The 1970s and ‘80s saw the emergence of violence and suicide as public health concerns. It was also during that time that public health officials started talking about the need to survey, classify and track data on violent deaths on a national level so that they might be prevented. In the late 1990s, that data system — the predecessor to the NVDRS — was created.
1990s
Societal costs of injury-related morbidity and mortality were estimated at $260 billion in 1995. Given the staggering costs, the Committee on Injury Prevention and Control was appointed by the Institute of Medicine in March 1997, with funding from several private foundations. The committee was directed to "make recommendations intended to further develop the field of injury prevention and control and to reduce the burden of injury in America."
1999
The Committee on Injury Prevention and Control released its report, Reducing the Burden of Injury: Advancing Prevention and Treatment, in which it suggested a detailed, linked tracking system for all homicides and suicides in the United States, similar to the Department of Transportation’s Fatality Analysis Reporting System (FARS).
Six foundations pooled private money to fund a pilot program called the National Violent Injury Statistics System (NVISS). The Harvard School of Public Health provided technical leadership for NVISS, with assistance from officials at the Centers for Disease Control and Prevention (CDC). Many of the methods and information gathered by the NVDRS today were established by the original NVISS program.
2000
Thirteen NVISS sites across the country began collecting comprehensive, multi-source data on violent deaths. The results were appreciable almost immediately, revealing facts about violence that had not previously been recognized, such as the findings that one-third of youth suicides were associated with same-day crisis events, and that two-thirds of men who killed their intimate partner with a firearm committed suicide during the incident.
The system demonstrated that compiling
such data was both feasible and valuable for a better understanding
of violence. As knowledge grew, Harvard School of Public
Health hosted a consensus meeting with public health experts,
federal agency stakeholders, violence prevention groups
and private foundations, where it was decided that the
CDC would direct a publicly funded system to track all
violent deaths. The scope and approach of the NVDRS were established, and CDC was named to lead the program. The
CDC estimated that full 50-state coverage, including the
District of Columbia and the U.S. territories, would cost
$20 million annually.
2002
Congress made its first appropriation to the CDC for NVDRS, which was funded
in six states: Massachusetts, Maryland, New Jersey, Oregon, South Carolina
and Virginia. Nearly 20 states had applied to the CDC for the grants.
2003
Congress appropriated additional funds to the CDC to expand NVDRS to seven
more states: Alaska, Colorado, Georgia, North Carolina, Oklahoma, Rhode Island
and Wisconsin. These seven states were chosen from a field of 16 that had
applied to the CDC for funding.
2004
Congress appropriated enough funds to the CDC to expand
NVDRS to four additional states out of the 10 that applied:
California, Kentucky, New Mexico and Utah.
2005
NVDRS received $3.34 million and expansion leveled off, leaving about two-thirds
of the country excluded from NVDRS data. CDC published findings drawn
from the original six NVDRS participating states. Results
showed an increase in 2003 homicide and suicide rates over 2002 rates.
2006
Federal funding remained level. CDC released two more reports on NVDRS data
that focused on homicides and suicides.
New studies, published in the journal Injury Prevention, identified
patterns of violent death in America, leading to effective prevention strategies.
At least six NVDRS states released comprehensive suicide prevention plans
with the assistance of NVDRS data.
2007
Federal funding remains level. The National Violence Prevention Network is
formally established to increase federal funding for NVDRS to expand the
program to all 50 states by 2011. Founding members are among the more than
35 national violence prevention, law enforcement, public health and suicide
prevention organizations that support NVDRS.
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