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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

MIAMI, Florida — The pedestrian bridge under construction near Florida International University was supposed to enhance safety — letting walkers and cyclists cross a busy eight-lane street with less worry after a vehicle last year struck and killed an FIU student.Instead, it collapsed Thursday, months before it was to open, crushing cars below, killing at least six people and leaving investigators with the difficult task of trying to figure out why it happened and who might be held responsible."If anybody's done anything wrong, we'll hold them accountable," Florida Gov. Rick Scott said. 606

MARGATE, Fla. — A South Florida woman just couldn't wait to have her baby.Susan Anderson and her husband, Joseph, had almost made it inside Natural BirthWorks in Margate last Friday when baby Julia decided to meet the world early.Doorbell video shared by owner Gelena Hinkley showed the moment of birth.Video shows the mother crouching over in the parking lot while midwife Sandy Lobaina stands behind her.Anderson screamed just as two police officers, who happened to be in the area at the time, walked up to her."She's OK," Lobaina said. "I'm the midwife. She's here to have the baby."Anderson let out a big scream and Lobaina caught the baby as the officers watched in disbelief.After Julia's birth, Anderson was helped into the medical center by the child's father and Lobaina.In the video Hinkley ran into the frame just moments after the birth — but not fast enough."Un-freaking-believable," Hinkley said, seemingly disappointed she missed the party."What was going through my mind was, 'Get in the tub. Get in the tub.' Because I just wanted that relief," Anderson said.Lobaina said she has some crazy births before, but this was a first."Babies sometimes come really quick…and you just got to be quick, put your gloves on and just go," Lobaina said.Although Hinkley missed all the action, she's seen the video and has a good sense of humor."It was the best handoff ever," she said. This story was originally published by Miranda Christian and Peter Burke on WPTV in Palm Beach, Florida. 1502

Markus Paul, who was the Dallas Cowboys' strength and conditioning coordinator, has died, the team announced Wednesday. He was 54.The team did not announce Paul's cause of death."The loss of a family member is a tragedy, and Markus Paul was a loved and valued member of our family," Cowboys Owner Jerry Jones said in a press release. "He was a pleasant and calming influence in our strength room and throughout The Star. His passion for his work and his enthusiasm for life earns him great respect and admiration from all of our players and the entire organization. We offer our love and support to his family in this very difficult time. Our hearts are broken for his family and all of the individuals whose lives he touched and made better."On Tuesday, the team had canceled practice after Paul experienced a medical emergency at its facility and was rushed to the hospital, the Associated Press reported."We extend our love, strength, and support to Markus' family during this most challenging of times and ask that their privacy be respected moving forward," head coach Mike McCarthy said in a statement. "Markus Paul was a leader in this building. He earned the players' respect and attention because he cared so much and was a naturally gifted communicator – both on the personal and professional levels. He handled every situation, sometimes with a smile and a pat on the back, and sometimes with tough love. He had innate toughness in a job that requires that quality, and he was admired throughout the NFL by his peers and the players he coached. It was a privilege to work with him as a coach and laugh with him as a friend. Markus did everything the right way."McCarthy named Paul the team's strength coach in January.Drafted out of Syracuse, the former safety played from 1989 to 1993 for the Chicago Bears and the Tampa Bay Buccaneers, according to the AP.According to ESPN, Paul won five Super Bowl championships as a coach, three with the New England Patriots and two with the New York Giants.Dallas is still scheduled to play Washington on Thanksgiving. 2077

MANHATTAN, N.Y. — Workers installed 192 new glittering Waterford crystal triangles on Times Square's New Year's Eve ball on Sunday in preparation for a pandemic-limited celebration on Thursday.The ball is a 12-foot-diameter geodesic sphere covered with more than 2,000 crystal triangles of various sizes. Some new crystals are swapped in every year. This year's addition features a new “Gift of Happiness” design represented by a sunburst of bright cuts radiating outward. The ball, blazing with more than 32,000 LED lights, will be dropped at 11:59 p.m. on New Year's Eve to ring in 2021.The Times Square celebration will be much smaller than usual because of the coronavirus pandemic. There will be fewer than 100 people to ring in 2021 in person.Doctors, nurses, teachers, grocery store employees and transit workers will be invited to enjoy the celebration in socially distanced pens while everyone else watches from home.More than 180 million Americans and perhaps one billion worldwide are expected to watch the Times Square celebrations virtually online or on a free NYE app.The event will be headlined by Gloria Gaynor, Jennifer Lopez, Billy Porter and Jimmy Allen.This story includes reporting from Magee Hickey on PIX11.com. 1243