If The NRA Really Believes That Their Gun Safety Programs Work, Shouldn’t They Be Willing To Prove It?

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Since 1999 there has been a nearly 30% decline in accidental gun deaths, with a 50% drop in deaths for children under 19. This is a remarkable decrease in unintentional gun mortality when you consider that during the same fifteen years, the civilian gun arsenal has probably increased by nearly 50%. So what’s going on? Are gun owners becoming more careful with their guns? Are gun manufacturers making guns that are more resistant to accidental discharges? Are gun safety programs working beyond anyone’s wildest dreams?

docs versus glocks If you listen to the NRA and the NSSF, they’ll tell you that their safety programs are simply the best and most effective that they can be. The NSSF runs a program called ChildSafe, which they claim is responsible for sending more than 36 million safety “kits” to more than 15,000 law enforcement agencies nationwide. The kits basically consist of a little brochure and a gun lock which are then handed out free of charge by the cops to anyone who walks through the door. The NSSF also sponsors occasional safety programs at participating retailers like BassPro, and has produced some thoroughly stupid videos telling parents how to sit around the dinner table and talk to their kids about guns.

The NRA safety program, Eddie Eagle, has been around since 1988, and its safety pamphlets and other teaching aids have “reached” 28 million schoolchildren, whatever the word ‘reached’ actually means. I’ll tell you what it means. It means that someone in Fairfax has mailed out 28 million pieces of paper to various schools around the United States. Maybe not just to schools; maybe to summer camps, maybe to the local VFW, maybe to this or that shooting range, maybe to who knows where. Back in 1991 a graduate nursing student looked at some gun safety programs and judged Eddie Eagle to have all the necessary content to teach good gun safety rules to kids. There was only one little problem: the author also stated that there had never been any study which could determine whether Eddie Eagle was effective as a teaching tool.

And that’s why programs like ChildSafe and Eddie Eagle can’t be taken seriously, for the simple reason that mailing out some literature on anything doesn’t mean that anyone actually received it, or read it, or changed their behavior in any way at all. The fact that safety brochures were being mailed to schools and gun locks were being mailed to police departments and gun mortality declined during the same years may appear to represent some kind of cause and effect, but nobody has ever conducted a study to see if these two factors are connected in any way, shape or form. And this connection becomes even more problematic when we include non-fatal shootings over the same period of years.

When we examine non-fatal accidental shootings, the five-year average between 2001-2006 and 2009-2013 drops by a whopping 7%. And remember how gun mortality for kids declined by 50%? For this same age group in terms of non-fatal accidents the number has basically remained the same since 2003. Now you can’t tell me that people who shoot themselves accidentally are aiming at less lethal parts of their bodies. What’s happening is that the same medical advances which result each year in a higher proportion of non-fatal gun assaults to fatal gun assaults is making unintentional gun injuries less lethal as well.

The NRA uses its Eddie Eagle program, among other things, to fight against doctors who want to caution patients about the risks presented by guns. They argue that a more effective process would be for doctors to distribute Eddie Eagle brochures. I would be the first person to stand up and loudly proclaim that Eddie Eagle should be adopted by every physician once the NRA conducts a valid before-and-after analysis to determine whether the program actually works. But don’t hold your breath – you may turn blue long before the NRA responds.

A New Website That Really Gives The Data On Gun Violence.

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The research team at Everytown has put up a new website which gives an easy access to most of the numbers that we need to use in any discussion about gun violence. And I like this site because it not only aggregates numbers for each gun violence category in readable and understandable formats, but also provides links to the original data sources, which in most cases happen to be the FBI and the CDC.

This brings us to an issue about gun violence numbers that needs to be addressed, namely, the fact that most of the data comes from two agencies, one of which is concerned with crime and the other with health. Which means that gun violence is defined differently, the data collection methods are very different and the ways in which the data are analyzed is also dissimilar to the point that comparisons between the two data sources usually don’t work very well.

Not that the FBI and the CDC are the only two places where you can go looking for gun violence data. You can also relevant data collected and published by the National Crime Victims Survey, which operates under the Bureau of Justice Statistics, and somewhat more detailed CDC data can be found on the CDC’s WONDER database, although much of the latter data just links back to the WISQARS site.

