If Gang Violence is a Disease…. What is the Cure?
Celeste Fremon

One of this morning’s must reads is the Alex Kotlowitz article in today’s New York Times Magazine called Blocking the Transmission of Violence about gang violence as a public health problem.
The article is about the work of Gary Slutkin, an epidemiologist and a physician who for 10 years battled infectious diseases in Africa, and who now has founded an organization called CeaseFire. “Slutkin,” writes Kotlowitz, “wants to shift how we think about violence from a moral issue (good and bad people) to a public health one (healthful and unhealthful behavior).”
So far, so good.
And Kotlowitz is one of the writers able to assess such a program with more clarity than most. He is the author of such much lauded books as,There Are No Children Here: The Story of Two Boys Growing Up in the Other America.
According to Kotlowitz, Slutkin says that “….violence directly mimics infections like tuberculosis and AIDS,” and so “the treatment ought to mimic the regimen applied to these diseases: go after the most infected, and stop the infection at its source. …”
Slutkin’s chosen method to “stop the infection” is to use what he calls “interrupters,” hard core former gangsters and shot callers to step who step in to try to stop cycle of retaliation when violence occurs.
This method of hard core gang intervention, as it is called, is all the rage now—both in Chicago and in Los Angeles, and it is unfashionable to criticize it.
However if examined more closely, although Slutkin talks in terms of health and cures, on the face of it anyway, his approach is symptomatic, not curative at all.
Rather than stopping “the infection at it’s source,” maybe the better analogy for Slutkin’s work—and hard core gang intervention in general— is that of a tourniquet. If one stops the immediate bleeding maybe one can address the underlying illness, and there’s something to be said for that.
On the other hand, the approach is something of a slippery slope. It is a rule of thumb that to successfully mature out of the gang, most people find they need to move out of the neighborhood. Otherwise it’s just too difficult. With this in mind, metaphorically speaking, is it wise to send former alcoholics repeatedly into the bar to try to talk the other bar patrons out of drinking? Maybe. Maybe not. At present, the risk/benefit ratio still remains unclear.
There are many things about this approach that are controversial. But it is an approach that must be discussed. Here’s an excerpt:
Posted in Gangs, Public Health |
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