Coalition Urges Senate Action on Gun Safety Legislation and Prevention Research Funding

August 2019

August 22, 2019

The Honorable Mitch McConnell The Honorable Charles Schumer
Majority Leader Minority Leader
317 Russell Senate Office Building 322 Hart Senate Office Building
Washington, DC 20510 Washington, DC 20510

Re: Senate Action on Gun Safety Legislation and Prevention Research Funding

Dear Majority Leader McConnell and Minority Leader Schumer,

As members of the Big Cities Health Coalition (BCHC), a forum for leaders of America’s largest metropolitan health departments to exchange strategies and jointly address issues to promote and protect the health and safety of their residents, we the undersigned, urge the Senate to take immediate action to (1) fund public health-based gun violence prevention research, and (2) enact the bipartisan gun safety legislation recently passed in the U.S. House of Representatives. Collectively, BCHC member health departments impact the lives of nearly 62 million, or one-in-five, Americans.

Guns killed nearly 40,000 Americans in 2017.
1 Already in 2019, there have been over 250
mass shootings.
2 The tragic events in El Paso and Dayton the weekend of August 3rd are the
most recent reminders that the federal government must act to protect the American
people as it has done in other epidemics. That same weekend, more than 40 people were
injured and nine lives were lost in Chicago alone to gun violence not classified as a “mass
shooting.”

This level of violence in our communities in unacceptable. BCHC’s policy priorities to address and prevent violence (attached) include enacting commonsense laws to reduce access to guns, particularly among youth and those most at risk of harming themselves or others, positions that the vast majority of Americans support as well.

Local health departments are responsible for protecting the health and well-being of residents within their jurisdictions. They address the epidemic of violence, and its consequences, each and every day. Health officials work to implement best practices around violence interruption, such as intervening to stop retaliatory violence, supporting trauma-informed care, and addressing the social determinants of health, i.e. income, housing, and education.

Approaching violence as a public health issue means searching for the root causes of this epidemic and using data, tools, and evidence-informed best practices to address those causes. It means creating communities where residents can be healthy and safe, with access to quality education for kids and good jobs for families.

Often, our work is hindered by a lack of resources to research gun violence prevention efforts. This scarcity of research, and funding for research, is particularly troubling, as deaths due to firearms in the U.S. continue to rise. We urge Congress to provide CDC with a minimum of $50 million per year specifically for firearm prevention research, as part of the appropriations process. If provided annually, this funding could support the creation of 10 to 20 large multi-year studies each year (or even more single-year studies), and the rebuilding of a research community that has shrunk in the decades since the Dickey Amendment was enacted.

What research has been done provides evidence that background checks reduce violent crime, homicide, and suicide. 3 In February, the House of Representatives passed two responsible, practical, firearm safety bills with bipartisan support. H.R. 8, the Bipartisan Background Check Act, would close loopholes in the background check system, and H.R. 1112, the Enhanced Background Checks Act, would extend the background check review period from three to 10 business days to ensure that background checks are completed before weapons are sold. This bill would close the “Charleston loophole,” wherein the shooter at the Emanuel AME Church in Charleston should have failed his background check, but because it was still being processed after three days, the dealer lawfully proceeded with the sale.

Swift passage of these bills, as well as funding true public health prevention research related to firearm injury, is a critical step in reducing gun violence injury and death. The Big Cities Health Coalition is ready to work with Congress, the Administration, and others to develop and enhance evidence-based, datadriven solutions to address violence across the country. We look forward to working with you to best protect our residents from this devastating epidemic.

Please do not hesitate to reach out to Chrissie Juliano, Executive Director of BCHC (juliano@bigcitieshealth.org or 301-664-2989) on our collective behalf for additional information

Sincerely,

Kelly Colopy, MPP
Chair, BCHC and Director, Long Beach
Department Health of Health and Human
Services

Oxiris Barbot, MD
Co-Chair, BCHC Violence Working Group
and Commissioner, New York City
Department of Health and Mental Hygiene

CC: The Honorable Richard Shelby
The Honorable Patrick Leahy
The Honorable Lindsay Graham
The Honorable Dianne Feinstein

Rex Archer, MD, MPH
Director of Health, Kansas City

Allison Arwady, MD, MPH
Acting Commissioner, Chicago Department
of Public Health

Rachel Banks, MPA
Director of Public Health, Multnomah
County Health Department

Grant Colfax, MD
Director of Health, San Francisco Department of
Public Health

Letitia Dzirasa, MD
Commissioner of Health, Baltimore City

Thomas Farley, MD, MPH
Health Commissioner, Philadelphia

Barbara Ferrer, PhD, MPH, MEd
Director, Los Angeles County Public Health

Barbara Ferrer, PhD, MPH, MEd
Director, Los Angeles County Public Health

Mysheika W. Roberts, MD, MPH
Health Commissioner, Columbus

Kelly Colopy, MPP
Chair, BCHC and Director, Long Beach
Department Health of Health and Human
Services

Gretchen Musicant, MPH, BSN
Co-Chair, BCHC Violence Working Group
and Health Commissioner, Minneapolis

Alma (Gibbie) Harris, MSPH, BSN, RN
Director, Mecklenburg County Public Health

Stephanie Hayden LMSW
Director, Austin Public Health

Patty Hayes, RN, MN
Director, Public Health – Seattle & King County

Jennifer Herriott, MPH
Interim Director, San Antonio Metropolitan
Health District

Joseph P. Iser, MD, DrPH, MSc
Chief Health Officer, Southern Nevada
Health District (Las Vegas)

Monica Valdes Lupi, JD, MPH
Executive Director, Boston Public Health
Commission

Barbara Ferrer, PhD, MPH, MEd
Director, Los Angeles County Public Health

Kimi Watkins-Tartt
Public Health Director, Alameda County
Public Health Department

Stephen Williams, MEd, MPA
Director, Houston Health Department

1: CDC, National Center for Health Statistics. Underlying Cause of Death 1999-2017 on CDC WONDER Online Database, released December,

  1. Data are from the Multiple Cause of Death Files, 1999-2017, as compiled from data provided by the 57 vital statistics jurisdictions through
    the Vital Statistics Cooperative Program. Accessed at http://wonder.cdc.gov/ucd-icd10.html on Aug 8,
    2: https://www.gunviolencearchive.org/
    3: The Science of Gun Policy: A Critical Synthesis of Research Evidence on the Effects of Gun Policies in the United States. Santa Monica, CA:
    RAND Corporation, 2018. https://www.rand.org/pubs/research_reports/RR2088.html.