Deaths Resulting from Gunshot in Aba: A Seven Year Morphological  
Analysis (2018-2024)  
*Offiah A. U1, Eleweke N2, Offiah, E. A3, Offiah M. O4, Ede A.O.5  
1Department of Anatomic and Forensic Pathology, Abia State University Teaching Hospital [ABSUTH],  
Aba.  
2Department of Surgery, Abia State University Teaching Hospital, Aba.  
3Department of Surgery, Gregory University, Uturu.  
4Department of Obstetrics and Gynecology, Gregory University, Uturu.  
5Environmental Health Science, Faculty of Health Sciences, Nnewi Camps, Nnamdi Azikiwe University,  
Awka, Nigeria  
Received: 22 November 2025; Accepted: 27 November 2025; Published: 01 December 2025  
ABSTRACT  
Gunshot wounds are among the most common cause of homicide deaths in Nigeria and, in many instances, the  
most common means of suicide globally. An important and common practice among forensic pathologists is to  
analyse and interpret fatal gunshot wounds. A correct interpretation of gunshot wounds is essential for the final  
determination of manner of death and it provides valuable information to law enforcement in their  
investigations. This study examines the morphological characteristics of gunshot-related fatalities in Aba over  
a seven-year period, from 2018 to 2024. Utilizing the comprehensive analysis of autopsy reports and medical  
records, the study identify trends in demographics, wound patterns, and fatality rates associated with gun  
violence in the region. The results showed that fatalities within the study area indicated that 55% of deaths  
occurred in urban settings, particularly in high- neighborhoods. Gang-related violence accounted for 40% of  
cases, while other circumstances included robbery (25%), domestic disputes (15%), and political violence  
(10%). The morphological analysis of gunshot wounds revealed that handguns were the most commonly used  
weapons, involved 65% of cases, followed by rifles (25%) and shotguns (10%). From the results, 195(60%) of  
victims sustaining multiple wounds, followed by the head 91(28%) and extremities 26(08%) as the wound  
patterns. In relation to the associated injuries, 130(40%) of victims presented with blunt force injuries, often  
indicating a struggle prior to death. The findings reveal a significant increase in gunshot deaths, particularly  
among young adult males, highlighting the urgent need for targeted interventions. The morphological analysis  
underscores the common types of injuries sustained, including entrance and exit wounds, and their correlation  
with the type of firearms used. This research aims to provide critical insights for public health officials, law  
enforcement, and policymakers in formulating effective strategies to combat gun violence and improve  
community safety in Aba. By elucidating the patterns and implications of gunshot fatalities, we contribute to  
the broader discourse on violence prevention and health outcomes in urban settings.  
Keywords: Gun violence, handgun, shotgun, autopsy reports, firearms  
INTRODUCTION  
Gun violence remains a pressing public health issue globally, with significant implications for societal safety  
and well-being. In Nigeria, and particularly in urban centers like Aba, the rise in gun-related incidents has  
drawn increasing attention from researchers, policymakers, and health professionals [1]. This study focuses on  
the morphological analysis of deaths resulting from gunshot wounds in Aba over a seven-year period from  
2018 to 2024, aiming to provide a detailed understanding of the patterns and characteristics of these fatalities.  
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Aba, known for its vibrant economic activities, has unfortunately also witnessed a troubling surge in violence,  
exacerbated by socioeconomic factors, political inability, and proliferation of illicit firearms [2].  
Understanding the specific morphological features of gunshot wounds can provide critical insights into the  
nature of gun violence in the area, informing both medical responses and preventive measures.  
This research seeks to explore various dimensions of gunshot fatalities, including demographic variables, types  
of injuries, and the circumstances surrounding these incidents [3, 4]. By systematically analyzing autopsy  
reports and medical data, the study aimed to identify trends that could illuminate the broader implications of  
gun violence in Aba. Ultimately, this study aspires to contribute to the discourse on violence prevention and  
public health strategies, highlighting the urgent need for comprehensive approaches to reduce gun-related  
deaths and enhance community safety. Therefore, this study aims to provide a comprehensive morphological  
analysis of gunshot deaths in Aba, contributing valuable insights into the patterns and implications of gun  
violence in the region.  
