of Justice, Washington, DC. 2014. Available at: https://www.fbi.gov/file-repository/active-shooter-study-2000-2013-1.pdf. Accessed October 16, 2017.

2. Wintemute GJ. The epidemiology of firearm violence in the twenty-first century United States. Annu Rev Public Health. 2015;36:5-19.

3. Centers for Disease Control and Prevention. Tobacco use—United States, 1900-1999. MMWR Morb Mortal Wkly Rep. 1999;48:986-993.

4. Centers for Disease Control and Prevention. Achievements in public health, 1900-1999 motor-vehicle safety: a 20th century public health achievement. MMWR Morb Mortal Wkly Rep. 1999;48:369-374.

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Doug Campos-Outcalt, MD, MPA

University of Arizona; The Journal of Family Practice associate editor and author of Practice Alert

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University of Arizona; The Journal of Family Practice associate editor and author of Practice Alert

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Last month’s mass shooting in Las Vegas, which killed 59 people and wounded 500, was committed by a single individual who legally purchased an arsenal that allowed him to fire hundreds of high-caliber bullets within minutes into a large crowd. This is just the latest in a series of high-profile mass killings that appear to be increasing in frequency.1

As terrifying as mass murders are, they account for only a small fraction of gun-related mortality. Everyday about 80 people in the United States are killed by a gun, usually by someone they know or by themselves (almost two-thirds of gun-related mortality involves suicide).2 No other developed country even comes close to our rate of gun-related violence.2

What to do? Recall anti-smoking efforts. Gun violence is a public health issue that should be addressed with tried and proven public health methods. A couple of examples from history hold valuable lessons. While tobacco-related mortality and morbidity remain public health concerns, we have made marked improvements and saved many lives through a series of public health interventions including increasing the price of tobacco products, restricting advertising and sales to minors, and prohibiting smoking in public areas, to name a few.3

 

 

 

These interventions occurred because the public recognized the threat of tobacco and was willing to adopt them. This was not always the case. During the first half of my life, smoking in public, including indoors at public events and even on airplanes, was accepted, and the “rights of smokers” were respected. This now seems inconceivable. Public health interventions work, and public perceptions and attitudes can change.

If we gather data and fund research, we can make changes to reduce deaths while maintaining the right to own a firearm.

Consider inroads made in driver safety, too. We have also made marked improvements in motor vehicle crash-related deaths and injuries.4 For decades, we have recorded hundreds of data points on every car crash resulting in a death in a comprehensive database—the Fatality Analysis Reporting System (FARS). These data have been used by researchers to identify causes of crashes and crash-related deaths and have led to improvements in car design and road safety. Additional factors leading to improved road safety include restrictions on the age at which one can drive and on drinking alcohol and driving.

We can achieve similar improvements in gun-related mortality if we establish and maintain a comprehensive database, encourage and fund research, and are willing to adopt some commonsense product improvements and ownership restrictions that, nevertheless, preserve the right for most to responsibly own a firearm.

Don’t you think it’s time?

 

Last month’s mass shooting in Las Vegas, which killed 59 people and wounded 500, was committed by a single individual who legally purchased an arsenal that allowed him to fire hundreds of high-caliber bullets within minutes into a large crowd. This is just the latest in a series of high-profile mass killings that appear to be increasing in frequency.1

As terrifying as mass murders are, they account for only a small fraction of gun-related mortality. Everyday about 80 people in the United States are killed by a gun, usually by someone they know or by themselves (almost two-thirds of gun-related mortality involves suicide).2 No other developed country even comes close to our rate of gun-related violence.2

What to do? Recall anti-smoking efforts. Gun violence is a public health issue that should be addressed with tried and proven public health methods. A couple of examples from history hold valuable lessons. While tobacco-related mortality and morbidity remain public health concerns, we have made marked improvements and saved many lives through a series of public health interventions including increasing the price of tobacco products, restricting advertising and sales to minors, and prohibiting smoking in public areas, to name a few.3

 

 

 

These interventions occurred because the public recognized the threat of tobacco and was willing to adopt them. This was not always the case. During the first half of my life, smoking in public, including indoors at public events and even on airplanes, was accepted, and the “rights of smokers” were respected. This now seems inconceivable. Public health interventions work, and public perceptions and attitudes can change.

If we gather data and fund research, we can make changes to reduce deaths while maintaining the right to own a firearm.

Consider inroads made in driver safety, too. We have also made marked improvements in motor vehicle crash-related deaths and injuries.4 For decades, we have recorded hundreds of data points on every car crash resulting in a death in a comprehensive database—the Fatality Analysis Reporting System (FARS). These data have been used by researchers to identify causes of crashes and crash-related deaths and have led to improvements in car design and road safety. Additional factors leading to improved road safety include restrictions on the age at which one can drive and on drinking alcohol and driving.

We can achieve similar improvements in gun-related mortality if we establish and maintain a comprehensive database, encourage and fund research, and are willing to adopt some commonsense product improvements and ownership restrictions that, nevertheless, preserve the right for most to responsibly own a firearm.

Don’t you think it’s time?

References

1. Blair JP, Schweit KW. A study of active shooter incidents in the United States between 2000 and 2013. Texas State University and the Federal Bureau of Investigation, US Department of Justice, Washington, DC. 2014. Available at: https://www.fbi.gov/file-repository/active-shooter-study-2000-2013-1.pdf. Accessed October 16, 2017.

2. Wintemute GJ. The epidemiology of firearm violence in the twenty-first century United States. Annu Rev Public Health. 2015;36:5-19.

3. Centers for Disease Control and Prevention. Tobacco use—United States, 1900-1999. MMWR Morb Mortal Wkly Rep. 1999;48:986-993.

4. Centers for Disease Control and Prevention. Achievements in public health, 1900-1999 motor-vehicle safety: a 20th century public health achievement. MMWR Morb Mortal Wkly Rep. 1999;48:369-374.

References

1. Blair JP, Schweit KW. A study of active shooter incidents in the United States between 2000 and 2013. Texas State University and the Federal Bureau of Investigation, US Department of Justice, Washington, DC. 2014. Available at: https://www.fbi.gov/file-repository/active-shooter-study-2000-2013-1.pdf. Accessed October 16, 2017.

2. Wintemute GJ. The epidemiology of firearm violence in the twenty-first century United States. Annu Rev Public Health. 2015;36:5-19.

3. Centers for Disease Control and Prevention. Tobacco use—United States, 1900-1999. MMWR Morb Mortal Wkly Rep. 1999;48:986-993.

4. Centers for Disease Control and Prevention. Achievements in public health, 1900-1999 motor-vehicle safety: a 20th century public health achievement. MMWR Morb Mortal Wkly Rep. 1999;48:369-374.

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The Journal of Family Practice - 66(11)
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Treat gun violence like the public health crisis it is
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