Keeping a Finger on the Pulse of America's Dangerous Epidemics

Advocates for sensible gun legislation had it right when they framed the epic number of individual and mass shootings in this country as public health issue. Public health professionals and organizations like the American Public Health Association and the American Medical Association have continued to push for addressing gun violence as a growing epidemic, and so they should.

According to the Brady Campaign, 318 people in America are shot daily in murders, assaults, suicides, suicide attempts, unintentional shootings, and police intervention. Every day 96 of them die from guns. No wonder. In this country, 1.7 million children live in a home with an unlocked, loaded gun and millions of guns are sold every year in “no questions asked” transactions.

Part of the gun violence epidemic we face resides in the growing, almost contagious episodes of police brutality and unnecessary use of weapons, primarily against people of color.  This year over 430 people have been shot and killed by police and the year is barely half over. Last year’s total number was 987. Some of the names we remember are Michael Brown, Trayvon Martin, Eric Garner and Tamir Rice. Among those whose names we may not recall are Danny Ray Thomas, an unarmed black man clearly suffering from a mental health crisis, who was killed by a Texas police officer, and more recently, Stephon Clark, another unarmed black man who was shot eight times, six of them in the back, by Sacramento police while simply holding a cellphone in his grandparents’ backyard.

We are clearly facing a growing number of public health crises involving guns, but gun violence, no matter who commits it, isn’t only contributing to a crisis that involves instant death or disability.  It is also leading to an epidemic of crises in mental health among survivors and victims’ families. Where is the discussion of that issue?  It’s telling that a search for information on this invisible crisis led me to myriad articles ruminating on the idea that gun violence is perpetrated by people with mental health problems, but not one link deliberating on the mental health toll gun violence takes on survivors or family members appeared.

Yet, just think what it must have done to Tamir Rice’s mother to learn that her child, simply playing with a toy, had been shot to death by police.  Or to Stephon Clark’s grandparents as they saw their grandchild gunned down in their backyard. Or to Eric Garner’s family, not only left to deal with economic worries, but with the lifelong sorrow of a husband and father being choked to death by police. Think about what Michael Brown’s family, Trayvon Martin’s family, Sandra Bland’s family and the multitudes of other family members of the unknown victims of violence– spouses, children, siblings – will have to live with for the rest of their lives. It is possible that there are worse things than death, like living with despair, and dread.

There is another epidemic of violence that needs attention as we appear to descend into a dark place while struggling with a new, unfamiliar reality grounded in our current political environment. America has always had an incipient underbelly, but unlike those who survived the fascism of Europe preceding and during WWII, Americans have been fortunate (until now) to avoid the punishing life of autocracy and dictatorship.

Now come Donald Trump et.al., and along with his followers, a dramatic increase in hate crimes not unlike the ones seen in many countries during the 1930s and 1940s and emerging once more. America has seen a growing number of hate crimes in recent years but they are proliferating even more as racists and white supremacy groups feel emboldened to openly spew their contempt for others. That contempt is aimed first at Jews, and then at Muslims, according to the FBI. Hate crimes are also on the rise as perpetrators target the LGBTQ community.

According to the Southern Poverty Law Center, the number of hate groups has increased along with the growing number of hate-filled violent acts.  These crimes range from vandalism in synagogues and cemeteries to graffiti messages and Swastikas on buildings, to threats to religiously affiliated schools. Many hate crimes are perpetrated against individuals. In 2014 a man killed three people at two Jewish centers near Kansas City, and recently a Muslim man was beaten in the Bronx by attackers calling him a terrorist. In another incident in New York, a man shoved a Mexican immigrant onto the subway tracks after dragging him off a train. He narrowly escaped death.

All the growing violence we’re witnessing, whether manifesting as verbal abuse or escalating to hate crimes and murder, even at the hands of police, can appropriately be seen as epidemic. And epidemics, seen through the public health lens, call for controls and eradication. None of us can be inoculated against the diseases of hatred in our zones of relative comfort and safety, because “no man [sic] is an island.”  As another famous quote reminds us, “Together we stand. Divided we fall.” 

The pain of a potential fall looms large, and it is likely to be more than any of us could bear.

 

           

Getting Real About Guns

Post Orlando, let’s get real. The latest massacre in America, and its worst to date, was not about ISIS. It was not about Muslims or Islam. It was not about mental illness.

