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CAEP Position Statement on Gun Control

Published online by Cambridge University Press:  21 May 2015

Carolyn E. Snider ,
Howard Ovens ,
Alan Drummond  and
Atul K. Kapur
Carolyn E. Snider*
Affiliation:
Department of Emergency Medicine, St. Michael's Hospital, Toronto, Ont., Department of Medicine, University of Toronto, Toronto, Ont.
Howard Ovens
Affiliation:
Schwartz/Reisman Emergency Centre, Mount Sinai Hospital, Toronto, Ont., University of Toronto, Toronto, Ont.
Alan Drummond
Affiliation:
Department of Family Medicine and Emergency Medicine, University of Ottawa; Ottawa Ont., Department of Family Medicine, Queen's University, Toronto, Ont.
Atul K. Kapur
Affiliation:
Department of Emergency Medicine, University of Ottawa, Ottawa; Ont., Physicians for a Smoke-Free Canada, Ottawa, Ont., Ontario Medical Association, Toronto, Ont., Ottawa Health Research Institute, Ottawa, Ont., Ontario Tobacco Research Unit, Toronto, Ont.
*
Emergency Department, St. Michael's Hospital, 30 Bond St., Toronto ON M5B 1W8; [email protected]

Executive summary

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Firearm-related injury and death continue to be a significant problem in Canada. Since the 1990s Canadian emergency physicians (EPs) have played an active role in advocating for gun control. This paper updates the Canadian Association of Emergency Physician's (CAEP's) position on gun control. Despite a media focus on homicide, the majority of firearm-related deaths are a result of suicide. Less than 40% of firearm-related injuries are intentionally inflicted by another person. Since the implementation of Canada's gun registry in 1995, there has been a significant reduction in firearm-related suicides and intimate partner homicides. Proposed weakening of gun laws in Canada will have a significant impact on firearm-related mortality and injury. There must be instead an expansion of programs focused on prevention of suicide, intimate partner violence and gang-related violence.

The majority of intentional or unintentional firearm-related injuries involve a violation of safe storage or handling practice. The potential for future harm because of unsafe storage or handling or through gang conflict retribution supports our position that health care facilities report gunshot wounds (GSWs). Moreover, a nationwide surveillance system is necessary to support research and to guide future public policy development and legislation.

As EPs we must advocate for injury control. All firearm injuries and deaths are preventable, and we must advocate for a multifaceted approach in order to minimize this risk to our patients.

Type
CAEP Update
Information
Canadian Journal of Emergency Medicine , Volume 11 , Issue 1 , January 2009 , pp. 64 - 72
Copyright
Copyright © Canadian Association of Emergency Physicians 2009