The problem with all the data collections, however, is that none of the agencies whose reports are used, in the aggregate by the FBI or the CDC are mandated to submit any information at all. The FBI claims that its data represents submissions from 18,000 “city, university/college, county, state, tribal, and federal law enforcement agencies voluntarily participating in the program.” Note the word ‘voluntarily.’ As for the CDC, all their numbers are estimates based on reports from what thy refer to as a ‘representative’ group of hospitals, but in the case of intentional, non-fatal shootings, for example, they specifically state that the data is drawn from a sample that is too small to be considered reliable.

It’s unfortunate that the GVP community is committed to evidence-based arguments about gun violence when the other side couldn’t care less about how they use data at all. Take, for example, the attempt by John Lott to debunk President Obama’s claim about the frequency of mass shootings in the United States. After the Charleston shooting, Obama said, “we as a country will have to reckon with the fact that this type of mass violence does not happen in other advanced countries. It doesn’t happen in other places with this kind of frequency.” Lott looked at mass killings in other countries, then divided the number of fatalities by 1 million and this bizarre data manipulation made the U.S. the 11th country for mass violence attacks, exceeded by such places as Norway, Slovakia and the U.K. Between 2009 and 2015 these three countries together sustained 86 mass fatalities, whereas in the same time-period with a country that numbers 6 times as many people, ‘only’ 181 Americans died in mass attacks. But each of these countries experienced one mass shooting, the United States had twenty-five!

Everyone involved in GVP advocacy should welcome the Everytown data collection and should use it whenever they find themselves discussing gun violence in forums where such information can better inform the public at large. But I do have a suggestion for Everytown in terms of maximizing the value of their effort because sometimes I get the feeling that when the GVP presents hard evidence about gun violence, they sometimes present it only themselves. I think it would be great if Everytown could get these numbers in front of every public office-holder in America who could or might vote on legislation that will reduce the human carnage caused by guns. The Everytown numbers can better inform the public debate and should become part of the debate beginning right ow.

The Gun Violence Numbers Continue To Add Up. And Up. And Up.

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Hey folks. Something really crazy is going on. I hope I’m wrong but I suspect I’m not. But if I am, please correct me as quickly as you can. Okay? I really mean it.

According to my friends at the Gun Violence Archive, so far in the last 72 hours we have racked up 78 deaths from guns. So far in 2016 the total gun deaths stands at 1,735. Overnight there were at least 26 gun homicides, of which 6 were evidently the work of one armed citizen, Jason Dalton, who just drove around Kalamazoo, MI, firing a semi-automatic pistol at whomever happened to come into his sight. That’s more than one killing every hour, which is actually a slightly lower hourly rate than what has been going on since the beginning of the year!

conference-program-picAs Bill Clinton said when he re-nominated Barack Obama in 2012, let’s do the arithmetic. So far this year we have gone through 51 days plus 9 additional hours on Day 52. This adds up to 1,232 hours since the great ball dropped in Times Square. Which means that the per-hour gun killing rate is now 1.4. Which means at this rate we end up with 12,297 homicide deaths by year’s end; let’s add in 1,000 unintentional gun deaths which is probably a decent estimate and then tack on another 22,000 suicides, another reliable estimate, and we wind up with a grand total of more than 35,000 Americans who will be killed by guns in 2016.

There’s only one little problem, and it’s not a problem with my math. Taken together, January and February are the two lowest murder months of the entire calendar year. January is actually higher due, of course, to the usual way in which many people celebrate the Holiday Season by getting drunk, getting into a brawl and then, God bless ‘em all, pulling out a gun. But February is the lowest month for all serious crimes because in most parts of the country, it’s just too darn cold.

On the other hand, when we get into the warmer Summer months, what happens in the Winter as regards violent crimes is just a fraction of what takes place between Memorial Day and Labor Day, with high-violence cities like Chicago, Detroit and DC racking up twice as many killings in those months as what is usually recorded at the beginning of the year.

This is why I began this blog with a plea for help in the hopes that perhaps the data I am looking at is wrong. But it’s not wrong. The numbers so far this year reflect what has been happening with gun violence for the last decade, namely, a slow but steady upward climb from 28,685 in 2004 to 32,743 in 2014. That’s a 14% increase in gun violence during the same years that the pro-gun noise machine has the unmitigated gall to keep telling us that guns are protecting us from violence and crime. It’s as if the NRA and their media mouthpieces don’t care whether anything they say has even the slightest relationship to reality at all.

