By Michael Siegel, Devon Dunn , Faizah Shareef , Miriam Neufeld , Claire Boine 

Background: No previous study has identified the specific brands of guns owned by gun owners. This study aimed to (1) ascertain and describe patterns of brand- and model-specific gun ownership among US gun owners; and (2) investigate the relationship between gun owners’ brand and model preferences and their attitudes towards common firearm violence prevention policies.

Methods: Using a national, pre-recruited internet panel of US adults in 2019, we surveyed gun owners (N = 2086) to ascertain their opinions regarding firearm violence prevention policies and to assess the brands and models of guns that they owned.

Results: Brand-specific gun ownership was highly concentrated and was dominated by three pistol brands, two revolver brands, three rifle brands, and three shotgun brands. There was wide variation in policy attitudes among owners of different gun brands, but little variation among owners of different gun types (i.e., pistols, rifles, revolvers, shotguns). We were able to identify the specific gun models owned by 1218 (59.4%) of the gun owners. Based on the classification of these gun models into three types we categorized the gun ownership pattern of the sample as 33.4% recreational, 45.5% self-defense, and 21.1% tactical. There were marked differences in support for firearm-related policies among the three groups, with support generally highest among the Recreation group and lowest among the Tactical group.

Conclusion: We conclude that gun brands and models are strong predictors of a gun owner’s attitudes regarding firearm-related policies. This information could help public health practitioners develop segment-specific communications that will appeal to each group to more effectively engage gun owners in firearm violence prevention.

Inj Epidemiol 2021 Mar 22;8(1):12.

By André Duffles Teixeira Aranega, Ariel Faccioli Fernandes

Grounded on an extensive literature review derived from evidence-based studies (e.g., scientific articles, institutional and technical reports, journalistic evidence, academic books, and book chapters), our article develops a qualitative analysis to address the following question: to what extent do the strategic motivations of states and organized crime groups converge/diverge in the context of the current Russo-Ukrainian conflict? This article is divided into three parts. The initial section delves into the interconnections between illicit markets and armed conflicts. Secondly, after acknowledging the background of organized crime in both countries and the emergence of the current Russo-Ukrainian war, it highlights the implications of this conflict on the dynamics of illicit markets. Finally, it analyzes the strategic motivations of states and organized crime within this setting, as well as its points of convergence and divergence. This research potentially explores the frequently wicked ties of (inter)national politics and criminal adaptation during (post-)war times in Eastern Europe and within the international system.

  Journal of Illicit Economies and Development, 6(2): pp. 48–60. 2024.

By Guadalupe Correa-Cabrera, and Charles Lewis, and William Yaworsky

This article explains some of the mechanisms through which corruption by high-level Mexican politicians and other organized crime members is facilitated in the United States through money laundering operations. The analysis is based on information contained in court records related to key money laundering cases, as well as in news articles and reports from law enforcement agencies. These materials highlight the interrelationships among U.S. drug use, cartel activities in Mexico, human rights abuses, Mexican political corruption, and money laundering in the United States. This work demonstrates the pervasive use of legitimate businesses and fronts in the United States as a disguise for criminal activity. Finally, it provides recommendations for a reformation of policies and penalties directed toward U.S. institutions and persons that facilitate money laundering.

Journal of Illicit Economies and Development, 6(1): pp. 64–78. 2024

By Roberto Uchôa de Oliveira Santos

In recent decades, the global debate on gun control has been prominent, with many countries adopting more restrictive policies. Brazil followed this trend by implementing stringent measures in 2003; however, the presidency of Jair Bolsonaro in 2019 introduced normative changes aimed at facilitating public access to firearms and ammunition. Throughout his term, the legal firearms market doubled, allowing access to weaponry previously restricted to the general public. The analyzed hypothesis suggests that these normative changes, especially those related to the quantity and authorization of acquisition of previously restricted firearms, altered the types of firearms in circulation, strengthening the interaction between legal and illegal markets. Using data from the mandatory firearms re-registration, a total of 962,782 firearms were analyzed. The assessment of the increase in circulation of these firearms in the illegal market was conducted through the analysis of seizures in the states of Rio de Janeiro and São Paulo, revealing a significant growth in seizures of these types of firearms, possibly correlated with the increase in their circulation. Three police investigations were selected to exemplify how the connection between markets intensified, allowing criminals to obtain firearms in the legal market that were previously only accessible through international trafficking or diversion from state agencies.