References

1.Mortality, summary list of causes — 2004. Ottawa (ON): Statistics Canada; 2007. Cat no 84F0209XIE. Available: www.statcan.ca/english/freepub/84F0209XIE/84F0209XIE2004000 .htm. (accessed 2008 Nov 27).Google Scholar
2.Canadian Institute for Health Information. National Trauma Registry Report: injury hospitalizations (includes 2001–2002 data). 2004. Ottawa (ON): The Registry; 2007. Available: secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=AR_8_E (accessed 2008 Nov 27).Google Scholar
3.Smartrisk, . Firearm injuries. Toronto (ON): Compass. 2006;3. Available: www.oninjuryresources.ca/downloads/Compass/2006/2006-11-OICompass-firearm.pdf (accessed 2008 Nov 27).Google Scholar
4.Miller, TR.Costs associated with gunshot wounds in Canada in 1991. CMAJ 1995;153:1261–8.Google Scholar
5.Fisher, H, Drummond, A.A call toarms: the emergency physician, international perspectives on firearm injury prevention and the Canadian gun control debate. J Emerg Med 1999;17:529–37.Google Scholar
6.Quick facts about the Canadian Firearms Program as of March 2007. Ottawa (ON): Royal Canadian MountedPolice; 2007. Available: www.cfc-cafc.gc.ca/media/program_statistics/default_e.asp (accessed 2008 Nov 27).Google Scholar
7.Focus on firearms. Ottawa (ON): Canadian Firearms Centre; 1998. Available: www.cfc-cafc.gc.ca/pol-leg/res-eval/pamplets/pdfs/focus-en.pdf (accessed 2008 Nov 27).Google Scholar
8. Canada. Feature Focus: The illegal firearms market in Canada 2007. Ottawa (ON): Criminal IntelligenceService Canada; 2008. Available: www.cisc.gc.ca/annual_reports/annual_report_2007/feature_focus_2007_e.html (accessed 2008 Nov 27).Google Scholar
9. Ontario. Backgrounder: McGuinty government’s four-point plan to protect Ontario communities from gun violence. Toronto (ON): Ministry of the Attorney General; 2008. Available: www.attorneygeneral.jus.gov.on.ca/english/news/2008/2008052 7-gun-bg-en.pdf (accessed 2008 Nov 27).Google Scholar
10. Canada. Leading causes of death and hospitalization in Canada. Ottawa (ON): Public Health Agency; 2004. Available: www.phac-aspc.gc.ca/publicat/lcd-pcd97/table1-eng.php (accessed 2008 Nov 27).Google Scholar
11.Langlois, S, Morrison, P.Suicide death and attempts. Health Rep 2002;13:9–23.Google Scholar
12.Shenassa, ED, Catlin, SN, Buka, SL.Lethality of firearms relative to other suicide methods: a population based study. J Epidemiol Community Health 2003;57:120–4.CrossRefGoogle ScholarPubMed
13.Kellermann, AL, Rivara, FP, Somes, G, et al.Suicide in the home in relation to gun ownership. N Engl J Med 1992;327:467–72.CrossRefGoogle ScholarPubMed
14.Miller, M, Azrael, D, Hepburn, L, et al.The association between changes in household firearm ownership and rates of suicide in the United States, 1981–2002. Inj Prev 2006;12:178–82.Google Scholar
15.Grossman, DC, Reay, DT, Baker, SA.Self-inflicted and unintentional firearm injuries among children and adolescents: the source of the firearm. Arch Pediatr Adolesc Med 1999;153:875–8.Google Scholar
16. Canada. Trends in First Nations mortality. Ottawa (ON): Health Canada; 1996.Google Scholar
17.Firearms Act. 1995, c. 39. F–11.6. Available: laws.justice .gc.ca/en/ShowFullDoc/cs/F-11.6///en (accessed 2008 Nov 28).Google Scholar
18.Causes of death. Ottawa (ON): Statistics Canada. Cat no 84–208.Google Scholar
19.Leenaars, AA, Moksony, F, Lester , D, et al.The impact of gun control (Bill C–51) on suicide in Canada. Death Stud 2003;27:103–24.CrossRefGoogle ScholarPubMed
20.Canadian Centre for Justice Statistics. Homicide survey, primary method used to commit homicide Canada. Table 253–0002. Ottawa (ON): Statistics Canada; 2008. Cat no 85F0033MWE.Google Scholar
21.Law-abiding Unregistered Firearms Association. Random firearms registry quick facts. Edmonton (AB): The Association; 2008. Available: www.lufa.ca/quickfacts.asp (accessed 2008 Nov 27).Google Scholar
22.Canadian Centre for Justice Statistics. Homicide survey, homicides involving firearms, by type of firearm, Canada. Table 253–0005. Ottawa (ON): Statistics Canada; 2008.Google Scholar
23.Canadian Centre for Justice Statistics. Family violence in Canada: a statistical profile 2006. Ottawa (ON): Statistics Canada; 2006. Cat no 85–224-XIE. Available: www.phac-aspc.gc.ca/ncfv-cnivf/familyviolence/pdfs/fv-85-224-XIE2006000_e.pdf (accessed 2008 Nov 27).Google Scholar
