Journal of urban health : bulletin of the New York Academy of Medicine
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After a decades-long decline, criminal gun violence has increased dramatically in many parts of the USA. Most victims survive their gunshot wounds; however, research and data collection focus primarily on fatal events. In fact, there is no official national definition of a nonfatal shooting incident, nor a repository of these data. ⋯ Overall, official crime statistics are not a good data source for nonfatal shooting incidents. A holistic response to criminal gun violence requires comprehensive, valid, and reliable data collection on all shooting incidents, especially those incidents in which a person is injured by gunfire. Establishing a national definition for a nonfatal shooting incident is the first important step toward effective gun violence prevention and reduction.
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Infrastructural Inequality and Household COVID-19 Vulnerability in a South African Urban Settlement.
COVID-19 has highlighted the importance of household infrastructure in containing the spread of SARS-CoV-2, with Global South urban settlements particularly vulnerable. Targeted interventions have used area or dwelling type as proxies for infrastructural vulnerability, potentially missing vulnerable households. We use infrastructural determinants of COVID-19 (crowding, water source, toilet facilities, and indoor pollution) to create an Infrastructural Vulnerability Index using cross-sectional household data (2018-2019) from Mamelodi, a low-income urban settlement in South Africa. ⋯ The infrastructural vulnerability of the top 10% of households was greater than the bottom 40%, and inequality was predominantly within (80%) rather than between (20%) wards, and more between (60%) than within (40%) dwelling types. Our results show a minority of households account for the majority of infrastructural vulnerability, with its distribution only partially explained by area and dwelling type. Efforts to contain COVID-19 can be improved by using local-level data, and a vulnerability index, to target infrastructural support to households in greatest need.