The Deadliest of Plagues? Gary Slutkin on Violence as Our Most Contagious Disease

“Violence has been misdiagnosed. And there’s a misdiagnosis that has caused us to not be able to control it as we could.” — Dr. Gary Slutkin

Human violence appears ubiquitous. In Iran. In Gaza. In Ukraine. In Sudan. In American cities and homes. So widespread, indeed, that it seems naturally hardwired into us. Our species-being, so to speak.

But, for Dr. Gary Slutkin, there is nothing inevitable about human violence. Slutkin — an epidemiologist who spent years fighting cholera, tuberculosis, and AIDS in Africa before focusing his medical mind on violence — argues that violence is neither a character flaw nor a moral failing. Rather than being baked into our natures, Slutkin sees violence as a contagious disease. It meets the clinical definition of a plague, he says. The more violent our homes, communities, media, politics, the more virally it spreads.

Slutkin’s new book, The End of Violence: Eliminating the World’s Most Dangerous Epidemic, makes the case that violence has been misdiagnosed for centuries. We analyse it as a crime problem, a character problem, an inter-state problem. So we punish, incarcerate and bomb. But none of these approaches confront the contagion. This can only be done, Slutkin argues, with what he calls “violence interrupters” — people from within the infected community who find the most at-risk individuals and cool things down before they escalate. Communities that have applied this approach have seen reductions in violence of 40 to 70 percent, Slutkin boasts, with Cherry Hill, one of Chicago’s most dangerous neighbourhoods, experiencing 450 days without a shooting.

There will be a time, he promises, when the plague of human violence will be mostly overcome. I hope Dr. Slutkin is correct. But suspect that his brave new violence-free world, like Huxley’s, might be simultaneously utopian and dystopian.

Five Takeaways

•       Violence Meets the Clinical Definition of a Contagious Disease: Slutkin is not speaking metaphorically. Violence meets the definition of a disease: characteristic signs and symptoms causing morbidity and mortality. It meets the definition of contagious: it causes more of itself. One violent event leads to another — in a home, in a community, in a region, in a war. The more you are exposed to it, the more likely you are to do it. This is the same mechanism as measles, as cholera, as COVID. Susceptibility varies — for violence, it has to do with how much you feel humiliated, how much social pain you carry, how much grievance a leader has taught you to feel. But the operating system is the same.

•       Violence Has Been Misdiagnosed: For centuries, we have treated violence as a moral failing: a matter of bad people making bad choices. The response has been punishment, incarceration, war. None of these interrupt the contagion. In fact, incarceration concentrates the infection. The misdiagnosis has cost millions of lives. The correct diagnosis — epidemic disease spreading through exposure — changes everything. You don’t blame a cholera patient for drinking contaminated water. You don’t punish a COVID patient for breathing. You interrupt the spread. You treat the susceptibility. You cool it down.

•       Violence Interrupters: The Epidemic Control Playbook: Cure Violence Global trains and deploys violence interrupters: people from the same community, who speak the same language, who have often been involved in violence themselves. Their job is to find the most at-risk individuals — the ones most likely to shoot or be shot next — and intervene before the next event. The approach works. Communities that have applied it have seen reductions of 40 to 70 percent. O