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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

LOUISVILLE, Ky. – This year’s Kentucky Derby will be held with spectators, but “under strict guidelines."Churchill Downs Racetrack made the announcement Thursday after consulting with Gov. Andy Beshear and state public health officials.The Derby is set to take place on Saturday, Sept. 5 after being postponed from its original date, Saturday, May 2.Churchill Downs says its plan was developed in conjunction with advice and counsel from the Louisville Metro Health Department and Kentucky’s Healthy at Work guidance.Some of the steps that will be taken to ensure guest and employee safety include:Venue capacity reductions to limit overall crowd density, including general admission, outdoor reserved seating, premium dining and suites. More information on ticketing and seating areas will be released in the coming days and also will be sent directly to ticket holders.Access throughout the facility will be severely limited.Credentials for employees, media and guests will be reduced.Barn area access will be restricted to essential personnel. Guests and parties in the barn area for morning workouts and during race days will be eliminated.Changes in venue operations to limit person-to-person touchpoints.Team member protocols established to protect employees and guests.A revised "Fan Code of Conduct" will also be in place that establishes expectations for guests coming to the Derby:Guests will be consistently and frequently encouraged to wear a mask at all times unless seated in their reserved seat or venue, including when riding on a shuttle, traveling through the venue, going to the restroom, placing an in-person wager, and purchasing food or beverages from a concession stand. Guests will be asked to wash their hands for 20 seconds or sanitize them frequently.Guests will be encouraged to socially distance themselves from others when possible.Tickets purchased for the originally scheduled Kentucky Derby Week dates are automatically valid for the new race dates. Guests may arrive on the new dates in September with their printed ticket or mobile ticket to be scanned for entry at the gates. Click here to learn more about tickets.“We truly appreciate the leadership of the Governor of Kentucky, Andy Beshear, and all of the hard work, collaboration and guidance that state and local officials and public health experts have provided us to safely and responsibly host Kentucky Derby Week in September with spectators,” said Churchill Downs Racetrack President Kevin Flanery. “Our team is deeply committed to holding the very best Kentucky Derby ever, and we will take all necessary steps to protect the health and safety of all who attend and participate in the Derby. In response to the COVID-19 pandemic, we have established a comprehensive set of operating procedures, which include a multitude of precautionary measures to be followed while fans are in attendance at our facility. We are determined to keep our customers, employees and communities as safe as we responsibly can.” 3011

LOUISVILLE, Ky. (LEX 18) — A portrait of Breonna Taylor will appear on the cover of the September issue of "O, The Oprah Magazine" – the first time in the publication's 20-year history Winfrey will not grace the cover.Winfrey revealed the news on CBS This Morning and social media Thursday. 298

MEXICO CITY (AP) — Demonstrators in Mexico have burned government vehicles, blocked railway tracks and set fire to a government office and highway tollbooths to protest water payments to the United States. Mexico has fallen behind in the amount of water it must send north under a 1944 treaty, but farmers in the northern state of Chihuahua are angry because they want the water for their own crops. President Andrés Manuel López Obrador said Thursday that the protests were being fanned by opposition politicians for their own motives. He said there was enough water to comply with the treaty and support local crops. 626

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