Remember this quote from Dickens: “It was the age of wisdom, it was the age of foolishness, it was the season of light, it was the season of darkness.” I think these words really describe the gun debate today. Because if the gun violence numbers so far this year continue and then increase as they surely will during the summer months, we will end 2016 with a body count that will probably crest somewhere above 38,000 or even higher, which takes us back to levels that haven’t been seen since the great crime wave that peaked in 1994.

Is it too much to imagine that yesterday’s shooting in Kalamazoo might provoke folks to consider the possibility that it’s not people who are the problem, it’s the ease with which people can get their hands on guns? Recall again what Dickens said.

 

How Many People Get Shot By Cops? A Lot More Than You Think.

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If you want to get a handle on the numbers involved in gun violence, you can go to two sources: the CDC or the FBI. The numbers aggregated by the CDC come from coroner’s reports received by state health departments and then forwarded, analyzed and presented on the CDC website WISQARS, which tracks fatal and non-fatal injuries since 1999 and 2001, respectively. The other method is to use the crime data from the FBI, whose numbers begin in 1960 but become state-based beginning in 1985.

The data in these two reports is, to put it politely, somewhat diffuse. Take one year for example, in this case 2005. According to the FBI, 16,740 people were victims of murder or manslaughter, the CDC listed the total number of homicides as 18,124. This 10% difference between the two numbers is more or less the same for every year in which both agencies report their numbers, and it reflects both different definitions (one is reporting medical events, the other reporting crimes) and both numbers are estimates reflecting the fact that state and local agencies which report the raw totals are not necessarily required to report anything at all.

Where things really get crazy is when we look at CDC and FBI numbers for what is referred to as homicide by ‘legal intervention,’ which is a polite way of saying that someone got shot by a cop. In 2010, to choose a different year for comparison, the FBI put this number at 397; for the CDC it was 412. For the years 2010 – 2014, the FBI says that 2,142 people were killed by law enforcement, the CDC number is 2,485. So now we have a gap between the two estimates of nearly 15%, but that’s not even scratching the veritable surface when it comes to figuring out what’s what.

I was tipped off to this problem by a story in MedScape that focused on the research of a group at the Harvard School of Public Health who have been looking at the data on cop killings since 1960. They recently published an op-ed on this problem citing an enormous discrepancy between the ‘official’ numbers on legal intervention deaths and what is now being reported by, of all media outlets, The Guardian, which happens to be a newspaper published in the U.K. The reason I find this interesting is because cop killings in England are so rare that in 2013, police in the U.K. only shot off their duty weapons three times and, by the way, didn’t kill anyone at all.

The Guardian has created a website, The Counted, which has been collecting and publishing stories about legal interventions since 2015, and I have to tell you that the numbers are frighteningly higher than anything posted by the CDC or the FBI. In 2015 the site lists 1,140 persons killed by the police, so far in 2016 the number has reached 136. At this rate the total for 2016 will only be 1,013, a 10% decrease from last year, but still more than twice as high as what we get from our usual sources at the FBI or the CDC. Actually, my friends at the Gun Violence Archive also post a daily count on what they call “officer involved shootings,’ and so far this year their death toll stands at 145.

I’ll leave the two aggregators to figure out whose number is more exact, but the bottom line is that cop killings are much higher than what is usually assumed to be the case, and they occur most frequently in African-American ghetto neighborhoods – gee, what a surprise! The problem with the data found in the Guardian’s website, however, is that it is very incomplete. Try filtering for any attribute – race, age, gender, weapon - the numbers fall way short. Deriving stories from media notices is one thing, aggregating objective data is something else. If public health researchers want to get their hands on real data they better be prepared to wait, and wait, and wait.

 

By Protecting The 2nd Amendment, Scalia Also Protected Gun Violence.

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The body’s still cold, Scalia’s body that is, but Gun Nation and its sycophantic noisemakers aren’t wasting any time getting the word out that the 2nd Amendment will be the first thing harmed if Obama actually gets the chance to put a new face on the Supreme Court. Now much of this is just stupid posturing because if anyone actually believes that a sitting President can be denied his lawful opportunity (indeed his responsibility) to nominate a justice to SCOTUS, well, there are crazier things being said in this year’s political campaign, but not that many when all is said and done.

