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This research paper analyzes 2003 data from the National Injury Mortality Surveillance System (NIMSS) to examine homicide patterns in South Africa's major urban centers. It identifies homicide as the leading cause of injury-related deaths, highlighting the significant roles of firearms and alcohol, and noting a disproportionate impact on males aged 15 to 44.

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  • Homicide is the most frequent cause of injury-related deaths in South Africa. A 2000 study estimated over 32,000 homicides, representing a mortality rate of 72 per 100,000 population, which is nearly eight times the global rate of 8.8 per 100,000.
  • Homicide rates vary by city, with the highest mortality rate recorded in Cape Town (66 per 100,000 population), followed by Durban (61), Johannesburg (52), and Pretoria/Tshwane (24). In 2003, homicides accounted for 55% of non-natural deaths in Cape Town and 54% in Durban, compared to 47% in Johannesburg and 31% in Pretoria/Tshwane.
  • Firearms are the primary cause of homicide across all age groups from five years old. In 2003, gunshot injuries caused 52% of all homicides in the sample. Of the 6,167 firearm deaths recorded, 87% were related to violence.
  • Males are significantly more likely to be victims of homicide than females, with a ratio of 6.5 male homicides for every female homicide—approximately double the world average of 3.2:1. The highest male-to-female ratio was found in Cape Town (8.5:1).
  • Homicide rates peak between the ages of 15 and 44, with the highest number of deaths in the 25–29 age group. For girls under four years old, homicide rates are approximately 60% higher than the global average.
  • Alcohol is a significant risk factor for homicide; over 50% of victims tested positive for alcohol. The highest percentage of alcohol-positive cases was in Cape Town (53%), and victims of sharp force homicide had the highest alcohol-positive rate at 72%.
  • Homicides most frequently occur on Saturdays and Sundays, with a peak between 20h00 and 23h00. In Cape Town, nearly half (49%) of all homicides occurred on the weekend.
  • Preliminary data from 2003 suggests a decrease in the number of homicides in the four major cities compared to 2001 and 2002, a trend supported by SAPS data released in September 2005.

Cite the original document

APA
Matzopoulos, R. (2005). VIOLENT DEATHS IN SA. Institute for Security Studies. https://issafrica.org/01-sep-2005-sacq-no-13/violent-deaths-in-sa
Chicago
Matzopoulos, Richard. VIOLENT DEATHS IN SA. Institute for Security Studies, 2005. https://issafrica.org/01-sep-2005-sacq-no-13/violent-deaths-in-sa.
Wikipedia
{{cite report |last1=Matzopoulos |first1=Richard |title=VIOLENT DEATHS IN SA |publisher=Institute for Security Studies |date=1 September 2005 |url=https://issafrica.org/01-sep-2005-sacq-no-13/violent-deaths-in-sa |access-date=17 August 2026 |via=Climate Insights Directory}}
BibTeX
@techreport{matzopoulos2005violent, author = {Matzopoulos, Richard}, title = {{VIOLENT DEATHS IN SA}}, institution = {Institute for Security Studies}, year = {2005}, month = sep, url = {https://issafrica.org/01-sep-2005-sacq-no-13/violent-deaths-in-sa}, urldate = {2026-08-17}, note = {Indexed by Climate Insights Directory} }

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