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Reply to Commentary response by Wanigaratne, Mawani, O'Campo, et al
  1. Meghan O’Neill1,2,
  2. Emmalin Buajitti1,2,
  3. Peter Donnelly3,
  4. Kathy Kornas2,
  5. Laura C Rosella2
  1. 1 Institute for Clinical Evaluative Sciences, Toronto, Canada
  2. 2 University of Toronto Dalla Lana School of Public Health, Toronto, Canada
  3. 3 Public Health Ontario, Toronto, Canada
  1. Correspondence to Laura C Rosella, University of Toronto, 155 College Street, Health Sciences Building 6th Floor, Toronto M5T 3M7, Canada; laura.rosella{at}

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We thank Wanigaratne and Mawani et al for taking the time to write this Commentary,1 which we have read with great interest. We agree that the framing and interpretation of findings about immigrant and refugee communities is of great importance and appreciate the opportunity to provide clarification. We would first like to acknowledge the valuable expertise of the authors as well as their strong relationships and vital advocacy work within communities.

The primary aim of our study was to provide descriptive epidemiology of homicide in Ontario.2 Very few population-level descriptive studies have been published characterising homicides, particularly regarding trends in homicide victimisation between and across population subgroups. Our study team includes epidemiologists, professional and academics who work at the intersection of public health and violence, experience with implementing violence prevention programmes in marginalised populations around the world and expertise in working with large linked health administrative data.

The linked health and administrative databases we used help fill the data gap with respect to understanding the victims of violence, including but not limited to refugee status.3 This aim is consistent with other descriptive database studies published about health and health system outcomes among immigrant and refugee populations in Ontario.4–11 The motivation for this study was to provide descriptive data that can be used by communities and researchers to better understand the distribution of health outcomes across populations. Our study found differences in risk of homicide across several social and economic indicators, including lower socioeconomic …

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  • Contributors MO prepared the initial drafts of the reply with additional input from EB, PD, KK, LR. All authors reviewed the final version of the response. All authors contributed equally.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.

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