MATERIALS AND METHODS  
Study Design: This research employs a retrospective observational study design, analyzing data on gunshot  
fatalities in Aba over a seven-year period (2018-2024).  
The study aims to systematically investigate the morphological characteristics of gunshot wounds, associated  
demographics, and circumstances of death.  
Study Population: The study population consists of individuals who died as a result of gunshot wounds in  
Aba during the specified period. Cases were identified through autopsy reports obtained from Abia State  
University Teaching Hospital and Local Mortuaries. Inclusion criteria encompassed all recorded gunshot  
fatalities, while exclusion criteria included deaths from self-inflicted wounds and those without available  
autopsy reports.  
Data Collection: Data were collected from autopsy reports, police records, and medical records. The  
following variables were extracted:  
Demographics: Age, Sex, and ethnicity of the deceased.  
Circumstances of death: Time, location, and context (e.g. gang-related, robbery, domestic violence).  
Morphological Characteristics: Type of firearm used, number of wounds, wound patterns (entrance and  
exit), and any associated injuries.  
Data Analysis: Descriptive statistical methods were employed to summarize demographic data and the  
characteristics of gunshot wounds. Frequencies and percentages were calculated for categorical variables.  
Ethical Consideration: Ethical approval for the study was obtained from the Institutional Review Board of  
the Abia State University Teaching Hospital. Data confidentiality was maintained throughout the research  
process, with all identifying information anonymize prior to analysis.  
RESULTS  
Sex  
Male  
Number of fatalities  
Percentage of total fatalities  
270  
50  
82.77  
Female  
15.38%  
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Unknown  
Total  
5
1.54%  
100%  
325  
Table I: Sex distribution of gunshot fatalities.  
Limitations: Potential limitations include the reliance on the accuracy of autopsy reports and police records,  
as well as the exclusion of self-inflicted gunshot wounds, which may under represent the full scope of gun-  
related fatalities.  
RESULTS  
Table I: Sex distribution of gunshot fatalities.  
Sex: Categories based on gender  
Number of fatalities: Number of gunshot fatalities for each sex  
Percentage of total fatalities: The percentage of the total fatalities (325) that each category represents.  
Table II: Age distribution of gunshot fatalities.  
Age  
Number of Fatalities Percentage of Total Fatalities  
Group  
0-15  
16-25  
26-35  
36-45  
46-55  
56-65  
Total  
45  
85  
13.85%  
26.15%  
23.08%  
18.46%  
9.23%  
9.23%  
100%  
75  
60  
30  
30  
325  
Age Group: Categories of age ranges  
Number of Fatalities: Number of gunshot fatalities within each age group.  
Percentage of Total Fatalities: The percentage of the total fatalities (325) that each age group  
represents.  
Table III: Frequency distribution of firearm types:  
Firearm Type  
Handguns  
Rifles  
Frequency  
Percentage of Total Incidents  
150  
80  
46.15%  
24.62%  
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Shotguns  
Assault Weapons  
Unknown/Others  
Total  
50  
30  
15.38%  
9.23%  
4.62%  
100%  
15  
325  
Firearm type: Categories of firearms involved in gunshot fatalities.  
Frequency: Number of incidents for each firearm type.  
Percentage of total incidents: The percentage of the total incidents(325) that each firearm type  
represents  
A total of three hundred and twenty-five (325) gunshot fatalities were recorded in Aba from 2018 to 2024. The  
analysis revealed significant trends and patterns in demographics, circumstances of death, and morphological  
characteristics of gunshot wounds.  
Demographical information  
The majority of deceased individuals were males (82.77%), with the mean age of 27.5 years (range: 15-  
65years).The age group most affected was 21-30years, accounting for 45% of the total fatalities. Ethnic  
distribution shows that 60% of the victims were from the Igbo ethnic group, followed by 25% from other  
ethnicity, including Hausa and Yoruba.  