It was about guns and how easy they are to obtain in this country. It was about our incredible inability to effect legislation that would do something about what is now recognized as a national embarrassment as well as a continuing national tragedy, one that is finally acknowledged to be a major public health issue.

The shocking numbers support that claim. Last year 469 people died as a result of 371 mass shootings. So far this year at least 288 people have died in 182 mass shootings. Since Orlando, more than 125 people have been killed by guns, 269 were injured, and five mass shootings have occurred. We don’t even hear about most of these events, or the fact that nearly 10,000 American children are killed or hurt by guns every year.  Nationally, guns kill twice as many children and young people as cancer and 15 times more than infection according to the New England Journal of Medicine. Let that sink in.

Here’s another startling statistic. In 2010 there were 3.6 gun murders per 100,000 Americans.  In Canada and Portugal there were 0.5. Many other countries ranked even lower than that, including Australia at 0.2.  (Does anyone seriously think they have fewer mentally ill people per capita than we do?)

Lat month a story in Seven Days revealed that a reporter bought an AR-15 semiautomatic rifle in South Burlington, Vt. for $500 cash with “no paperwork and no background check. [The seller] had no idea who I was or what my intentions were,” Paul Heintz wrote. “Nine minutes after I met the man, I drove away with the sort of weapon used 39 hours earlier to slaughter 49 people in Orlando.” A woman in Philadelphia reported a similar experience, beating Heintz’s time by two minutes.

Sadly, my home state of Vermont has the nation’s most permissive gun laws, so what took place when Heintz bought his gun, the same kind that killed all those children and their teachers in Newtown, Ct., was legal. The same kind of gun, by the way, also killed the people in Aurora and the people in San Bernardino.

What will it take to end the madness? One answer comes from a grassroots movement in Vermont, where gun laws have been nearly nonexistent and its politicians have waffled over the issue for years.

Gun Sense Vermont (GSV), an example for others, has been effectively moving reluctant politicians and prospective candidates toward action. Since startup three years ago, GSV’s track record is impressive. It first began a conversation about guns in the Statehouse. Then last year state senators received 1400 letters from constituents along with 12,000 petition signatures calling for action, all from Vermonters. Two Senate committees seriously considered gun-related issues and gun-owning groups announced a plan to lead a Vermont version of the suicide-prevention New Hampshire Gun Shop Project. The Vermont Senate Judiciary Committee voted unanimously to send a bill to the full Senate making it a state-level violation for felons to have guns, and to require court records of dangerous individuals be submitted to the National Instant Background Check System. And the governor signed into law a bill to prevent gun violence.

“Gun Sense Vermont is a growing, bipartisan, grassroots organization that focuses on closing gaps in Vermont’s gun laws that make it too easy for guns to fall into the wrong hands,” says Ann Braden, founder of GSV. “We come from all walks of life and 160 Vermont towns and every voting district. We are united in our call for common sense action that protects the rights of individuals as well as those of our communities.”

After Orlando, Vice President Joe Biden sent a letter to people who signed a petition calling on the government to ban AR-15-type assault weapons from civilian ownership. In it he addressed the thriving gun culture in this country that allows gun violence to continue.  “The President and I agree with you,” he wrote. “Assault weapons and high-capacity magazines should be banned from civilian ownership. … These weapons have been used to commit horrific acts. They’ve been called ‘the perfect killing machines.’”

Then he explained that the 1994 bill that banned assault weapons expired two years ago and was never renewed. How can that be, we might ask. The answer, in two words, is Republican Congress.

The vice president discussed other legal measures that could be taken which were debated and defeated in the Senate last month, a shameful event that resulted in a sit-in by House Democrats demanding action.

Faith leaders, law enforcement officials, businesses, public health experts, the majority of gun owners, and some legislators are calling for legislation that will help put an end to death by gun violence in this country. All over America millions of people are marching, pleading, praying, weeping for gun control. But pleading and prayers won’t do it. Neither will stigmatizing the mentally ill or spewing rampant Islamophobia or fear-mongering about ISIS.

Voting will help do it. That’s why this year is so important.  If we want to confront the gun culture that is ripping our nation apart, now is the time, once and for all, to get real about guns.