Gun Violence is a Public Health Crisis: Week of December 2, 2022

 

Dear Students, Faculty, Residents, Staff, Alumni, Board Members and Friends,

Good morning from our Elkins Park campus. It’s a nice crisp December morning here, reminding us that winter is nipping at our heals! Even with the colder weather outside, things are heating up inside as our students and faculty prepare for final exams and new and exciting clinical rotations. In addition to all that’s happening on campus, here are some other areas of interest I hope you will read about:

NEW NSSLHA BOARD: The National Student Speech Language Hearing Association (NSSLHA)’s chapter at Salus University welcomes a new executive board; Stevie Goldman ‘23SLP, as president, Alyssa Dallmer ‘23SLP, as vice president, Jess Kusters ‘23SLP, as treasurer and Emily Steinslofer ‘23SLP as secretary. The purpose of NSSLHA is to support students within the communication sciences and disorders professions as they prepare for their future careers. Read more here.

WHERE ARE THEY NOW: Healey Miller, MSOT ‘21, ‘23OTD, focuses on people. But after coming out of Lindenwood University in St. Charles, Missouri, in 2018 with a bachelor’s degree in psychology, she was wondering what career path she was going to take. She then decided to attend Salus University to pursue OT as her career. Read more here about what Healey’s doing now.

FACULTY FOCUS: The path to Salus University has taken Maria Boka, MSPAS, PA-C, to quite a few different places. Click here to find out what route she took to become one of the newest members of the faculty in the University’s Physician Assistant Studies program.

SWANKY SOIREE: The annual Salus Soiree, held Nov. 18, attracted approximately 225 students — all transported to the museum from the University’s Elkins Park campus in four school buses — all dressed to the nines and ready to party. Read more about the evening here.

VACCINATION EVENT: We will host a vaccination event Wednesday, Dec. 7, from 10:30 a.m. until 2:30 p.m. in the Hafter Center gym. In collaboration with Walmart Pharmacy, the event will provide the new bivalent COVID booster as well as the flu vaccination. Registration is required. Attached is an information sheet with registration information and a list of documents that you will need to bring with you.

FINAL THOUGHTS: Today I wanted to highlight recent research on gun violence, the connection between social determinants of health and this growing epidemic, and local and federal efforts to address it. As I have before, I want to be sure this public health emergency remains on our radar. The more we can learn about this epidemic, the more prepared we will be to curtail its impact on the patients we serve and the broader society.

New data released on Tuesday from the Journal of the American Medical Association (JAMA) looks across 32 years of national data and is the first of its kind to track firearm fatality trends over time by intent, demographics and geographics. The findings are striking: 

• Men account for the overwhelming percentage of fatalities over time (86% male vs 14% female);
• White, non-Hispanic individuals (61%) comprise the largest share, followed by Black, non-Hispanic (26%), and Hispanic (10%) individuals;
• Males had higher rates of suicide and homicide compared to females, with the highest rates of firearm suicides among White men aged 80-84;
• The sharpest rise in maximum rates of firearm homicides over time has occurred among men aged 20-24 with Black fatality rates rising 22 times higher (up to 142 per 100,000) and Hispanic fatality rates rising 3.6 times higher (up to 23 per 100,000) compared to White men (up to 6 fatalities per 100,000 persons aged 30-34 years).

Importantly, the data shows over time the increase in gun fatalities from west to southeast over the past three decades:

Figure 1: Trends and Disparities in Firearm Fatalities in the United States, 1990-202

JAMA Netw Open. 2022;5(11):e2244221. doi:10.1001/jamanetworkopen.2022.44221

I draw your attention to this, as just yesterday, I gave a lecture to students on the effects of social vulnerability on diabetes. Check out the slide below:

Figure 2: Effects of Social Vulnerability on Diabetes. Lecture, 1 December 2022. 

What we see when we compare the maps is this: Socioeconomic status, lowered health outcomes and homicides follow the same geographic patterns. Disparities in health outcomes follow disparities in economic income, access, and stability.

Mounting evidence shows the array of promising responses that make a difference in addressing this complex public health issue:

• Firstly, stronger state policies designed to reduce firearm violence are effective in reducing firearm fatalities (JAMA, Firearm Laws and Firearm Homicides: A Systematic Review, 2017).
• This week I attended a Leadership Breakfast hosted by State Senator Art Haywood in which gun violence was discussed by several experts. They included the establishment of Nightly Street Teams to build relationships with shooters and victims; deploying mental health and social service providers to deliver services to shooters, victims, and their family members; sponsoring frequent job fairs for neighbors in high crime areas; increased police presence and weekly block cleanups. Systemic approaches that strengthen community support while attending to the root causes of gun violence are effective.
• A growing number of resources also address gun violence prevention and related supports. Check out the following:
• CDC’s Gun Violence Prevention website
• Montgomery County Gun Violence Prevention Page
• National Institute for Criminal Justice Reform

As current and future health care providers, we have a responsibility to continue to call attention to this epidemic with our local and federal representatives and to advocate for our patients’ increased resources that improve access and equity in health outcomes.

As you prepare for the weekend, please take some time to think about how you can have an impact on the gun violence epidemic in our region. Change will take time but unless we make the efforts now, nothing will improve.

Please be safe, look out for one another and remain SALUS STRONG!

-Mike