Gun violence – South Africa’s neglected public health emergency
DOI:
https://doi.org/10.7196/SAMJ.2026.v116i5.4945Keywords:
Firearm violence, HVIPs, gun control, intervention to prevention continuum, health systems impact.Abstract
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References
1. Ramaphosa C. State of the Nation Address. Pretoria: The Presidency, 2026.
2. Matzopoulos R, Prinsloo M, Bradshaw D, Abrahams N. Reducing homicide through policy
interventions: The case of gun control. S Afr Med J 2019;109(11b):63-68. https://doi.org/10.7196/
SAMJ.2019.v109i11b.14222
3. South African Police Service. Police recorded crime statistics Republic of South Africa 2023/2024 financial year: Annual figures (April 2023 to March 2024). Pretoria: SAPS, 2024.
4. Civilian Secretariat for Police Service. Analysis of the effect of the Firearms Control Act on crime, 2000 - 2014. Pretoria: Civilian Secretariat for Police Service, 2015.
5. Abrahams N, Mathews S, Martin LJ, Lombard C, Jewkes R. Femicide in South Africa: A comparison of female homicide in 1999, 2009 and 2017. S Afr Med J 2024;114(3):168-176. https://doi.org/10.7196/ SAMJ.2024.v114i3.17342
6. Vetten L. Losing liberty and life: Firearms and domestic violence in South Africa. Johannesburg: Heinrich Böll Foundation, 2025.
7. Semenza DC, Kravitz-Wirtz N. Gun violence exposure and population health inequality: A conceptual framework. Inj Prev 2025;31(1):1-8. https://doi.org/10.1136/ip-2023-045197
8. Bellis MA, McManus S, Hughes K, Adisa O, Ford K. The commercial determinants of violence: Identifying opportunities for violence prevention through a public health-based framework analysis. Int J Environ Res Public Health 2024;21(3):352. https://doi.org/10.3390/ijerph21030352
9. Minister of Safety and Security v South African Hunters and Game Conservation Association (2018) ZACC 14.
10. Bowman B, Kramer S, Salau S, Matzopoulos R. Trends, correlates, and contexts of robbery-homicide in South Africa. Homicide Stud 2024;28(1). https://doi.org/10.1177/10887679211070237
11. Ward CL, Lombard CJ, Gwebushe N. Critical incident exposure in South African emergency services personnel: Prevalence and associated mental health issues. Emerg Med J 2006;23(3):226-231. https:// doi.org/10.1136/emj.2005.024174
12. Caribbean Public Health Agency. Caribbean community implementation agency for crime and security. Small arms survey. Pathway to policy initiative report. Port of Spain: CARPHA, 2025.
13. Ribeiro AP, Souza ER, Sousa CAM. Injuries caused by firearms treated at Brazilian urgent and emergency healthcare services [Lesões provocadas por armas de fogo atendidas em serviços de urgência e emergência brasileiros]. Cien Saude Colet 2017;22(9):2851-2860. https://doi. org/10.1590/1413-81232017229.16492017
14. Mueller M, Chapman-Kramer KMSW, Cooper B, et al. A regional approach to hospital-based violence intervention programs through LOV. J Pub Health Managem Pract 2023;29(3):306-316. https://doi. org/10.1001/10.1097/PHH.0000000000001716
15. Matzopoulos R, Cornell M, Bowman B, Martin LJ, Jewkes R, Abrahams N. South Africa’s male homicide epidemic: Who is killing men and why do we ignore the victims? AJOL 2025;21(3/4). https:// doi.org/10.17159/sajs.2025/18875
16. Peacock D, Nowakowska AE, Lilli C, et al. Tracking the World Health Organization’s attention to firearm violence, 2000-2025. Global Coalition for WHO Action on Firearm Violence, 2025.
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Copyright (c) 2026 D Peacock, P Navsaria, C Taylor

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