Journal of Illicit Economies and Development, 6(1): pp. 16–29. 2024

By Nicole Kravitz-Wirtz , Rocco Pallin , Matthew Miller , Deborah Azrael , Garen J Wintemute

Objective: To describe the prevalence of and factors associated with firearm ownership; the types, subtypes, and quantity of firearms owned; and when, where and why firearms were acquired in California.

Methods: A cross-sectional analysis of a state-representative, probability-based, internet survey of California adults was conducted in September-October 2018 (n=2558; completion rate 49%). Household firearm ownership was ascertained for all respondents; personal firearm ownership was ascertained only among respondents who reported living in a home with firearms; and information on the types and quantity of firearms owned and details about recently acquired firearms came from firearm owners only.

Findings: Roughly one in four (25%, 95% CI 22% to 28%) California adults live in a home with a firearm, including 4.2 million adults-14% (95% CI 13% to 16%) of the adult population who personally own a firearm. These owners collectively own an estimated 19.9 million firearms (8.9 million handguns). Approximately half (48%, 95% CI 34% to 61%) of the firearm stock in California is owned by the 10% (95% CI 6% to 14%) of owners who own 10 or more firearms, though more than half (54%, 95% CI 47% to 62%) of owners in the state own only one or two firearms. Most (69%, 95% CI 63% to 75%) owners purchased their last firearm from a firearm retailer, usually a handgun purchased primarily for protection against people.

Conclusion: This study provides the most detailed and up-to-date information available on firearm ownership and acquisition in California. Results can inform firearm violence prevention efforts and public health, safety, and policy development in California and nationally.

Injury Prevention, Volume 26, Issue 6, 2020.

By Rose M. C. Kagawa and Elise D. Riley

Background: Unstably housed women experience high levels of violence. While previous studies have investigated psychological, physical, and sexual violence, weapon and gun violence are rarely delineated. We examined factors associated with experiencing violence as an adult among unhoused and unstably housed women, with a focus on gun violence. Methods: We recruited women with a history of housing instability from San Francisco homeless shelters, street encampments, free meal programs, low-income hotels, and health clinics. Participants completed interviews including questions regarding both childhood and adult violence. We used multivariable logistic regression to examine associations of specific types of childhood violence (i.e., physical, sexual, gun, and other weapon-involved violence), age, race, ethnicity, educational attainment, and sexual orientation, with risk of experiencing specific types of violence as an adult (i.e., gun, other weapon-involved, physical violence). Because the violence outcomes were not rare, odds ratios were transformed to approximate risk ratios. Results: Nearly half of women (n = 110, 45%) had been attacked with a gun as an adult. Violent victimization in adulthood was common, with 33% having experienced all three forms of violence. The probability of being attacked with a gun as an adult was almost 70% higher among women who had been hit or kicked hard enough to cause injury as a child (RR = 1.68; 95% CI = 1.24, 2.11), and this association was present for all three violence outcomes. No other risk factors explored, including other types of violence experienced as a child, met the statistical threshold to be considered significant. Conclusions: The high prevalence of gun violence reported here is consistent with prior studies of violence conducted in similar populations. Considered in combination with prior research, findings suggest that multi-generational violence prevention interventions for low-income women and girls are needed. They also emphasize the need to more actively include people who experience unstable housing in statewide and national violence surveys to better understand the extent of the problem and address on a broader scale the high rates of violence experienced by unstably housed populations, which have been consistently documented in local research

Inj. Epidemiol. 8:52, 2021

By Garen J. Wintemute 

Inter-related sustained upward trends in firearm purchasing, violence, and political extremism are converging to put the USA at risk for disaster and threaten our future as a democracy. This narrative review provides a critical assessment and call to action. It explores each trend separately, considers the effects of their likely and imminent convergence, and suggests possibilities for collective and individual action to prevent or at least reduce those effects.

