Lapidus G, Merwin D A, Carver H W, Banco L
Connecticut Children's Medical Center, Injury Prevention Center, 282 Washington Street Hartford, CT 06106, USA.
Conn Med. 2001 Feb;65(2):93-7.
To evaluate the feasibility of implementing a firearm fatality surveillance system in Hartford County, Connecticut.
Medical examiner, police, and crime lab data were collected for firearm deaths occurring in Hartford County during 1997. Data included characteristics of victims, suspects, and firearms. We used standard criteria for evaluating an epidemiological surveillance system.
The surveillance system detected 52 firearm-related fatalities; 31 were suicides and 21 were homicides. Handguns accounted for 50% of the suicides and 72% of the homicides. Sensitivity was 96%, specificity was 100%, representativeness adequate, simplicity enhanced by a common case identifier, flexibility constrained by the use of existing data, timeliness varied by data source, and system acceptable to all data sources. Estimated statewide cost is $200 per case, or $52,000 per year.
Firearm injury surveillance in Hartford County is feasible and expansion to statewide coverage possible. The surveillance yielded considerable data at reasonable costs.
评估在康涅狄格州哈特福德县实施枪支死亡监测系统的可行性。
收集了1997年哈特福德县发生的枪支死亡事件的法医、警方和犯罪实验室数据。数据包括受害者、嫌疑人及枪支的特征。我们使用了评估流行病学监测系统的标准准则。
监测系统检测到52起与枪支相关的死亡事件；其中31起为自杀，21起为他杀。手枪导致了50%的自杀事件和72%的他杀事件。敏感性为96%，特异性为100%，代表性充足，通过通用病例标识符提高了简单性，灵活性因使用现有数据而受限，及时性因数据源而异，且该系统为所有数据源所接受。估计全州范围内每个病例的成本为200美元，即每年52,000美元。
哈特福德县的枪支伤害监测是可行的，并且有可能扩展到全州范围。该监测以合理的成本产生了大量数据。
