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Most of the global burden of firearm mortality and morbidity is concentrated in low- and middle-income countries, with more than a third of the estimated annual global burden of firearm-related injury occurring in the Eastern Mediterranean Region. In this region, firearm-related mortality rates have been reported to be among the highest in the world, including rates as high as 70 to 100 deaths per 100,000 inhabitants in Yemen, Afghanistan, and Iraq [1, 8]. Although the Brazilian states of Acre and Amazon have reported lower rates, the state of Acre, the most northern of the Federal States, reported one of the highest rates in the world in 2016, with 5 deaths per 100,000 inhabitants [1]. The numbers of firearm deaths is expected to increase over time, due to population growth, aging of the population, and the aging of the firearm population. However, there is a paucity of research on firearm morbidity and mortality in Brazil; only one of the authors (CCA) is currently working on this topic.
The estimates in this book include the deaths of children under 5 years of age, the non-familial deaths of adults, and the deaths of the elderly. No distinction is made between the deaths of the armed and non-armed. The rates are all age-adjusted per 100,000 people.
The World Bank reported that the global financial crisis had a significant impact on gun ownership in many countries [8]. Rapid economic recovery led to an increase in gun sales and gun-related deaths after 2010 [9]. Moreover, the illegal trade in firearms and their illicit use was becoming a serious problem [2, 4, 10, 11]. The emergence of armed militia groups in various countries, including Central America [12], Mexico [13], and Brazil [14,15], with little control over their acquisitions of weapons and other supplies, was also causing concerns [16, 17].
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