Injury Epidemiology volume 8, Article number: 64 (2021)

By Julia P. Schleimer , Rose M. C. Kagawa and Hannah S. Laqueur

Background: Firearms are the most lethal method of suicide and account for approximately half of all suicide deaths nationwide. We describe associations between firearm purchasing characteristics and firearm suicide. Methods: Data on all legal handgun transactions in California from 1996 to 2015 were obtained from the California Department of Justice Dealer’s Record of Sale database. Handgun purchasers were linked to mortality data to identify those who died between 1996 and 2015. To account for variation in timing and duration of observation time, analyses were stratified by birth cohort. The primary analysis focused on those aged 21–25 in 1996. A secondary analysis tested associations among those aged 50–54 in 1996. Using incidence density sampling, purchasers who died by firearm suicide (cases) were each gender-matched to 5 purchasers (controls) who remained at risk at the case’s time of death. We examined the characteristics of purchasers and transactions, focusing on the transaction closest in time to the case’s death. Data were analyzed with conditional logistic regression. Results: There were 390 firearm suicides among the younger cohort and 512 firearm suicides among the older cohort. Across both cohorts, older age at first purchase and the purchase of a revolver were associated with a greater risk of firearm suicide. For example, among the younger cohort, those who purchased a revolver versus a semiautomatic pistol had 1.78 times the risk of firearm suicide (95% CI 1.32, 2.40) in multivariable models. Other associations varied across cohorts, suggesting cohort or age effects in purchasing patterns. Conclusions: Findings add to the evidence on firearm suicide risk and may help inform prevention strategies and future research.

Injury Epidemiology  2021. 8(68)

By Sonja A. Swanson,  Matthew Miller, Yifan Zhang, Lea Prince, Erin E. Holsinger, Zachary Templeton and David M. Studdert

Background: Little is known about the voluntary divestment of firearms among US firearm owners. Here, we aim to estimate the proportion of handgun owners who divest their handguns in the years following their initial acquisition; examine the timing, duration, and dynamics of those divestments; and describe the characteristics of those who divest. Methods: We use data from the Longitudinal Study of Handgun Ownership and Transfer, a cohort of registered voters in California with detailed information on 626,756 adults who became handgun owners during the 12-year study period, 2004–2016. For the current study, persons were followed from the time of their initial handgun acquisition until divestment, loss to follow-up, death, or the end of the study period. We describe the cumulative proportion who divest overall and by personal and area-level characteristics. We also estimate the proportion who reacquired handguns among persons who divested. Results: Overall, 4.5% (95% CI 4.5–4.6) of handgun owners divested within 5 years of their first acquisition, with divestment relatively more common among women and among younger adults. Among those who divested, 36.6% (95% CI 35.8–37.5) reacquired a handgun within 5 years. 

Injury Epidemiology 9(2)   2022.

By Suzanne G. McLone, John R. Pamplin II, Jaii D. Pappu, Jaimie L. Gradus1 and Jonathan S. Jay

Background Firearm homicide and opioid overdoses were already leading causes of death in the U.S. before both problems surged during the COVID-19 pandemic. Firearm violence, overdoses, and COVID-19 have all disproportionately harmed communities that are socially and economically marginalized, but the co-occurrence of these problems in the same communities has received little attention. To describe the co-occurrence of firearm homicides and opioid overdose deaths with COVID-19 mortality we used 2017–2021 medical examiner’s data from Chicago, IL. Deaths were assigned to zip codes based on descendants' residence. We stratified zip codes into quartiles by COVID-19 mortality rate, then compared firearm homicide and fatal opioid overdose rates by COVID-19 quartile. Findings Throughout the study period, firearm homicide and opioid overdose rates were highest in the highest COVID-19 mortality quartile and lowest in the lowest COVID-19 mortality quartile. Increases in firearm homicide and opioid overdose were observed across all COVID-19 mortality quartiles. Conclusions High co-occurrence of these deaths at the community level call for addressing the systemic forces that made them most vulnerable before the pandemic. Such strategies should consider the environments where people reside, not only where fatal injuries occur. 

Injury Epidemiology 11:34: 2024.

By Marian E Betz , Lauren A Rooney , Leslie M Barnard , Bonnie J Siry-Bove , Sara Brandspigel , Megan McCarthy , Kate Simeon , Lauren Meador , Frederick P Rivara , Ali Rowhani-Rahbar , Christopher E Knoepke

Background: Reducing firearm access during times of risk is a key component of suicide prevention, including the person at risk voluntarily, temporarily storing firearms outside the home. However, this approach relies on the participation of storage providers (ranges/retailers and law enforcement agencies (LEAs)). Our objective was to describe stakeholders' views and experiences surrounding voluntary, temporary out-of-home firearm storage for suicide prevention.