The crazy sweepstakes already have a possible winner in Ted Cruz, who immediately shot off a tweet that Scalia’s death means that “we are one Justice away from a Supreme Court that would harm our Second Amendment rights.” And while the NRA hasn’t yet figured out how to use Scalia’s death to promote their fundraising agenda, you can get a preview of where they will be going with the tweet they posted thanking Scalia for his “unwavering” defense of the Constitution, which means protecting 2nd-Amendment rights.

All of which made me start thinking about how and why the NRA really promotes the utility of the 2nd Amendment, i.e., why is it so important that Americans have access to guns? Because in case you haven’t noticed, a majority of Americans don’t own guns, and the number of gun-owning folks, relatively speaking, keeps going down. Which means that maybe, just maybe, the Supreme Court really is just one vote away from rolling back all those pro-gun decisions. Which made me start thinking: What would be the result if, in fact, free access to guns currently guaranteed by the 2nd Amendment came to an end?

What I think it comes down to is the unwavering belief on the part of Gun Nation that owning a gun is a basic protection against danger and crime. The idea that owning guns makes us ‘free’ is all well and good, but it’s really too abstract a concept to be applied in everyday affairs, and nobody really believes that all those half-baked militia idiots arrested at Malheur Refuge could protect themselves or anyone else from the slightest degree of armed threat. So it gets down to the notion that having a gun is a simple and tangible way to express the natural desire to be safe. And as John Lott is quick to remind us, there must be some truth to this idea because otherwise how do you explain the fact that more than 12 million Americans have now taken the trouble to secure the legal right to walk around with a gun?

Which brings me to a bit of research that I did earlier today on the CDC website which gives very detailed data on the five categories that comprise every different way in which a gun can cause an injury – unintentional death, unintentional injury, homicide, suicide and aggravated assault. And it turns out that in the period since 2001, during which time the size of the civilian arsenal and the number of people with concealed-carry licenses probably doubled, the number of people killed or injured by guns has also increased by 27 percent! In 2001 the total number of gun injury victims was 109,223. Of this number, homicides were 26%, suicides were 15% and assaults were 42%. In 2013, the total for gun violence was 138,787, of which homicides were 24%, suicides were 15% and assaults were 48%. This remarkable increase in gun violence was not because a particular category went up; it was because every significant category of gun violence increased.

The next time you find yourself in a discussion with someone who tells you that Scalia’s death could jeopardize the 2nd-Amendment, you might refer to the numbers above and point out how they have changed in the recent years. Which as far as I am concerned is the real legacy of Scalia’s stalwart defense of Constitutional rights.

Is Obama Correct When He Calls Gun Violence An ‘Epidemic?’ He Sure Is.

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Whenever there’s a terrible, mass shooting, like Umpqua or San Bernardino, leave it to the pro-gun gang to wait 48 hours or so, and then remind us that it’s not such a big deal because: a) mass shootings only account for a tiny fraction of all gun shootings; b) gun homicides continue to decline; and, c) there’s nothing we can do about it anyway, so who really cares? And in case a little more juice is necessary to push the argument away from the problems caused by guns, we can always count on Johnny-boy Lott to pronounce that, once again, a mass shooting took place in a gun-free zone.

white house But of course if you bother to look at the numbers on gun violence, and you take some time to understand what the numbers really mean, you don’t need to be a rocket scientist to quickly figure out that this whole notion that gun violence being on the wane is simply and irretrievably not true. And anyone who says otherwise either doesn’t know the facts or thinks that if you tell a lie enough times maybe someone will think you are telling the truth. So let’s start with the facts.

Gun violence is falls into five categories, according to the CDC: intentional homicide, unintentional homicide, intentional injury, unintentional injury and suicide. And I don’t care about the NRA nonsense that ‘guns don’t kill people, people kill people;’ the fact is that every one of the events which are counted in those five categories occurred because of the presence of a gun. Now obviously you can kill other people or yourself without using a gun; ditto for injuries suffered by yourself or someone else. But you can’t kill anyone as quickly as you can when you use a gun, and gun injuries are, medically-speaking, the most damaging and costly injuries of all. So now let’s really get to the facts.

In 2001, the total body count for the five gun-violence categories was 92,031, of whom 29,821 ended up one way or another in the morgue, and the remainder, 62,210, lived to see another day. Now the physical and mental condition in which these survivors actually continued their lives has never been calculated in any general sense, but a not atypical example is provided by the experience of Antonius Wiriadjaja who was hit by a stray bullet in Brooklyn, from which he then endured seven months of physical therapy to regain basic functions, along with 18 months of psychiatric treatment to prevent the onset of PTSD. Gun injuries are devastating, the costs of gun morbidity is calculated to be at least 40% higher than the cost of treating any other kind of injury, and Wiriadjaja got off with less post-injury trauma than a lot of other victims of gun wounds.

