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Mass shootings and acts of terrorism may dominate headlines, but it's the homicides and, to a lesser extent, the suicides that happen out of the spotlight that make up the bulk of firearm-related deaths around the world, according to a study published Tuesday in the journal JAMA. More gun deaths happened outside of war than in it during the years researchers examined (1990 through 2016) in 195 countries and territories.Worldwide, an estimated 251,000 people died by gun in 2016. In 1990, there were 209,000 firearm-related deaths. Accounting for population growth, that's an annualized rate decrease of 0.9 percent.Gun deaths are predominantly concentrated in six countries that make up less than 10 percent of the world's population. The United States, Brazil, Mexico, Colombia, Venezuela and Guatemala together account for more than half of the gun-related deaths worldwide.In 2016, the majority of global firearm deaths -- an estimated 64 percent -- were homicides. Suicides accounted for 27 percent of the gun deaths. A small fraction, about 9 percent of gun deaths, were accidental.If you were to look on a map, the highest numbers of gun-related homicides are concentrated in a belt that stretches from Mexico through the Caribbean to Brazil. Many of these homicides involve drug cartels, the authors suggest, and there's a problem with organized crime and the illegal gun trade.El Salvador saw the greatest concentration of gun-related homicides in 2016, with 38.9 per 100,000 people. By comparison, Singapore, the country that had the fewest, had 0.1 gun-related homicides per 100,000."The sheer magnitude of these deaths and the range in firearm-related deaths is extraordinary," said the study's senior author, Chris Murray, director of the Institute for Health Metrics and Evaluation at the University of Washington.The most vulnerable demographic to gun violence was men between 20 and 24 years old. Men were also the biggest perpetrators of gun violence.Suicide-by-gun rates declined globally between 1990 and 2016. Some countries, though, struggled with this public health crisis. In 2016, Greenland had the highest number of firearm suicides, with 22 deaths per 100,000 people. The US had the second-highest number, with 6.4 deaths per 100,000 in 2016."The US really has quite marked rates around suicide," Murray said. "That was a surprise to me."For perspective, the United States has 4.3 percent of the world's population, but suicide by gun there represented 35.3 percent of all firearm suicides in the world in 2016. By comparison, there were twice as many firearm suicides as gun-related homicides in 2016 in the US.Americans also own more guns per capita than residents of any other country, with about four in 10 Americans saying they either own a gun or live in a home with guns, according to a 2017 Pew Center study.Americans have been killing themselves more with guns over the past decade, but homicide numbers have been relatively flat. The US ranks 30th in the world for total number of homicides, according to the study.The highest increase in gun-related suicide rates in this time period was in Jamaica, and Singapore had the fewest gun-related suicide deaths. These numbers, Murray said, are an important reminder about how widespread this public health problem is.There is no one single trend behind gun violence. Drugs, alcohol, a lack of mental health services and domestic violence are often to blame, as is poverty, the study suggests."Places with high rates of firearm mortality that are getting worse tend to be places with weak government institutions, especially in the criminal justice system or social upheaval," Daniel Webster, who has written extensively about gun violence as director of the Johns Hopkins Center for Gun Policy and Research, wrote in an email. Other things that stood out from these numbers, he said, is that while the "measures aren't great," he said, "there is a connection: more guns, more gun-related deaths."Webster, who was not involved in the new research, added that the general downward trend in firearm mortality is something that stands out because "we tend to think of our current rates of gun violence as the worst ever, but there has been great progress" toward stemming some of this violence.Laws that seem to limit gun violence include ones that strengthen background checks and require permits for ownership, the study authors said. More restrictions on guns in Brazil and South Africa seem to suggest a link between a reduced access to gun ownership and a lower number of gun-related suicides and homicides. 4601

Media Mogul Oprah Winfrey has yet again published her favorite things in 2017. Topping the list is a book titled, "Wisdom of Sundays: Life-Changing Insights from Super Soul Conversations" by none other than Oprah herself. Below is a list of other things that topped Oprah's list: 312

MESA AND GARFIELD COUNTIES, Colo. — The Pine Gulch Fire in Colorado grew more than 37,000 acres Tuesday night into Wednesday, according to the Rocky Mountain Area Coordination Center. It's now 125,108 acres and the second-largest wildfire in Colorado history.At more than 125,000 acres, the fire has surpassed the size of 2018's 108,045-acre Spring Fire. 362