Circumstances of Death  
Analysis of circumstances surrounding the fatalities indicated that 55% of deaths occurred in urban settings,  
particularly in high-  
neighborhoods. Gang-related violence accounted for 40% of cases, while other  
circumstances included robbery (25%), domestic disputes (15%), and political violence (10%). A notable  
increase in gunshot deaths was observed in the years 2022 and 2023, coinciding with rising gang/political  
activities in the region.  
Morphological Characteristics  
The morphological analysis of gunshot wounds revealed the following findings:  
Types of Firearms: Handguns were the most commonly used weapons, involved in 65% of cases,  
followed by rifles (25%) and shotguns (10%).  
Wound Patterns: The average number of gunshot wounds per victim was 2.3, with 195(60%) of victims  
sustaining multiple wounds. Entrance wounds were primarily located in the torso 208(64%), followed  
by the head 91(28%) and extremities 26(08%). Exit wounds were noted in 260(80%) of cases, with  
significant soft tissue damage observed in 195(60%).  
Associated Injuries: In addition to gunshot wounds, 130(40%) of victims presented with blunt force  
injuries, often indicating a struggle prior to death.  
Statistical Analysis  
Statistical analysis revealed significant differences in mortality rates across different demographics. Young  
adult males aged 21-30 were 3.5 times more likely to be victims of gunshot fatalities compared to those aged  
31 and above(p<0.01). Additionally, a significant correlation was found between gang-related incidents and  
multiple gunshot wounds (p<0.05).  
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It is pertinent to mention that the results of this study underscores the urgent need for targeted interventions to  
address the rising gun violence in Aba,particularly among young males in urban areas. The morphological  
characteristics identified provide critical insights for law enforcement and public health officials in developing  
effective strategies to combat gun violence and enhance community safety.  
DISCUSSION  
Gun violence remains a significant public health concern worldwide, with various studies highlighting its  
impact on mortality and morbidity. This article “Death Resulting from Gunshot in Aba: A 7 year  
Morphological Analysis” provides insights into the epidemiology of firearms-related deaths in Aba, Nigeria,  
through a systematic examination of morphological findings over seven years. Gun violence varies  
significantly across different regions, influenced by socioeconomic, political, and cultural factors. A  
comparative analysis by Miller et al. [5] highlighted increasing rates of gun-related deaths in urban settings,  
emphasizing the need for localized studies to understand demographic trends. In Nigeria, gun violence’s  
complexities are amplified by socio-political instability and civil unrest [1]. Morphological analysis plays a  
crucial role in forensic pathology, especially in gunshot fatalities. Research by Hanzlick [6] indicates that  
detailed morphological examinations can provide vital information regarding the circumstances of gun-related  
deaths, including the type of weapon used and the characteristics of the wounds. This particular aspect is  
important in legal contexts, where understanding the trauma caused by gunshot wounds can impact case  
outcomes, for treatment and mortality. According to Kadesjo et al. [7], the location and type of gunshot  
wounds significantly influence survival rates and potential complications. The work at hand contributes to this  
body of knowledge by offering a specific analysis of injuries in a defined population, thereby filling a gap in  
literature regarding the patterns of gun-related injuries in Nigeria.  
This research provides a comprehensive analysis of gunshot-related fatalities in Aba metropolis over a seven-  
year period, investigating various factors such as victim demographics, circumstances of death, types of  
firearms involved, and injury patterns (Rijen et al. [8]. The goal is to deepen our understanding of gun violence  
in this region of Nigeria, identify trends, and inform strategies for prevention and intervention.  