Method: We conducted individual interviews with (1) firearm ranges/retailers; (2) LEAs (in Colorado or Washington State); and (3) state/national organizations involved in policy development or enactment; public health; or firearm rights. Transcripts were analyzed using a team-based mixed inductive-deductive approach.

Results: Across 100 interviews (October-May 2021), potential storage providers were supportive of voluntary storage programs, often reporting a desire to help their customers and community. However, potential storage suppliers cited civil liability, regulatory, and legal concerns associated with storing and/or returning firearms (to people who had previously expressed suicide risk). Stakeholders offered suggested strategies meant to address liability and increase storage accessibility.

Conclusions: Understanding stakeholder views supports the development of acceptable, feasible programs for out-of-home firearm storage during times of suicide risk. Clarification of existing regulations or the creation of new policies is necessary to address potential providers' concerns.

Suicide and Life-Threatening BehaviorVolume 52, Issue 4Aug 2022Pages597-831

By David Hemenway, Chloe Shawah, Elizabeth Lites 

Background: In the past decade, most people who buy and own guns are doing so for self-defense. Yet little is known about actual defensive gun use in the USA.

Methods: To discover what information newspaper articles and local news reports might add, we read the news reports of defensive use incidents assembled by the Gun Violence Archive. We examined a sample of more than a quarter of the incidents from 2019, the last year before the pandemic. We examined all cases from four months-January, April, July, and October. We created a typology of defensive gun use incidents.

Results: Of 418 incidents, in about half, the perpetrator was armed with a firearm. In almost 90% of the cases, the victim fired their firearm-315 perpetrators were shot, and about half of them died. The average number of perpetrators shot per incident was 0.75; the average number of victims shot was 0.25. We estimate that in 2019 fewer than 600 potential perpetrators were killed in defensive gun use incidents that made the news. Among the thirteen categories of shooting were drug-related (4% of incidents), gang-like combat (6%), romantic partner disputes (11%), escalating arguments (13%), store robberies (9%), street robberies (5%), unoccupied vehicle theft (5%), unarmed burglaries (7%), home invasions (20%), and miscellaneous (6%).

Conclusion: We believe the Gun Violence Archive dataset includes the large majority of news reports of defensive gun use especially those in which the perpetrator is shot and dies. Some of the strengths of using news reports as a data source are that we can be certain that the incident occurred, and the reports provide us with a story behind the incident, one usually vetted in part by the police with occasional input from the victims, perpetrator, family, witnesses, or neighbors. Defensive gun use situations are quite diverse, and among the various categories of defensive gun use, a higher percentage of incidents in some of the categories seemed far less likely to be socially beneficial (e.g., drug-related, gang-like, escalating arguments) than in others (e.g., home invasions).

Injury Epidemiology  9:19, 2022.

By Jason Theis,  Katherine Hoops, Marisa Booty,  Paul Nestadt, Cassandra Crifasi

Introduction: In the United States, firearm suicide represents a major cause of preventable, premature death among veterans. The purpose of this systematic review was to characterize the body of literature on veteran firearm suicide and identify areas for future research, which may facilitate the development of firearm suicide interventions in Veterans Health Administration (VHA) and non–Veterans Health Administration clinical settings.

Materials and Methods: All randomized controlled trials, quasi-experimental, naturalistic, observational, and case study designs published between January 1, 1990, and February 21, 2019, were included in our review. Following title and abstract review, 65 papers were included in our full-text review and 37 studies were included in our analysis. We based our approach on a modification of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Studies were grouped into broad, non-mutually exclusive categories: (1) heterogeneity of datasets and veteran status determination for inclusion, (2) service histories, (3) firearm ownership, storage, behaviors, and risk perceptions, (4) patient and clinician attitudes toward firearm restriction interventions, (5) firearm suicide risk factors by study population, and (6) assessments of clinical firearm interventions.

Results: This body of literature consists predominately of cross-sectional studies with mixed definitions and validation of veteran status, which revealed a high concordance of increased risk of firearm suicide compared with nonveterans. Veterans have higher rates of firearm ownership than the general population, primarily citing personal protection as the reason for gun ownership. Veterans often exhibit risky firearm usage and storage behaviors but tend to favor measures that limit access to firearms by at-risk individuals. Despite this, there remains persistent hesitation among clinicians to screen and counsel veterans on firearm safety.