The pro-gun nation is up in arms (hopefully not literally) because the President keeps referring to gun violence as an ‘epidemic.’ Would the same bunch argue with the notion that we had an outbreak of the Ebola epidemic in 2014? Of course not. Know how many people died worldwide from Ebola that year? Roughly 30,000. Isn’t that roughly the same number that have died from a gun injury in the United States every year over the past 30 years?

Not only do we suffer this carnage year after year, but the numbers keep going up! In 2001 all gun deaths and injuries totaled 92,031. It was 99,968 in 2005, dropped down to 97,550, then steadily increased to 117,146 in 2013. This 25% increase in the overall number is largely driven by intentional injuries, which since 2001 have exoanded by nearly 50%

Know who benefits from this trend in a rather perverse way? Trauma surgery residents get more training which means they can save more lives. It’s their skills that are keeping gun deaths fairly constant while overall gun violence continues to increase. The President isn’t wrong when he talks about a gun epidemic. If anything, he’s understating the case.

What The Gun Violence Numbers Tell Us And What They Don’t Tell Us.

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This is the first time in my lifetime (and I was born during World War II), that a President has used the bully pulpit to focus on the issue of gun violence. He’s issued executive orders, he’s held a Town Hall meeting, written an op-ed for The New York Times, and for sure will have plenty more to say when Congress and the American people gather to hear his State of the Union speech. So in preparation for that event, as well as in response to the veritable torrent of media content that has been flying around the last week, I thought I would publish the data on gun violence that should be used to evaluate what Obama and others are saying about the issue itself.

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Here are the yearly numbers on gun mortality from the CDC. Note that gun suicides dropped between 1993 and 2000, then were fairly level until 2008, and then have moved upwards again at a fairly rapid rate. Gun homicides also declined substantially between 1993 and 2000, and have remained somewhere between 10,000 and 11,000 over the last thirteen years.

There’s only one little problem with these numbers – they hide as much as they show. In fact, notwithstanding the increase since 2008, gun suicides as a percentage of all suicides have declined to slightly less than 50%, the lowest percentage since these numbers were first tracked by the CDC. As for gun homicides, while there was a significant decline until 2000, the number has stayed stubbornly at that level ever since, with minimal variations between this year and that.

On the other hand, the homicide number is a total of both intentional and unintentional gun deaths, and if we break out the latter, we find a remarkable trend over the last 20+ years, namely, that unintentional gun deaths have dropped from 1,521 in 1993 to 586 in 2014, a decline of nearly two-thirds. Or to look at it another way, when intentional gun deaths dropped by 36% between 1993 and 2000, accidental gun deaths declined by more than 50% during the same period.

The decline in intentional gun homicides after the mid-90s paralleled an overall decline in violent crime and is presumed to be a factor of that latter trend. But while theories abound as to why violence in general and gun violence in particular decreased so dramatically until the early 2000s, I don’t notice anyone talking about the even greater drop in unintentional gun deaths over those years. And while the intentional death toll from guns has of late levelled off, unintentional gun deaths continue to decline, from 802 in 2001 to 586 last year.

In a New York Times op-ed debate about gun safety, Steve Teret pulls out a 2003 study conducted by some of his Johns Hopkins colleagues which indicates that smart gun technology, if available on all currently-owned firearms, might save upwards of 37% of the people who are killed by accidental shootings each year. That’s an impressive number, and even if it’s slightly overblown (because God knows how long it would take before smart guns are actually purchased by consumers), there’s no question that keeping guns away from kids and other unqualified folks would cut the accidental death toll to some extent.

But rather than trying to come up with a vague number that might or might not represent the saving in human lives from smart-gun technologies, why don’t public health researchers try to figure out the reasons for a two-thirds decline in accidental gun deaths over the last two decades? One answer I won’t accept is that the decline in gun accidents is due to the NRA or NSSF safety campaigns, for the simple reason that neither has ever been evaluated in honest, no-nonsense terms. But until a GVP-minded researcher tries to figure out why accidental gun mortality keeps going down, we are forced to sit back and wait for smart guns to hit the shelves. And wait.

 

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