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Trends and Patterns in Firearm Violence, 1993–2018

By Grace Kena and Jennifer L. Truman 

This report describes trends and patterns in fatal and nonfatal firearm violence from 1993 to 2018 and for the more recent period of 2014 to 2018. The report includes data on the type of firearm; location of the incident; victim and offender demographic characteristics and relationship; type of violence, injury, and treatment; police notification; and victims’ self-protective behaviors.

Washington, DC: U.S. Bureau of Crime Statistics, 2022. 26p.

Trends and Disparities in Firearm Fatalities in the United States, 1990-2021

Firearm fatality rates in the United States have reached a 28-year high. Describing the evolution of firearm fatality rates across intents, demographics, and geography over time may highlight high-risk groups and inform interventions for firearm injury prevention.

Objective: To understand variations in rates of firearm fatalities stratified by intent, demographics, and geography in the US.

Design, setting, and participants: This cross-sectional study analyzed firearm fatalities in the US from 1990 to 2021 using data from the Centers for Disease Control and Prevention. Heat maps, maximum and mean fatality rate graphs, and choropleth maps of county-level rates were created to examine trends in firearm fatality rates by intent over time by age, sex, race, ethnicity, and urbanicity of individuals who died from firearms. Data were analyzed from December 2018 through September 2022.

Main outcomes and measures: Rates of firearm fatalities by age, sex, race, ethnicity, urbanicity, and county of individuals killed stratified by specific intent (suicide or homicide) per 100 000 persons per year.

Results: There were a total of 1 110 421 firearm fatalities from 1990 to 2021 (952 984 among males [85.8%] and 157 165 among females [14.2%]; 286 075 among Black non-Hispanic individuals [25.8%], 115 616 among Hispanic individuals [10.4%], and 672 132 among White non-Hispanic individuals [60.5%]). All-intents total firearm fatality rates per 100 000 persons declined to a low of 10.1 fatalities in 2004, then increased to 14.7 fatalities (45.5% increase) by 2021. From 2014 to 2021, male and female firearm homicide rates per 100 000 persons per year increased from 5.9 to 10.9 fatalities (84.7% increase) and 1.1 to 2.0 fatalities (87.0% increase), respectively. Firearm suicide rates were highest among White non-Hispanic men aged 80 to 84 years (up to 46.8 fatalities/100 000 persons in 2021). By 2021, maximum rates of firearm homicide were up to 22.5 times higher among Black non-Hispanic men (up to 141.8 fatalities/100 000 persons aged 20-24 years) and up to 3.6 times higher among Hispanic men (up to 22.8 fatalities/100 000 persons aged 20-24 years) compared with White non-Hispanic men (up to 6.3 fatalities/100 000 persons aged 30-34 years). Males had higher rates of suicide (14.1 fatalities vs 2.0 fatalities per 100 000 persons in 2021) and homicide (10.9 fatalities vs. 2.0 fatalities per 100 000 persons in 2021) compared with females. Metropolitan areas had higher homicide rates than nonmetropolitan areas (6.6 fatalities vs 4.8 fatalities per 100 000 persons in 2021). Firearm fatalities by county level increased over time, spreading from the West to the South. From 1999 to 2011 until 2014 to 2016, fatalities per 100 000 persons per year decreased from 10.6 to 10.5 fatalities in Western states and increased from 12.8 to 13.9 fatalities in Southern states.

Conclusions and relevance: This study found marked disparities in firearm fatality rates by demographic group, which increased over the past decade. These findings suggest that public health approaches to reduce firearm violence should consider underlying demographic and geographic trends and differences by intent.

JAMA Netw Open. 2022 Nov 1;5(11):e2244221. doi: 10.1001/jamanetworkopen.2022.44221. PMID: 36445703; PMCID: PMC9709653.

The Risk Matrix: Drug-related deaths in prisons in England and Wales, 2015–2020

This article explores the factors contributing to drug-related deaths in English and Welsh prisons between 2015 and 2020. Based on content analysis of all Prison and Probation Ombudsman ‘other non-natural’ fatal incident investigation reports, descriptive statistics were generated. Qualitative analysis explored the circumstances surrounding deaths and key risk factors. Most deaths were of men, whose mean age was 39 years. Drug toxicity was the main factor in causing death, exacerbated by underlying physical health conditions and risk-taking behaviours. A variety of substances were involved. New psychoactive substances became more important over time. A high proportion had recorded histories of substance use and mental illness. During this period, the prison system was under considerable stress creating dangerous environments for drug-related harm. This study highlights the process of complex interaction between substances used, individual characteristics, situational features and the wider environment in explaining drug-related deaths in prisons. Implications for policy and practice are discussed.

J Community Psychol. 2023;1–22

A Powder Storm: The Cocaine Markets of East and Southern Africa

By Jason ElighBy Jason Eligh

Despite the extensive population containment and control measures put into place across the globe in the wake of the COVID-19 pandemic, the flow of cocaine powder from Latin America to global markets appears to have been largely uninterrupted. This is despite the fact that measures to significantly reduce supply have been put in place by the governments of Colombia – a country that is still the primary cultivator of coca – and the United States, the primary progenitor of and ally in the war on drugs.

