Our good friend Michael Hirsh is a pediatric trauma surgeon at Memorial Hospital which aserves as the Massachusetts state medical school. The hospital is located in Worcester, where Mike also happens to be the city’s chief medical officer.
Mike also happens to be the one physician in the entire United States who is actually doing something tangible to reduce gun violence. I mean doing, not talking. Doctors have been talking about reducing gun violence since Art Kellerman and Fred Rivara published two articles in 1992-93 which found that access to guns created medical risk.
Mike has been running voluntary gun buybacks in Worcester and surrounding communities for 22 years, having done a buyback several years earlier in Allegheny County prior to joining the U/Mass Chan Medical School staff. Mike’s awareness about gun violence started when he was a resident at Columbia University’s teaching hospital and one of his close friends, another resident named John Wood, was gunned down when he left the hospital and walked across the street to buy some snacks to take home to his pregnant wife.
So, here’s Mike sitting in the ER at Columbia, gets the call to run down to the trauma section because a shooting victim is being brought in, and his best friend is lying on the gurney as it’s pushed by. Got a better gun violence story?
I have been pestering Mike to write some kind of clinical analysis of the buyback program and he’s finally done it – in spades! I am referring to a brief article published in The American Journal of Medicine which you can download right here.
This article should be required reading by anyone and everyone involved in efforts to reduce gun violence because it reflects what has been not just a theory for what needs to be done, but also what Mike Hirsh and his colleagues have been practicing for the past two decades.
First and most important, the Worcester gun buyback is an annual event, which enlists the energies and commitments of law enforcement, public health, government agencies and community groups. Representatives of these four constituencies have an opportunity to communicate with each other, share ideas and experiences and strengthen what has become a community-wide effort to deal with guns.
Second, and just as important, faculty, residents and students from the medical school are stationed at buyback locations and get an opportunity to talk to community residents about gun violence and, more important, about the risk represented by guns. The medical staff both teach buyback participants about guns and gun violence but also get an opportunity to learn from the folks who bring one gun or multiple guns to hand in.
Finally, through much practical experience in talking to gun owners, Mike Hirsh has developed a questionnaire which can be used in clinical settings both to engage in a discussion about gun violence, and also to make clinicians feel more comfortable in talking to patients about guns.
Note that the questions which might be asked do not only include the usual issues like whether guns are safely stored and whether there are children and other vulnerable individuals living in the home, but there is also a question about what kinds of guns are in the home.
The United States is the only country in the entire world which allows residents to own and have access to guns which are designed for the sole purpose of being used to commit a violent act. The World Health Organization defines violence as a conscious attempt to hurt yourself or someone else, and the WHO makes no distinction between ‘good’ or ‘bad’ violence. Using a handgun made by Glock, Sig, Ruger, Smith & Wesson et. al., is to commit violence, and it doesn’t matter how or why that handgun is being used.
If the issue of gun violence was defined from the perspective of risk and how much risk is created depending on the design of the gun, this country wouldn’t suffer 125,000+ fatal and serious, non-fatal gun injuries every year.
This approach is embodied in the work being done by Mike Hirsh and his colleagues who conduct a yearly gun buyback, and it’s an approach which the movement to reduce gun violence needs to better understand.
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