Conclusions: This systematic review highlights an urgent need to produce higher quality evidence and new data with standard definitions that are critical to inform clinical practice and enhance public health measures to reduce firearm suicide among veterans

Military Medicine, Volume 186, Issue 5-6, May-June 2021, Pages e525–e536,

By Everytown Research and Policy

Beginning in 2020, the destabilizing impact of the COVID-19 pandemic led to social isolation, economic struggles, and worsening mental health across the country. Though suicide rates across the nation had declined from 2019 to 2020,1 they began to increase in 2021, and veterans were not immune to this trend. More veterans died by suicide in 2021 than in 2020,3 studies show that veterans saw a higher incidence of mental health concerns than before the pandemic. By 2021, 72 percent of veteran suicides involved firearms—the highest proportion in over 20 years. With an average of 18 veterans dying by suicide in the United States each day, 13 of them by firearm, we cannot address veteran suicide without talking about guns. Veterans confront unique challenges during their service and face new ones when they return to civilian life. And these challenges are not always what might be expected. While many assume that suicide in veterans is associated with their time while deployed veterans who served during the wars in Iraq in Afghanistan who were not deployed6 had higher suicide rates than those who were deployed. But one thing is clear: addressing the unique role guns play is an integral part of efforts to end veteran suicide. It is crucial to pursue policies that can protect against veteran suicide, including disrupting a person’s access to a firearm when they are in crisis through secure gun storage, storing a gun outside the home, using Extreme Risk laws; raising awareness about the risks of firearm access; addressing upstream factors that can lead to veteran suicide; and ensuring that we have timely data about the basic aspects of this crisis.

New York: Everytown Research and Policy 2024.

By James H. Burch II,  Stacey Clouse , Annelise M. Pietenpol

The Joyce Foundation commissioned the National Policing Institute (NPI) to assess and produce a report on mandatory reporting laws for lost and stolen firearms and how law enforcement agencies are currently using, enforcing, and encouraging compliance with such laws. This report supports the Joyce Foundation’s efforts to identify barriers and inform policymakers and law enforcement leaders on best practices related to the enforcement of reporting lost and stolen firearms. Across the nation, policymakers and law enforcement agencies have turned to different legal and policy approaches to address gun violence and the movement or “diversion” of firearms from the legal to the illegal market, where criminals and those who are prohibited by law from having firearms may obtain them. State laws mandating reporting of lost and stolen firearms are intended to address the issue of criminal access to firearms, yet very little is known about implementation best practices and challenges. This study, likely the first to assess implementation and design questions across the states, finds that changes are needed to realize much of the benefit these laws were intended to provide. Specifically, the results of this study suggest that: • Mandatory reporting laws for lost and stolen firearms may be designed or applied in ways that dilute their potential impact. • Some penalties may have limited or no potential for deterrence, may undermine the importance or significance of reporting or the law itself, and contribute to concerns over criminal justice fines and fees. • The laws appear to lack the necessary support of clear implementation approaches and input and support of state and local law enforcement. However, the study does not find that the laws serve no purpose or that they should be abolished or abandoned. Instead, the study proposes alternative approaches emphasizing incentives and behavioral change over punitive measures. It advocates for enhanced civil liability provisions and educational initiatives to promote awareness and compliance with reporting laws among firearm owners and sellers. Additionally, it underscores the effectiveness of targeted awareness campaigns and problem-oriented policing strategies in deterring firearm-related offenses such as straw purchasing. Furthermore, the study provides more than 20 recommendations to be considered by government and policy leaders, law enforcement, and communities. These recommendations include: • Reconsidering small or low penalties, such as fines, and considering alternatives, such as enhanced liability provisions and restrictions on future registrations and licensing (where applicable) that may be more powerful than the threat of fines for violators. • Consider the issue of intent in failures to report or lack of knowledge of the reporting requirement and consider offering liability protections in future civil action associated with the firearm’s loss or theft when timely reporting has occurred. • Requiring firearm sellers to provide notice of the mandatory reporting law, stipulate the information required for reporting, and establish responsibilities of law enforcement receiving reports of lost or stolen firearms. • Ensuring that national systems for sharing information on stolen and recovered firearms are utilized consistently. • Considering innovative programs, including state-level, publicly accessible, and searchable stolen firearms databases to allow prospective purchasers to ensure that the firearm they may be purchasing from a private seller has not been reported stolen and providing federal funding to support innovative approaches. • Review firearm recovery protocols for law enforcement to ensure that all recovered firearms are checked against the National Crime Information Center (NCIC) as soon as possible after recovery. • Improving training and outreach to law enforcement, firearm sellers, and owners to promote compliance with the law and ways of reducing theft, including safe storage requirements and guidance. • Prioritizing further research into firearm theft and mandatory reporting laws through additional or set-aside research funding from federal grant-making organizations.    