The markets and supply chains for cocaine, as well as other illicit drugs, have proven to be remarkably resilient in the face of the growing patchwork of restrictions on movement and transport since March 2020 in the wake of the COVID-19 pandemic. The many predictions by experts of supply chain disruption to drug flows and the potentially disruptive impact of this on consumer markets have not come to pass. Cocaine distribution networks and related agents quickly found ways to bypass challenges raised by lockdowns and restrictions. Coca cultivation and potential cocaine production even expanded during the first year of the pandemic, reaching record or near-record levels in the three primary cultivation countries of the Andean production region. 

 

Geneva: Global Organization Against Transnational Organized Crime, 2022. 64p.

Prohibition, Illicit Alcohol and Lessons Learned from Lockdown

By Tracit

In pursuit of various social, religious, health, or economic objectives governments have imposed a long history of regulatory controls on the producers and consumers of alcoholic beverages. Minimum age purchase restrictions are probably the most renowned and common. Dry laws and other forms of supply restrictions are probably the most notorious. For the most part, the failure of America’s experiment with Prohibition has discouraged governments from imposing them. That is until the onset of the global COVID19 pandemic, when several countries opted for some form of dry law on alcoholic beverages as a tool to mitigate the impact of the virus. Whether or not dry laws were effective in addressing the pandemic itself is not the purpose of this report. The ambition here is to analyze the economic and social impacts of dry laws beyond public health objectives, specifically those consequences associated with illicit trade. The findings are intended to yield valuable lessons from the experience with COVID19 prohibitions, which can be applied to shaping future policymaking at the intersection of alcohol regulation, illicit trade and public welfare.   

New York: Transnational Alliance to Combat Illicit Trade (Tracit), 2021. 34p.

Illicit Alcohol: Public Health Risk of Methanol Poisoning and Policy Mitigation Strategies

By Louise Manning and Aleksandra Kowalska

Illicit (unrecorded) alcohol is a critical global public health issue because it is produced without regulatory and market oversight with increased risk of safety, quality and adulteration issues. Undertaking iterative research to draw together academic, contemporary and historic evidence, this paper reviews one specific toxicological issue, methanol, in order to identify the policy mitigation strategies of interest. A typology of illicit alcohol products, including legal products, illegal products and surrogate products, is created. A policy landscape matrix is produced that synthesizes the drivers of illicit alcohol production, distribution, sale and consumption, policy measures and activity related signals in order to inform policy development. The matrix illustrates the interaction between capabilities, motivations and opportunities and factors such as access, culture, community norms and behavior, economic drivers and knowledge and information and gives insight into mitigation strategies against illicit alcohol sale and consumption, which may prove of value for policymakers in various parts of the world.

Foods 10(7), 2021. 17p.

Alcohol in the Shadow Economy: Unregulated, Untaxed, and Potentially Toxic

By The International Alliance for Responsible Drinking (IARD)  

Alcohol production and trade exist both within and outside of government regulation; the relative size of each depends on the region of the world and social, cultural, and economic factors. Both segments are well established and people often – knowingly and unknowingly – interact fluidly with both of them. The regulated alcohol market is recorded in government statistics; unregulated alcohol, which is largely illegal, is more difficult to assess and falls into the “unrecorded” sphere (see Taxonomy of Unregulated and Unrecorded Alcohol). This segment is complex and diverse and includes everything from high-quality artisanal homebrew to illicit drinks that may contain methanol or other toxic ingredients. In 2014, the World Health Organization (WHO) issued its Global Status Report on Alcohol and Health and estimated, based on 2010 figures, that unrecorded alcohol made up an average 25% of all alcohol consumed worldwide [2]. Alcohol produced and sold illegally outside of government regulation is the most problematic part of unrecorded alcohol; it is untaxed, circumvents restrictions around availability, is of inconsistent quality, and, depending on the ingredients used to make it, is even potentially toxic. This report considers these wide-reaching implications and brings together recent data on the illicit market, compiled by the global market research firm Euromonitor International. While illicit alcohol is also widespread across Asia and parts of Europe, this report focuses on data from Africa and Latin America. Unregulated alcohol is more widespread in lower-income countries than in more affluent ones. Yet, whether in mature or emerging economies, it is largely consumed in some of the world’s poorest communities and, because it lacks quality and production standards, may contribute to an already significant problem of ill health. While home-produced artisanal alcohol may be part of cultural heritage and largely unproblematic, the illicit sector is not only large but also comes at a significant cost. HUMAN COST: The deaths in early 2018 of almost 150 people in Indonesia from poisoning by adulterated alcohol serve as a reminder that unregulated alcohol can cost lives   

Washington, DC: The International Alliance for Responsible Drinking (IARD),  2018. 16p.  

