Houston Chronicle

Let the med center study gun violence prevention

- By Michael B. Bagg Bagg is a medical student at the University of Texas Health Science Center at Houston.

I have been working on gun violence prevention for the past two years. After the Las Vegas shooting, I worked with a fellow medical student to create a course teaching medical students about gun violence and how it relates to medicine. We taught future physicians, the ones who will be responsibl­e for treating gun injuries, about the complexiti­es of firearms in America. I have spoken to medical student members of the American Medical Associatio­n, educating participan­ts from about the importance of counseling patients on safe firearm storage. Last month, I helped administer a workshop on safe firearm storage to pediatric residents at McGovern Medical School at the University of Texas Health Science Center at Houston so they can provide patient education that will prevent unnecessar­y accidental injuries and suicides. I’ve done what I can to prevent gun violence with available research, but it isn’t enough.

I cried when I saw El Paso, my hometown, was added to the growing list of American mass shootings.

Nothing prepared me for franticall­y going through my contacts, checking on family and friends to see if they were safe. There was relief hearing a familiar voice or getting a text verifying safety, but it was quickly followed by paralysis. I felt helpless. My knowledge of the issue couldn’t prevent 22 individual­s from the United States and Mexico from perishing unnecessar­ily at the hands of a killer. Safe storage wouldn’t have prevented this man from driving from a Dallas suburb to El Paso with a legally purchased firearm and the intent of inflicting as much damage as possible.

We’re stumbling in the dark when we propose solutions to gun violence. Public health research on this issue was set back decades when the Dickey Amendment effectivel­y halted gun violence prevention research. There are significan­t gaps in knowledge regarding commonly proposed gun violence solutions (such as minimum age requiremen­ts, stand your ground laws). If we want to move forward, we can’t make impulsive decisions about a politicall­y volatile and deadly issue. We need to rigorously evaluate interventi­ons so we know what works and what doesn’t. The National Institutes of Health and the Centers for Disease Control and Prevention are ill-equipped to evaluate the causes of gun violence and potential solutions. There is an ongoing debate about whether new language in a spending bill will finally lift the moratorium on federal research.

While the federal government determines if it can study gun violence prevention, UC Davis, Massachuse­tts General Hospital and Johns Hopkins University have establishe­d gun violence research centers in an effort to fill the void left by the federal government. Why isn’t Texas among them? Our state is renowned for defending the rights of private citizens to own firearms. We should be on the forefront of learning how to make firearms safer. In the aftermath of tragedies such as Sutherland Springs, Santa Fe and El Paso, our lawmakers suggest solutions without committing resources to evaluate the efficacy of their proposals. A local research center could exist as a resource for lawmakers to reference.

A gun violence prevention research center located in the Texas Medical Center could contribute toward a national conversati­on by coordinati­ng with existing centers and analyzing the impact of potential solutions at the regional level. Firearm ownership rates and attitudes toward firearms vary greatly across the country, and a research center in Texas could provide an important regional perspectiv­e currently missing from academic discussion­s on gun violence prevention. The TMC is the largest medical center in the world, capable of providing a wealth of expertise that is already integrated into the community. Give health care profession­als here the chance to produce and evaluate ideas that would allow firearms to exist in a world where parents aren’t afraid to take their children grocery shopping. Gun violence devastates communitie­s with loss of life, physical harm and emotional trauma. The more we understand the issue, the less likely anyone will have to call a loved one to find out if they are still alive.

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