Arlington VA: National Policing Institute, 2024.   44p.

By Nicole M. Smith, Kady Seguin, U. Mete Saka, Sebnem Duzgun, Ashley Smith-Roberts, David Soud, Jenna White

Illicit gold flows constitute a major development challenge for governments and a social responsibility challenge for many industries along gold supply chains, including gold refiners and jewelry retailers. This paper highlights aspects of gold supply chains that lack transparency and may indicate junctures where illicit activities are taking place, resulting in a loss of tax and customs revenues. Using Peru and Kenya as case study countries, we draw from United Nations Comtrade data and qualitative data from field research to examine the magnitude of the gold trade, the forms in which gold is traded, discrepancies in reported trade data, and key trade partners for each country. We suggest that certain portions of gold supply chains should be given more attention, some types of gold exports and imports present greater traceability challenges than others, and some countries play a much more significant role in the global gold trade. We propose areas where further investigations may be warranted to ensure more transparent and responsible gold supply chains.

Journal of Illicit Economies and Development, 6(1): pp. 42–59. 2024

By Roberto Uchôa de Oliveira Santos

In recent decades, the global debate on gun control has been prominent, with many countries adopting more restrictive policies. Brazil followed this trend by implementing stringent measures in 2003; however, the presidency of Jair Bolsonaro in 2019 introduced normative changes aimed at facilitating public access to firearms and ammunition. Throughout his term, the legal firearms market doubled, allowing access to weaponry previously restricted to the general public. The analyzed hypothesis suggests that these normative changes, especially those related to the quantity and authorization of acquisition of previously restricted firearms, altered the types of firearms in circulation, strengthening the interaction between legal and illegal markets. Using data from the mandatory firearms re-registration, a total of 962,782 firearms were analyzed. The assessment of the increase in circulation of these firearms in the illegal market was conducted through the analysis of seizures in the states of Rio de Janeiro and São Paulo, revealing a significant growth in seizures of these types of firearms, possibly correlated with the increase in their circulation. Three police investigations were selected to exemplify how the connection between markets intensified, allowing criminals to obtain firearms in the legal market that were previously only accessible through international trafficking or diversion from state agencies.

Journal of Illicit Economies and Development, 6(1): pp. 16–29. 2024

By Eva Veldhuizen Ochodničanová, Alicia Heys

Despite the link between conflict and human trafficking having been globally recognized, academic inquiry investigating how the two interact continues to be limited. Given the recency of the full-scale invasion of Ukraine by the Russian Federation in February 2022, this lack of literature is even more pronounced in understanding how the risks of trafficking are developing in the current context. This paper examines extant academic literature to explore what is already known about the relationship between conflict and human trafficking, situating this within the theoretical framework of routine activity theory (RAT). It analyses governmental and non-governmental organization reports emerging from Ukraine to contextualize the risk that is specific to those affected by the war. The paper identifies four key drivers of risk facing those in, or fleeing, Ukraine, which can heighten their vulnerability to human trafficking, before offering a novel and innovative typology of the ways that human trafficking can manifest as a result of conflict. The typology gives consideration to the direct and indirect links between conflict and trafficking, the geographical spaces in which trafficking can occur, and the specific forms that exploitation can take. By situating the paper within RAT and contextualizing it with evidence from the war in Ukraine, the findings of this paper provide both theoretical and empirical insights that help to expand existing knowledge on how conflict situations can increase the risk of THB.