24.Canadian Association of Chiefs of Polices. Canadian police and peace officer’s memorial. Ottawa (ON): The Association; 2007. Available: www.cacp.ca/english/memoriam/english/default.htm(accessed 2008 Nov 27).Google Scholar
25.Minutes of the Toronto Police Services Board Meeting. Toronto(ON): The Board. 2007 Jan 22.Google Scholar
26.Homicides 2006. Ottawa (ON): The Daily. Statistics Canada; October 17, 2007. Available: www.statscan.ca/Daily/English /071017/d071017b.htm (accessed 2008 Nov 27).Google Scholar
27.Canadian Centre for Justice Statistics.Homicide survey, number of solved homicides, by type of accused-victim relationship, Canada. Table 253–0006. Ottawa (ON): Statistics Canada; 2008.Google Scholar
28.Homicides 2005. Ottawa (ON): The Daily. Statistics Canada; Nov. 8, 2006. Available: www.statcan.ca/Daily/English /061108/d061108b.htm (accessed 2008 Nov 27).Google Scholar
29.Campbell, JC, Webster, D, Koziol-McLain, J, et al.Risk factors for femicide in abusive relationships: results from a multisite case control study. Am J Public Health 2003;93:1089–97.CrossRefGoogle ScholarPubMed
30.Rothman, EF, Hemenway, D, Miller, M, et al.Batterers’ use of guns to threaten intimate partners. J Am Med Womens Assoc 2005;60:62–8.Google ScholarPubMed
31.Vigdor, ER, Mercy, JA.Do laws restricting access to firearms by domestic violence offenders prevent intimate partner homicide? Eval Rev 2006;30:313–46.CrossRefGoogle ScholarPubMed
32.Canada’s gun control program:keeping firearms out of the wrong hands. Ottawa (ON): Departmentof Justice; 2003. Available: http://canada.justice.gc.ca/en/news/nr/2003/doc_30840.html (accessed 2008 Nov 27).Google Scholar
33.Criminal Code R.S.C. 1985, c. C–46, s. 117.04.Google Scholar
34.Crime Statistics in Canada. Ottawa (ON): Statistics Canada; 2006. cat.no. 85–002XIE. Available: www.statcan.ca/english/freepub/85-002-XIE/85-002-XIE2007005.pdf (accessed 2008 Nov 27).Google Scholar
35.Grossman, DC, Mueller, BA, Riedy, C, et al.Gun storage practices and risk of youth suicide and unintentional firearm injuries. JAMA 2005;293:707–14.CrossRefGoogle ScholarPubMed
36.Firearms Act. Storage, Display, Transportation and Handling of Firearms by Individuals Regulations. (SOR/98–210). Available: http://laws.justice.gc.ca/en/F-1L6/SOR-98-210/index.html (accessed 2008 Nov 27).Google Scholar
37.Hepburn, L, Azrael, D, Miller, M, et al.The effect of child access prevention laws on unintentional child firearm fatalities, 1979–2000. J Trauma 2006;61:423–8.Google Scholar
38.Carbone, PS, Clemens, CJ, Ball, TM.Effectiveness of gun-safety counseling and a gun lock giveaway in a Hispanic community. Arch Pediatr Adolesc Med 2005;159:1049–54.Google Scholar
39.National Firearm Association. Gunproofing your child. Edmonton (AB): The Association; 2007. Available: www.nfa.ca/ publications/gunproof.pdf (accessed 2008 Nov 27).Google Scholar
40.Howard, PK.Evaluation of age-appropriate firearm safety interventions. Pediatr Emerg Care 2005;21:473–9.CrossRefGoogle ScholarPubMed
41.Jackman, GA, Farah, MM, Kellermann, AL, et al.Seeing is believing: what do boys do when they find a real gun? Pediatrics 2001;107:1247–50.Google Scholar
42.Cinaq, SJ, Lariscy, CD, McGown, ST, et al.Firearm-related hunting fatalities in North Carolina: impact of the ‘Hunter Orange’ Law. South Med J 1996;89:395–6.Google Scholar
43.History of firearms control in Canada: up to and including the Firearms Act.2004. Ottawa (ON): Royal Canadian Mounted Police; 2007. Available: www.cfc-cafc.gc.ca/pol-leg/hist/firearms _control_e.asp (accessed 2008 Nov 27).Google Scholar
44.Vernick, JS, O’Brien, M, Hepburn, LM, et al.Unintentional and undeterminedfirearm related deaths: a preventable death analysis for three safety devices. Inj Prev 2003;9:307–11.Google Scholar
45.The Registrar of Firearm’s Report to the Solicitor General of Canada on the Administration of the Firearms Act. Ottawa (ON): Royal Canadian Mounted Police; 2002. Cat no JS99–1/2002.Google Scholar
46. Canada. Order Amending the Order Declaring an Amnesty Period (2006). Ottawa (ON): Canada Gazette; 2007. Available: canadagazette.gc.ca/partI/2007/20070407/html/regle3-e.html(accessed 2008 Nov 27).Google Scholar
