[News] 30 000 people killed by police between 1980 and 2018. Government stats omitted approximately 17,100 deaths, 55% under-reported
Anti-Imperialist News
news at freedomarchives.org
Fri Oct 1 17:09:55 EDT 2021
Fatal police violence in the USA: a public health issue
Published:October 02,
2021DOI:https://doi.org/10.1016/S0140-6736(21)02145-0
<https://doi.org/10.1016/S0140-6736(21)02145-0>
Preventable violent deaths of people of colour at the hands of police in
the USA have been overlooked as a public health issue. Many victims of
police violence have become household names, like George Floyd, whose
death made headlines worldwide and raised awareness of the Black Lives
Matter movement, which targets structural racism and violence against
Black people in the USA and abroad. Yet, for every George Floyd,
hundreds of other Americans' deaths after violent exchanges with police
go unheeded, unacknowledged, and uncounted.
Although the US federal government has tracked deaths from law
enforcement since 1949 using the National Vital Statistics System
(NVSS), questions around undercounting of police violence fatalities and
the underlying quality of death certificate data have arisen only in
recent years. Journalists have not only documented narratives of police
brutality but also identified disparities in the total number of deaths
reported in the NVSS, especially when non-firearm injuries were involved
or when information about the individual's race or ethnicity was missing
or misclassified. Open-source databases composed of news coverage and
public records of police violence fatalities maintained by journalists
and independent research teams, including Fatal Encounters, Mapping
Police Violence, and The Counted, have provided rich alternatives to
NVSS data, but are limited by short periods of coverage and differences
in case definitions.
• View related content for this article
<https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02145-0/fulltext#gbd-linkback-header>
A lack of accurate data has arguably been one of the major impediments
to adopting a public health approach to deaths caused by police
violence. Today in /The Lancet/, a group led by researchers at the
Institute for Health Metrics and Evaluation (IHME) publish the most
accurate and comprehensive assessment of deaths attributable to police
violence in the USA to date. The study is a potential turning point for
improving national estimates of fatalities from police violence by
incorporating non-governmental open-source data to correct NVSS data.
The findings are staggering: around 30 000 people died from police
violence between 1980 and 2018. The NVSS omitted approximately 17 100
deaths, leading to an under-reporting of deaths attributable to police
violence by more than 55%. Age-standardised mortality was higher in
Black people (0·69 of 100 000) and non-Hispanic Black people (0·35 of
100 000) than White people (0·20 of 100 000).
These figures show a system of violent and fatal policing in the USA
that is unfairly and unevenly applied across race and ethnicity. Arguing
that police brutality exists because of a context of structural racism
is not new, but there is novelty and power in leveraging the IHME
methodology for reform. Ensuring the veracity of data collection
requires moving it out of the remit of law enforcement, which has been
self-interested, voluntary, and incomplete. Data collection across
states, especially those where reporting is low and misclassification is
high, should be supported through public health infrastructure, funding
for collaborations between journalists and researchers, and the
mandating of consistent standards to ensure that death certificates are
completed by medical examiners or physicians with appropriate forensic
training. Accuracy is crucial, but how cause of death is reported is
itself an issue of complicity in racist policing, as underscored in a
recent Correspondence on the designation of sickle cell trait as a cause
of in-custody death: “Physicians deny justice to communities by
providing medical cover for death at the hands of law enforcement
officers and by perpetuating medical falsehoods to justify this practice.”
Better data are one aspect of a public health approach; introducing
harm-reduction policies is another. Policing in the USA follows models
of hostile, racialised interactions between civilians and armed agents
of the state. Marginalised groups are more likely to be criminalised
through the war on drugs or homelessness. Reducing hostile or violent
interactions between police and civilians, particularly those who are
most vulnerable overall, is a forceful case for investment in other
areas of community-based health and support systems, including housing,
food access, substance use treatment, and emergency medical services.
Strategies to lower fatalities from police violence must include
demilitarisation of police forces, but with the broader call to
demilitarise society by, for example, restricting access to firearms.
Drawing on the experience of the public health community in countries
with unarmed police forces, such as Norway and the UK, could also
improve policy. Police forces too must take greater responsibility for
police-involved injuries and deaths. Such changes are long overdue. As
the Article in this week's issue so starkly shows, the status quo has
been hugely harmful to the health and wellbeing of people in the USA.
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