  Journal of Illicit Economies and Development, 6(2): pp. 26–41.2024   

By Jessica H. Beard, Jennifer Midberry, Iman N. Afifa, Elizabeth Dauera, Jim MacMillanc, Sara F. Jacoby 

Media reports on interpersonal firearm violence largely present it as a crime issue focused on individual shooting events. This episodic framing can undermine support for public health solutions to firearm violence. The potential harms of this narrative on firearm-injured people are unknown. We aimed to understand how recently firearm-injured people perceive the meaning and impact of news media reporting on their own injuries and firearm violence in their communities. This study was conducted in the trauma clinic of the busiest trauma center for firearm injuries in Philadelphia, PA, USA. We consecutively recruited adult firearm-injured patients for semi-structured qualitative interviews within two months of their injury. Interview content was thematically analyzed. Twenty-six patients consented and participated. Results indicate that participants largely felt negative or conflicted about “making the news” and perceived several harms associated with media reports on their injuries, including dehumanization they connected with episodic-style reports, reliving trauma when viewing news, distress related to inaccuracies, threats to personal safety when specific details were included harm to reputation, and negative impacts on public perceptions of safety and community. Participants who did not make the news often reported relief and generally did not expect their stories to be reported. These findings suggest that firearm-injured people perceive multiple harms associated with episodic narratives that neglect their viewpoints. Journalists and public health practitioners should work together with communities to identify strategies to reframe firearm violence as a public health problem through reporting that is trauma-informed and incorporates the perspectives of firearm-injured people.

SSM - Qualitative Research in HealthVolume 3, June 2023, 

By The United Nations Office on Drugs and Crime (UNODC)

Countries across the Near and Middle East have registered an escalation in both the scale and sophistication of drug trafficking operations over the past decade. The destabilizing risks posed by illicit drugs have become increasingly prominent on the regional agenda. Of particular concern for governments and societies across the region is the rising production, trafficking and consumption of amphetamine-type stimulants (ATS), in particular, tablets containing amphetamine sold under the name “captagon”, and methamphetamine. Iraq and neighbouring countries have documented a sharp increase in the trafficking and use of “captagon” over the past five years. “Captagon” seizures in Iraq increased by almost 3,380 per cent in Iraq from 2019 to 2023. Iraq reported the seizure of over 4.1 tons of “captagon” tablets between January and December 2023 alone. Seizures of amphetamine (mainly in the form of “cap tagon”) in the Near and Middle East doubled from 2020, reaching a record high of 86 tons in 2021. In parallel to “captagon” trafficking, a methamphetamine market is quickly developing in the Near and Middle East, as shown by a rise in seizures.3 UNODC research has found that Iraq is at risk of becoming an increasingly important node in the drug trafficking ecosystem spanning the Near and Middle East. Iraq lies near the intersection of a complex global drug trafficking ecosystem spanning Southwest Asia, Africa, and Europe, notably the Balkan and Southern routes associated with opiate smuggling from Afghanistan to Europe, through Southeastern Europe, and towards the Indian Ocean and Eastern Africa, including through the Arabian Peninsula. Within Iraq, drugs are trafficked along three key internal corridors, in the north, central and southern regions of the country. There are distinct territorial, ethnic, economic, and political factors and differentiated drug market dynamics connected to each route. The main categories of drugs traf f icked through Iraq include opium, heroin, hashish and especially, methamphetamine and “captagon”. While Iraq is not necessarily the most affected country in the region in terms of volumes of drugs seized, there are risks that the situation could deteriorate if drug trafficking, in particular of methamphetamine and “captagon”, keeps intensifying. A particular challenge facing countries across the Near and Middle East are armed groups with cross-border affiliations and transborder economic interests. Alongside a recent history marked by armed conflict and corruption, this situation has contributed to cross-border trafficking. The Government of Iraq and its partners have stressed the need for collective responses to tackle the security, social and economic ramifications of drug trafficking across the Near and Middle East. As seen in different regional contexts, the persistence – and potential reactivation – of armed groups poses a significant threat, not least given their potential involvement in illicit drug production and trafficking. There is growing awareness among governments of how drug trafficking intensifies corruption, undermines governance and legitimate business, degrades services and contributes to violent competition between armed groups. There is also growing concern over evidence of increasing drug use and related social harms, requiring sustained treatment and rehabilitation efforts.6 Practical responses are being implemented but are still at an early stage. Iraq established its first drug law and commission in 2017 and in 2023 launched a National Strategy on Narcotics and Psychotropic Substances (2023–2025) in 2023. Moreover, Iraq organized the first regional event on the issue in 2023 to accelerate collaboration and coordinate efforts in drug detection and disruption..

Vienna: UNODC, 2024. 46p.