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"Evolution of Weaponry"

The Role of Weapons' Evolution in Domestic Violent Crime

Advances in Medical Effectiveness

Since 1957 in the US, the per capita aggravated assault rate (which is, essentially, the rate of attempted murder) has gone up nearly sevenfold, while the per capita murder rate has less than doubled. Vast progress in medical technology since 1957 to include everything from mouth-to-mouth resuscitation, to the national "9-1-1" emergency telephone system, to medical technology advances is the reason for this disparity. Otherwise murder would be going up at the same rate as attempted murder (Table II).

Furthermore, it has been noted that a hypothetical wound that 9 of 10 times would have killed a soldier in World War II would have been survived 9 of 10 times by US soldiers in Vietnam. This is due to the great leaps in battlefield evacuation and medical care technology between 1940 and 1970. And we have made even greater progress since 1970. Thus it is probably a very conservative statement to say that if today we had 1930's level road networks, evacuation vehicles, communications, distribution of medical care, and medical technology (no penicillin, etc.), then we would have 10 times the murder rate we currently do. That is, attempts to inflict bodily harm upon one another would result in death 10 times more often.

Consider, for instance, some of the quantum leaps in medical technology across the years. Just a century ago, any puncture of the abdomen, skull, or lungs created a high probability of death. As did any significant loss of blood (no transfusions) or most large wounds (no antibiotics or antiseptics) or most wounds requiring significant surgery (no anesthetics, resulting in death from surgery shock). Also consider the increasing impact of police methodology and technology (fingerprints, communications, DNA matching, video surveillance, etc.) in apprehending killers, preventing second offenses, and deterring crime.

Each of these technological developments, in their place and time, should have negated the effects of weapons evolution and saved the lives of victims of violence. When assessing violent crime across any length of time we could and should ask what proportion of trauma patients survive today and what proportion of those would have died if they had: 1940s-level technology (no penicillin), 1930s-level technology (no antibiotics), 1870s-level technology (no antiseptics), 1840s-level technology (no anesthetics), or 1600s-level technology (no doctors, no anatomical knowledge, etc.).

TABLE II: Landmarks in the Evolution of Medical Lifesaving

ca.1600 French army institutes first scientific, systematic approach to surgery
ca.1840 Introduction of anesthesia overcomes surgical shock
ca.1840 Introduction in Hungary of washing hands and instruments in chlorinated lime solution reduces mortality due to "childbed fever" from 9.9 to .85%
ca.1860 Introduction by Lister of carbolic acid as germicide reduced mortality rate after major operations from 45 to 15%
ca. 1880 Widespread acceptance and adaptation of germicides
ca. 1930 Sulfa drugs
ca. 1940 Penicillin discovered
ca. 1945 Penicillin in general use and ever-increasing explosion of antibiotics thereafter
ca.1960 Penicillin synthesized on a large scale
ca.1970 CPR introduced on wide scale
ca.1990 9-1-1 centralized emergency response systems introduced in U.S. on wide scale

Note: Dates generally represent century or decade of major, large-scale introduction.

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