47. Canada. Order Amending the Order Declaring an Amnesty Period (2006). Ottawa (ON): Canada Gazette; 2008. Available: http://gazetteducanada.gc.ca/partII/2008/20080528/html/sor147-e.html (accessed 2008 Nov 27).Google Scholar
48. Bill C–21, An Act to amend the Criminal Code and the Firearms Act (non-registration of firearms that are neither prohibited nor restricted), 2nd Sess., 39th Leg., Canada, 2007.Google Scholar
49.Centre for Disease Control. Rates of homicide, suicide, and firearm-related death among dhildren – 26 industrialized countries. Atlanta (GA): The Centre; 1997. Available: www.cdc .gov/mmwr/preview/mmwrhtml/00046149.htm (accessed 2008 Nov 27).Google Scholar
50.Hepburn, L, Miller, M, Azrael, D, et al.The US gun stock: results from the 2004 national firearms survey. Inj Prev 2007;13:15–9.Google Scholar
51.Block, R.Firearms in Canada and eight other western countries: selected findings of the 1996 international crime (victim) survey 1997. Ottawa (ON): Department of Justice; 1997. Available: www.cfc-cafc.gc.ca/pol-leg/res-eval/publications/1997/pdfs/crime _en.pdf (accessed 2008 Nov 27).Google Scholar
52.Hung, K.Firearm statistics. Ottawa (ON): Department of Justice; 2006. Available: www.justice.gc.ca/en/ps/rs/rep/2006/rr06-2/table.html (accessed 2008 Nov 27).Google Scholar
53.National Rifle Association. Available: www.nraila.org/about/Google Scholar
54.Mayors Against Illegal Guns Coalition. Available at: mayorsagainstillegalguns.org/html/about/about.shtmlGoogle Scholar
55.Chapman, S, Alpers, P, Agho, K, et al.Australia’s 1996 gun law reforms: faster falls in firearm deaths, firearm suicides, and a decade without mass shootings. Inj Prev 2006;12:365–72.CrossRefGoogle Scholar
56.Hawton, K, Fagg, J, Simkin, S, et al.Methods used for suicide by farmers in England and Wales. The contribution of availability and its relevance to prevention. Br J Psychiatry 1998;173:320–4.CrossRefGoogle ScholarPubMed
57.Bill 110, Mandatory gun-shot wounds reporting act, 1st Sess., 38th Leg., Ontarion, 2005. Available: www.ontla.on.ca/bills /bills-files/38_Parliament/Session1/b110ra.pdf (accessed 2008 Nov 27).Google Scholar
58.Saskatchewan. Progress of Bills 2006/07. Regina (SK): Legislative Assembly of Saskatchewan; 2007. Available: www .legassembly.sk.ca/bills/ProgressOfBills/Progress_of_Bills_2006 -2007.pdf (accessed 2008 Nov 27).Google Scholar
59.Bill 10, Gunshot and Stab Wounds Mandatory Reporting Act, 2nd Sess., 60th Leg., Nova Scotia, 2007. Available: www.gov .ns.ca/legislature/legc/bills/60th_2nd/1st_read/b010.htm (accessed 2008 Nov 27).Google Scholar
60.Bill 20, The Gunshot and Stab WoundsMandatory Reporting Act. 2008, 2nd Sess., 39th Leg., Manitoba, 2008. Available: web2.gov.mb.ca/laws/statutes/2008/c02108e.php (accessed 2008 Nov 27).Google Scholar
61.Ontario Medical Association. The case for mandatory reporting of gunshot wounds in the emergency department. Toronto (ON): The Association; 2003. Available: www.oma.org/pcomm/OMR /nov/03gunshot.htm (accessed 2008 Nov 27).Google Scholar
62.Ovens, H, LeBlanc, B.OMA submission to the Standing Committee on Justice Policy on Bill 110: an act to require the disclosure of information to police respectingpersons being treated for gunshot wounds. Toronto (ON): The Association; 2005. Available: www.oma.org/pcomm/OMR/apr/05bill110.htm (accessed 2008 Nov 27).Google Scholar
63.Ovens, H, Morrison, H, Drummond, A, et al.The case for mandatory reporting of gunshot wounds in the emergency department. Toronto (ON): The Ontario Medical Association; 2003. Available: www.oma.org/pcomm/OMR/nov/03gunshot.htm (accessed 2008 Nov 27).Google Scholar
64.Pauls, MA, Downie, J.Shooting ourselves in the foot: why mandatory reporting of gunshot wounds is a bad idea. CMAJ 2004;170:1255–6.CrossRefGoogle ScholarPubMed
65.The Standing Committee on Justice Policy. Deliberations of Bill 110 - Mandatory Gun-shot Wounds Reporting Act. 2005. Toronto (ON): Legislative Assembly of Ontario; 2005. Available: www.ontla.on.ca/committee-proceedings/transcripts /files_html/2005-03-02_JP022.htm (accessed 2008 Nov 27).Google Scholar
66.Ovens, H, Borgundvaag, B, Park, H.Reaction in Ontario to Bill 110: Canada’s first mandatory gunshot wound reporting law. CJEM 2009;11:3–13.CrossRefGoogle ScholarPubMed