Countering Illicit Alcohol Trade Worldwide: Problems, Root Causes and Solutions

26% of alcohol consumption is illicit, with serious consequences for consumers – including health risks stemming from the consumption of unsafe products, governments – with an estimated loss in fiscal revenues of at least US $8.9 billion per year – and for legitimate businesses. The World Spirits Alliance’s roadmap on illicit alcohol examines the issue of illicit trade in alcohol, its root causes and potential solution. It also contains case studies, information about the impact of the COVID crisis & alcohol restrictions on illicit trade in alcohol, a perspective on the role of the WTO in the fight against illicit trade, and information on the role that public-private partnerships can play. 

 

Brussels: World Spirits Alliance, 2022. 16p.

Guest User
Alcohol and Violence: A Field Experiment with Bartenders in Bogota,Colombia

By Andrés Ham, Darío Maldonado, Michael Weintraub, Andres Felipe Camacho, Daniela Gualtero

This paper studies whether bartenders that adopt standardized practices can promote responsible alcohol consumption and subsequently reduce alcohol-attributable violence. We conducted a randomized experiment in four localities of Bogotá in cooperation with Colombia's largest brewery and Bogotá's Secretariat of Security, Coexistence, and Justice. Our design allows estimating direct and spillover effects on reported incidents within and around bars. Results show that bartenders in treatment locations sell more water and food, thus contributing to more responsible alcohol consumption by patrons. We find no direct or spillover effects of these changes in consumption on brawls, but some improvement on other alcohol-related incidents.

Bogotá, Colombia: Universidad de los Andes, 2019. 61p.

Football, Alcohol and Domestic Abuse

By Ria Ivandić, Tom Kirchmaier and Neus Torres-Blas 

 We study the role of alcohol and emotions in explaining the dynamics in domestic abuse following major football games. We match confidential and uniquely detailed individual call data from Greater Manchester with the timing of football matches over a period of eight years to estimate the effect on domestic abuse. We first observe a 5% decrease in incidents during the 2-hour duration of the game suggesting a substitution effect of football and domestic abuse. However, following the initial decrease, after the game, domestic abuse starts increasing and peaks about ten hours after the game, leading to a positive cumulative effect. We find that all increases are driven by perpetrators that had consumed alcohol, and when games were played before 7pm. Unexpected game results are not found to have a significant effect.  

London: Centre for Economic Performance, London School of Economics, 2021. 66p.

Poisonous Connections: A case study on a Czech counterfeit alcohol distribution network

By Tomáš Diviák, Jan Kornelis Dijkstra and Tom A.B. Snijders

Using data on 32 actors and ties among them drawn from available court files, we combine analytical sociology with statistical models for networks in order to analyse a case of a counterfeit alcohol distribution network from the Czech Republic. We formulate a theory of action and identify relational mechanisms which could explain how the structure of the network emerged and describe. We use the exponential random graph model to test these mechanisms. The analysis reveals that the two actors capable of manufacturing the poisonous mixture were considerably though not optimally proximate to others enabling fast distribution of the mixture. Our model results that the structure was formed by mechanisms of triadic closure, negative tendency to concentrate ties, and tie translation of pre-existing ties into operational ties. We conclude with the discussion of the implications of our approach for the study of criminal networks.

GLOBAL CRIME, 2020, VOL. 21, NO. 1, 51–73

Size and Shape of the Global Illicit Alcohol Market

By Euromonitor International

Alcoholic beverages are deeply ingrained in most societies worldwide, with global consumption in 2017 generating US$1.6 trillion in legally registered sales of 222.8 million hectolitres of pure alcohol (“hectolitres of alcohol equivalent”, or hl lae). However, despite the efforts of policy-makers, law enforcement officials, and legitimate alcohol manufacturers, illicit alcoholic beverages still account for a significant share of the total volume of alcohol consumed in many countries. This white paper explores critical issues affecting the problem of illicit alcohol in today’s global alcohol industry. To this end, the paper analyses research conducted in 24 countries in Latin America, Africa, and Eastern Europe, and examines the major factors shaping their illicit alcohol markets. Illicit alcohol is prevalent in these countries: Of the 42.3 million hl lae of total alcohol consumed each year, approximately 25.8% is illicit. In other words, nearly 10.9 million hl lae of illicit alcohol is consumed annually in these 24 countries alone. This suggests they represent an effective sample for exploring this important topic. Illicit alcoholic beverages are defined as those not complying with the regulations and taxes in the countries where they are consumed, resulting in serious health risks to consumers, revenue loss, and brand degradation for legitimate manufacturers, as well as reduced tax revenue for governments. These products are responsible for hundreds of cases of death and illness due to accidental methanol intoxication, millions of dollars used to fund other criminal activities, and the fiscal loss of billions of dollars in unpaid taxes. Health risks affect the poorest and most vulnerable consumers by contributing to widening health inequalities. The most significant risks and costs for each country depend on the characteristics of the local market for illicit alcohol. The landscape of illicit alcohol is varied and complex, ranging from homemade artisanal beverages sold without the proper sanitary permits to legitimately branded bottles of alcohol smuggled illegally into a country. However, although market characteristics differ across countries, the problem of illicit alcohol exists in every region, in developed and developing countries, urban and rural areas, and higher-income and lower-income neighbourhoods alike.

New York: Transnational Alliance to Combat Illicit Trade (Tracit),     42p.