Michigan State University is facing a federal lawsuit, filed in the United States District Court for the Western District of Michigan Southern District, accusing the school of not following federal guidelines in a reported rape.The lawsuit was filed by an attorney for a student who claims she was sexually assaulted by three members of the men's basketball team in April 2015, a week after the team lost to Duke in the NCAA Tournament.The team members are identified only as John Does in the lawsuit.According to the allegations in the suit, the unidentified woman was an 18-year-old in her first year at MSU at the time of the assault. She says she was with her roommate at Harper's Bar in East Lansing when most of the MSU basketball team arrived at the bar sometime after midnight on April 12, 2015.The woman alleges that one of the team members approached her and offered to buy her a drink. She says that after she accepted, the man asked if she would like to meet the "other guys" on the team.According to the lawsuit, the woman accepted because, as a sports journalism major, interacting with members of the basketball team was of interest to her.However, the lawsuit says that at no time did she indicate a romantic interest in any of the team members who approached her.As the night progressed, the lawsuit alleges that one of the team members asked the woman to come to their apartment for a party. She says that as incentive, one of the players lied and told her that her roommate was already headed to the party.According to the lawsuit, the woman contends she was having a hard time holding her glass, even though she had not had much to drink at that point.The lawsuit says that, when the woman arrived at the the location of the purported party, it turned out to be one of the team member's off-campus apartment and that few people were actually present. The lawsuit also says that the woman's roommate was not among those present.According to the lawsuit, the woman tried to text, but she was not able to control her thumbs to compose a text. It is at this point, according to the lawsuit, that the woman says the first player pulled her into a bedroom and told her "you are mine for the night." The woman says this made her uncomfortable and she made her way back into the living room, where, according to the lawsuit, her physical troubles continued and she realized something was wrong and that she might have been drugged.The lawsuit contends that at this point, the second player offered to show the woman his basketball memorabilia in his bedroom, where she was thrown down onto the bed and raped from behind.The lawsuit continues with the allegation that once the player, identified only as John Doe 2, finished raping the Plaintiff, the other two players, identified as John Doe 1 and John Doe 3, each came in and took turns raping the woman.The lawsuit says the woman does not remember anything after that, until she woke up on a couch a few hours later.The lawsuit then contends that the woman reported the rape to the Michigan State University Counseling Center, where, once they were informed the three alleged attackers were basketball players, the counselor's demeanor changed and that she told the woman that she needed another person in the room.The lawsuit contends that the staff person told her that her options were to file a police report, or deal with the aftermath of the rape on her own. However, the suit also contends that the staff made it clear that, if she reported the rape, she would face an uphill battle and unwanted media attention.The lawsuit also contends that staff members made comments to the effect of "we have had many other students in the same situation who have reported, and it has been very traumatic for them" and other comments 'implying' that it would not be in the plaintiff's best interest to report the incident to police, specifically "if you pursue this, you are going to be swimming with some really big fish."The lawsuit also contends that the counseling center did not advise the woman to seek STD or pregnancy testing, have a physical exam, or seek medical treatment. They also, allegedly, did not notify the woman of her option of reporting the rape to the Office of Institution Equity, or her Title IX rights, protections and accommodations.According to the lawsuit, this caused thw woman to become so frightened that she did not report the rape and she did not seek help from the Michigan State University Sexual Assault Program for 10 months.The woman was also not informed of her right to have a no-contact order put in place to keep the men out of her dorm, Brody Hall, where the woman says she would often see one or all three of the men in the dining hall.The suit contends that the woman was so traumatized after the rape that she sought psychiatric treatment at Sparrow Hospital in October 2015, stopped attending classes and was forced to withdraw in the fall semester of 2015.The suit seeks damages from the school and injunctive relief to have MSU put steps in place to prevent sexual assault. 5119

MEXICO CITY (AP) — The nine women and children killed by cartel gunmen in northern Mexico lived in a farming community known as La Mora, where experts say residents identify as Mormons but consider themselves independent and separate from The Church of Jesus Christ of Latter-day Saints.The community's roots lie in the church's banning of polygamy in the late 19th century, when families established colonies in remote northern Mexico to continue the practice.Cristina Rosetti is an expert in Mormon fundamentalist groups and said Tuesday that today some La Mora residents still practice polygamy while others do not. Residents believe in the main Mormonism tenants, but there is little organized religious practice.RELATED: 9 Mormon women and children were shot and 'burned alive' in an ambush near the US-Mexico borderGunmen killed three women and six children traveling in three vehicles from La Mora on Monday.The victims were U.S. citizens. 954