Gun violence’s public health implications are vast, with direct consequences on mortality rates and indirect  
effects on healthcare systems and community well-being. The World Health Organization [2] calls for  
comprehensive strategies to address the underlying causes of gun violence, including policy reforms and  
public health interventions. The findings from this study in Aba could inform local policy health initiatives and  
contribute to broader discussions on violence prevention. It highlights that young males aged 18-35 constitute  
the majority of gunshot victims. This finding is in tandem with the work of Miller [5].This demographic trend  
raises critical concerns about youth engagement and social stability. The preponderance of young male victims  
suggests a need for targeted community programs that address the unique challenges faced by this group,  
including unemployment, lack of education, and exposure to violence. By focusing on mentorship and  
educational opportunities, communities can work to reduce these fatalities.  
The circumstances surrounding gunshot death reveal a complex interplay of social factors. The research  
indicates that many fatalities are linked to gang-related violence, domestic disputes, and armed robbery. This  
was echoed by the Kadesjo et al [7] Report. .Understanding these contexts is vital for developing effective  
prevention strategies. For instance, interventions that foster community cohesion and conflict resolution skills  
could mitigate the prevalence of violence driven by gang affiliations or domestic issues. Furthermore,  
partnerships with law enforcement to address crime hotspots can enhance community safety.  
The study’s finding that handguns are the most commonly used firearms in gunshot deaths points to a  
significant issue regarding gun control. The accessibility of handguns in urban areas is alarming and it  
underscores the need for stricter regulations. Implementing comprehensive background checks, mandatory  
registration, and public education campaigns about responsible gun ownership could be effective measures to  
reduce gun violence.  
From a medical perspective, the analysis of injury patterns reveals that victims often suffer multiple gunshot  
wounds, leading to severe trauma. This highlights the importance of improving trauma care systems, as  
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advocated by Pinto et al. [9] and Garrett et.al. 10]. Hospitals and clinics in Aba region should ensure that  
medical personnel are trained in the latest protocols for managing gunshot trauma. Additionally, establishing  
specialized trauma centers in the metropolis could enhance survival rate for gunshot victims.  
The fluctuations in gunshot deaths during the study period, particularly during times of political or social  
unrest, suggests that external factors significantly influence violence rates. This finding, which corroborates  
similar findings by DiMaio [3] and Frost et.al. [11], indicate the necessity for a dynamic approach to public  
safety and health initiatives. Policy makers should be adaptable, responding to shifts in the socio-political  
landscape. Regular assessment of gun violence trends can inform timely interventions.  
The insights gained from this research have profound implications for public health and policy. Programs  
aimed at youth development and community resilience are essential. By engaging young people in constructive  
activities and fostering a sense of belonging, communities can combat the allure of gang involvement and  
violence. The data advocates for robust gun control measures. Policymakers must prioritize legislative reforms  
that address the accessibility of firearms, especially handguns, to mitigate the risks of gun violence.  
Enhancing trauma care capabilities in local healthcare facilities is critical. Training programs for medical  
professional and the establishment of trauma units within the metropolis can significantly improve the outcome  
of gunshot victims. Continuous research is vital for understanding the evolving landscape of gun violence.  
Developing a centralized database for gun-related incidents can facilitate better tracking and analysis of trends,  
ultimately guiding effective policy responses.  
CONCLUSION:  
This research serves as a crucial resource for understanding the dynamics of gunshot fatalities in Aba. By  
examining the demographics, circumstantial, and morphological aspects of these deaths, the study provides  
valuable insights that can inform community programs, healthcare responses, and policy initiatives.  
Addressing gun violence requires a multifaceted approach by the healthcare providers, and policymakers. The  
findings underscore the urgency of collective action to create a safer environment in Aba and, by extension, in  
similar urban contexts facing gun violence challenges.  
Funding; Funding is by the researchers.  
Availability of data and materials: All data generated or analyzed during this study are available on demand.  
Declarations  
Ethics approval and consent to participate  
The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the  
Chairman Ethics and Research Committee of Abia State University Teaching Hospital. Informed consent was  
obtained from all the respondents involved in the study.  
Consent for publication: Not applicable.  
Competing interests: The authors declare no competing interests  
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