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Root Causes

artlam artlam at u.washington.edu
Wed Apr 18 16:28:13 BST 2007


Why not try something we can control and see if the "culture" would follow? 
Canadians watch American TV, American Sports, share a common language, 
vacation in United States.  I hate to ask, but what do you think their 
culture most closely resembles?

After all, where is the evidence to support your statement?   Here is mine.

1: N Engl J Med. 1988 Nov 10;319(19):1256-62. Links
Handgun regulations, crime, assaults, and homicide. A tale of two cities.
  a.. Sloan JH,
  b.. Kellermann AL,
  c.. Reay DT,
  d.. Ferris JA,
  e.. Koepsell T,
  f.. Rivara FP,
  g.. Rice C,
  h.. Gray L,
  i.. LoGerfo J.
Department of Surgery, University of Washington, Seattle.

To investigate the associations among handgun regulations, assault and other 
crimes, and homicide, we studied robberies, burglaries, assaults, and 
homicides in Seattle, Washington, and Vancouver, British Columbia, from 1980 
through 1986. Although similar to Seattle in many ways, Vancouver has 
adopted a more restrictive approach to the regulation of handguns. During 
the study period, both cities had similar rates of burglary and robbery. In 
Seattle, the annual rate of assault was modestly higher than that in 
Vancouver (simple assault: relative risk, 1.18; 95 percent confidence 
interval, 1.15 to 1.20; aggravated assault: relative risk, 1.16; 95 percent 
confidence interval, 1.12 to 1.19). However, the rate of assaults involving 
firearms was seven times higher in Seattle than in Vancouver. Despite 
similar overall rates of criminal activity and assault, the relative risk of 
death from homicide, adjusted for age and sex, was significantly higher in 
Seattle than in Vancouver (relative risk, 1.63; 95 percent confidence 
interval, 1.28 to 2.08). Virtually all of this excess risk was explained by 
a 4.8-fold higher risk of being murdered with a handgun in Seattle as 
compared with Vancouver. Rates of homicide by means other than guns were not 
substantially different in the two study communities. We conclude that 
restricting access to handguns may reduce the rate of homicide in a 
community.with a handgun in Seattle as compared with Vancouver. Rates of 
homicide by means other than guns were not substantially different in the 
two study communities. We conclude that restricting access to handguns may 
reduce the rate of homicide in a community.



Arthur M. Lam M.D., F.R.C.P.C.
Anesthesiologist-in-Chief
Director of Cerebrovascular Laboratory
Professor of Anesthesiology and Neurological Surgery
University of Washington
----- Original Message ----- 
From: "Charles Brault" <c_brault at yahoo.com>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: Wednesday, April 18, 2007 8:16 AM
Subject: Re: Root Causes


> Again
>
> It's not the gun laws
>
> It's the culture
> The sense of belonging
>
> Charles
>
> ----- Original Message ----
> From: artlam <artlam at u.washington.edu>
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Wednesday, April 18, 2007 6:10:13 PM
> Subject: Re: Root Causes
>
>
> Canada is indeed a good example, they have strict gun control laws.  You
> cannot walk into a store and buy a 9 mm Glock.
>
>
> Arthur M. Lam M.D., F.R.C.P.C.
> Anesthesiologist-in-Chief
> Director of Cerebrovascular Laboratory
> Professor of Anesthesiology and Neurological Surgery
> University of Washington
> ----- Original Message ----- 
>
> From: "Charles Brault" <c_brault at yahoo.com>
> To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Wednesday, April 18, 2007 7:24 AM
> Subject: Re: Root Causes
>
>
>> It's not the Gun
>> Lot's of guns in Canada
>> And no problem getting illegal ones either or crossing the border
>> Longest undefended border in the world
>> Next to the largest gun market in the world
>>
>> We consistantly have less murders and gun injuries
>> And even a few crased killer
>>
>> It's not the gun
>> It's the way you treat most people most of the time
>>
>> A certain amount of caring woven in a real social fabric
>> A valorisation of public institution and respect of authority ( not just
>> force - Police)
>>
>> Charles
>>
>> ----- Original Message ----
>> From: "KMATTOX at aol.com" <KMATTOX at aol.com>
>> To: trauma-list at trauma.org
>> Sent: Wednesday, April 18, 2007 5:10:41 PM
>> Subject: Re: Root Causes
>>
>>
>> In a message dated 4/18/2007 7:03:02 A.M. Pacific Daylight Time,
>> hammond at umdnj.edu writes:
>>
>> 1) I  don't think a Glock 9mm handgun is used for sport shooting.
>> 2) There are  indeed alternatives to banning handguns. Strategies such as
>> extended  waiting periods, elimiantion of strawman purchases and
>> elimination
>> of  multiple gun purchases within a finite time period are examples.
>>
>> The  key is that these strategies need to be coordinated. Currently, gun
>> laws
>> are a hodge-podge of local and state ordinances, rendering them
>> ineffective.
>> We have some tough gun laws in NJ for example, but as long as  PA does
>> not,
>> there will be continued importation of illegal guns in NJ from  PA.
>>
>> Jeffrey Hammond MD, MPH
>> Chief, Trauma/Surgical Critical  Care
>> Robert Wood Johnson Medical School
>> New Brunswick, NJ
>> ph:  732-235-7920
>> e-mail: hammond at umdnj.edu
>>
>>
>>
>> Everyone on this list should know the tremendous job Dr. Hammond is doing
>> as
>> Chair of the (newly reformed) Disaster SubCommittee of the ACS COT. 
>> This
>> leadership position is important at this point in time and he has been
>> part  of
>> the Atlantic Gulf States Trauma Disaster Coalition.   It was this
>> coalition
>> that contacted 5-6 regional trauma centers around Roanoke during 
>> Monday's
>> disaster at V. Tech.
>>
>> As you each have recommendations regarding Disaster standards, please
>> communicate them to Jeff.
>>
>> k
>>
>>
>>
>> ************************************** See what's free at
>> http://www.aol.com.
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