The Effects of Street Cleaning on Serious Crime and Gun Violence in Philadelphia, 2023–2024: A Stratified Randomized Controlled Trial.

Objectives. To determine if street cleaning interventions reduce gun violence and street crime. Methods. We conducted a stratified randomized controlled trial of 300 high gun violence street segments in Philadelphia, Pennsylvania, assigned to either a street cleaning intervention or a no-interventio...

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Published in:American Journal of Public Health Vol. 116; no. 8; pp. 1171 - 1180
Main Authors: MacDonald, John M., Hernandez, Wilson, Braga, Anthony A., South, Eugenia C., Branas, Charles C.
Format: Article
Published: American Public Health Association Aug2026
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Aug2026
      vid: 116
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      pub: American Public Health Association
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        195376209
        10.2105/AJPH.2026.308429
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        atl: The Effects of Street Cleaning on Serious Crime and Gun Violence in Philadelphia, 2023–2024: A Stratified Randomized Controlled Trial.
      aug:
        au:
          MacDonald, John M.
          Hernandez, Wilson
          Braga, Anthony A.
          South, Eugenia C.
          Branas, Charles C.
        affil:
          Department of Criminology, University of Pennsylvania, Philadelphia, PA.
          Department of Emergency Medicine, University of Pennsylvania Health System, University of Pennsylvania, Philadelphia, PA.
          Penn Medicine Center for Health Justice, Center for Health Care Transformation and Innovation, University of Pennsylvania Health System, University of Pennsylvania, Philadelphia, PA.,
          Department of Epidemiology, Columbia University, New York, NY.
      su:
        Pennsylvania
        Crime prevention
        Sanitation
        Waste management
        Randomized controlled trials
        Prevention of shootings (Crime)
        Poisson distribution
        Data analysis
        Statistical sampling
        Questionnaires
        Descriptive statistics
        Pre-tests & post-tests
        Statistics
        Maps
        Confidence intervals
        Data analysis software
      sug:
        subj:
          Crime prevention
          Sanitation
          Waste management
          Randomized controlled trials
          Pennsylvania
          Book, Periodical, and Newspaper Merchant Wholesalers
          Other printing
          Waste treatment and disposal
          Other Waste Collection
          Waste collection
          Solid Waste Landfill
          Marketing Research and Public Opinion Polling
          Prevention of shootings (Crime)
          Poisson distribution
          Data analysis
          Statistical sampling
          Questionnaires
          Descriptive statistics
          Pre-tests & post-tests
          Statistics
          Maps
          Confidence intervals
          Data analysis software
      ab: Objectives. To determine if street cleaning interventions reduce gun violence and street crime. Methods. We conducted a stratified randomized controlled trial of 300 high gun violence street segments in Philadelphia, Pennsylvania, assigned to either a street cleaning intervention or a no-intervention control. The intervention provided biweekly or monthly trash removal, weeding, and sidewalk sweeping. Some segments received enhanced services, including free trash and recycling bins. Results. The biweekly and monthly intervention significantly reduced visible litter, by 16% (95% confidence interval [CI] = −24%, −8%; P <.01) and 17% (95% CI = −28%, −5%; P <.05), respectively. The biweekly and monthly intervention yielded a statistically insignificant reduction in gun violence of 27% (incident rate ratio [IRR] = 0.73; 95% CI = 0.42, 1.28) and 4% (IRR = 0.96; 95% CI = 0.44, 2.06). Street crime outcomes were similarly insignificant. Conclusions. Basic environmental cleanups reduce visible litter but do not significantly reduce gun violence or street crime. More comprehensive place-based prevention strategies are likely needed. Public Health Implications. Scalable, nonpolicing public health approaches to reduce violence and serious crime should consider interventions that target broader environmental factors beyond basic street cleaning until further study demonstrates otherwise. (Am J Public Health. 2026;116(8):1171–1179. https://doi.org/10.2105/AJPH.2026.308429)
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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