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Matzopoulos, R, P Groenewald, N Abrahams and D Bradshaw. 2016 ‘Discussion.’ Where Have All the Gun Deaths Gone?; Vol. 106, No. 6 (Table 2), p. 590. Cape Town: South African Medical Journal. 1 June

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This study clearly shows that firearms remain an important cause of injury-related mortality and should be considered as providing a minimum estimate, given that complete cause-of-death information is not always provided in death notification.

The cause-specific profile for gunshot injury deaths in this study indicates that extensive misclassification is the reason for the near absence of these injuries among assault cases. There can be no other explanation for the arbitrary reallocation of gunshot injuries from undetermined to unintentional causes other than the application of a new coding rule from 2007, which was alluded to in the 2010 death notification report.

The allocation of injury deaths with limited information on intent to unintentional causes has been observed in national and provincial studies and is also a common cause of information loss for injury-related mortality data internationally.

ID: Q14135

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