By Chelsa Kenney

Why GAO Did This Study The U.S. Southwest Border Counternarcotics Strategy: 2020 identified the trafficking of firearms from the U.S. into Mexico as a threat to the safety and security of both countries. The Mexican government has estimated that 200,000 firearms are smuggled from the United States each year. GAO was asked to report on U.S. efforts to counter firearms trafficking to Mexico. This report examines (1) the extent of U.S. agencies’ knowledge about firearms trafficking to Mexico and (2) U.S. agencies’ efforts to disrupt this trafficking and the extent to which they have assessed those efforts. GAO reviewed firearms tracing data, related analysis, and program information for fiscal years 2014 through 2020. GAO also interviewed U.S. and Mexican officials. This is a public version of a sensitive report that GAO issued in December 2020. What GAO Recommends GAO is making eight recommendations, including recommending that ATF and ICE analyze additional information about the trafficking of U.S.-sourced firearms to Mexico and that ATF, ICE, CBP, and State develop performance measures to assess the results of their efforts to disrupt this trafficking. The agencies concurred with GAO’s recommendations.   

Washington, DC: United States Government Accountability Office , 2021. 56p.

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 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 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 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 , Shannon Trombley, Tia Walker, Leah Roberts3, Laura Partain4, Jim MacMillan5 and Jennifer Midberry

Background: Firearm violence is an intensifying public health problem in the United States. News reports shape the way the public and policymakers understand and respond to health threats, including firearm violence. To better understand how firearm violence is communicated to the public, we aimed to determine the extent to which firearm violence is framed as a public health problem on television news and to measure harmful news content as identified by firearm-injured people.

Methods: This is a quantitative content analysis of Philadelphia local television news stories about firearm violence using a database of 7,497 clips. We compiled a stratified sample of clips aired on two randomly selected days/months from January to June 2021 from the database (n = 192 clips). We created a codebook to measure public health frame elements and to assign a harmful content score for each story and then coded the clips. Characteristics of stories containing episodic frames that focus on single shooting events were compared to clips with thematic frames that include a broader social context for violence.

Results: Most clips employed episodic frames (79.2%), presented law enforcement officials as primary narrators (50.5%), and included police imagery (79.2%). A total of 433 firearm-injured people were mentioned, with a mean of 2.8 individuals shot included in each story. Most of the firearm-injured people featured in the clips (67.4%) had no personal information presented apart from age and/or gender. The majority of clips (84.4%) contained at least one harmful content element. The mean harmful content score/clip was 2.6. Public health frame elements, including epidemiologic context, root causes, public health narrators and visuals, and solutions were missing from most clips. Thematic stories contained significantly more public health frame elements and less harmful content compared to episodic stories.

Conclusions: Local television news produces limited public health coverage of firearm violence, and harmful content is common. This reporting likely compounds trauma experienced by firearm-injured people and could impede support for effective public health responses to firearm violence. Journalists should work to minimize harmful news content and adopt a public health approach to reporting on firearm violence.

Beard et al. BMC Public Health, 2024.