Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Why violence is an infectious disease

Courtney Schmidt, PharmD
Patient
April 24, 2013
Share
Tweet
Share

Newtown. Aurora. Oak Creek.

A year ago, I’d never even heard of these places, and now those names are permanently imbedded in my mind along with the graphic images of suffering and death.

And now, people are finally talking about it. What can we do to prevent these tragedies? How can we protect our society from senseless bloodshed? I can’t help but think, though, that all of the arguing over guns misses the point a little bit.

Violence is the ultimate problem, isn’t it? The idea that somehow hurting another person is the answer to whatever your problem may be, that’s the real issue. But, it’s such a complex one that we often overlook it because we don’t feel like there’s any hope of solving it. Mankind has perpetrated violence against one another since the beginning of time, and we are destined to repeat this vicious cycle, right?

Perhaps I’m a dreamer, but I just don’t believe that. In a recent workshop on global violence prevention conducted by the National Academy of Sciences, experts in the fields of psychiatry, psychology and public health came together to discuss a new way of thinking about violence: as a contagious disease.

It is contagious

As researchers have studied the incidence of violence over the last 25 years, a curious pattern has emerged. They found that violent acts tend to cluster, spread from one place to another, are often preceded or followed by other violent acts, and these acts can mutate from one type of violence to another. This pattern is reminiscent of any of the outbreaks of infectious diseases throughout history: smallpox, cholera, polio, AIDS.

The infectious agent, or “germ”, is a person’s exposure to violence. This may mean that this person is a victim of violence or merely a witness to others’ violent acts. Depending on a person’s unique susceptibility to the disease, they may or may not show symptoms. But, just like a child who is exposed to tuberculosis early in life and the disease lies dormant until adolescence or adulthood, the contagion of violence may not show it’s true colors until much later.

Much like viruses and bacteria, this contagion also has an uncanny ability to mutate. A person’s exposure may have begun in the home- a witness to domestic violence or a victim of child abuse. And yet, for unknown reasons, this violent tendency may change its form, mutate into suicide or mass murder or dating violence.

How can we explain, then, why some of us who have similar exposures show symptoms of the disease by outward displays of violence and some never become violent? It’s a question that also comes up when looking at the epidemic of HIV or smallpox. People are exposed, but given their unique susceptibility based on their biology, previous exposures, environment, access to care and a variety of other factors, the outcome can be different for different individuals.

However, unlike other infectious diseases where we can minimize susceptibility by providing clean water or sanitation, violence is a global phenomenon. It moves through the families, peer groups, cultures and neighborhoods of every level of society in every civilization on earth.

It is preventable

As research has progressed, the idea that violence is inevitable has proven false. If violence truly is a contagion affecting the brain of those who experience it, it stands to reason that if exposure to violent acts were reduced or eliminated the epidemic could be contained.

And while we often point the finger at media sources such as movies, news coverage or violent video games for exponentially multiplying the reach of these contagious vectors, there are other closer-to-home sources that perpetuate the cycle, too.

If we helped mom and dad work out their marital issues before it resulted in domestic violence, would it prevent their children from ultimately becoming violent themselves? If children were taught coping mechanisms and healthy social norms that showed them how to choose avenues other than violence, would it make a difference?

When it comes to exposure, the likelihood of developing the disease increases with every infectious contact. Could our answers for preventing violence also be tied to the way in which our news media covers tragic events? Could we be doing more harm than good by putting these images in the forefront of impressionable young minds?

ADVERTISEMENT

Can we find a cure?

I don’t pretend to have all of the large-scale answers to the epidemic of violence that permeates our world, and I don’t have the power to institute change on a global level. I do have the power, though, to dramatically influence my little part of the world: my family.

I can work to maintain a healthy family life to teach my children positive ways of relating to the world around them. I can work to minimize the “germs” of violence that enter my home through television and online media. And when exposures of violence come, as they inevitably will, I will reinforce my family’s belief that hurting another is never the answer to the pain that you’re feeling.

Beyond the reach of our own families, though, we have a responsibility to continue to talk about these things- the real root, not the symptoms of the disease. After all, guns are simply the mutation that has made this contagion of violence more effective, more deadly. But the root of the disease lies in the germs that each of us harbor. We have to face them, name them, and then eradicate them.

And maybe, just maybe, we’ll look back on this epidemic as we do that of smallpox or polio- as a thing of the past. Perhaps we’ll be able to count the millions of lives saved.

Maybe we’ll be able to look forward to a future without violence.

Courtney Schmidt is medical communications editor, Arnold Palmer Hospital for Children. She blogs at Illuminate.

Prev

The state of online doctor ratings: It's still early

April 24, 2013 Kevin 4
…
Next

Patient engagement: What doctors can learn from teachers

April 24, 2013 Kevin 7
…

Tagged as: Primary Care

< Previous Post
The state of online doctor ratings: It's still early
Next Post >
Patient engagement: What doctors can learn from teachers

 

ADVERTISEMENT

More by Courtney Schmidt, PharmD

  • a desk with keyboard and ipad with the kevinmd logo

    Having a sibling with special needs: A challenge for the whole family

    Courtney Schmidt, PharmD
  • a desk with keyboard and ipad with the kevinmd logo

    How to talk to your kids about Ebola

    Courtney Schmidt, PharmD
  • On the first day of school, a letter to my child’s teacher

    Courtney Schmidt, PharmD

More in Patient

  • Patient communication ends when the patient understands

    Diane Bruno
  • Book publishing scams took $7,500 from me by wire transfer

    Richard A. Lawhern, PhD
  • Cosmetic dentistry abroad is not about the lowest price

    Anna Estrin
  • There’s no one to drive your patient home

    Denise Reich
  • Dying is a selfish business

    Nancie Wiseman Attwater
  • A story of a good death

    Carol Ewig
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 9 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why violence is an infectious disease
9 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...