Twenty-three years ago, Gary Slutkin moved to Chicago to take a break. A doctor trained in infectious diseases, he had spent his career battling tuberculosis in San Francisco and cholera in refugee camps across Africa. Working with the World Health Organization, he played a key role in reversing the AIDS epidemic in Uganda. But he had also spent more than a decade surrounded by suffering and death. “I was exhausted,” he says.
In 1995, when he was 44, Slutkin left Africa and his job with WHO and moved back to the United States to recharge. Yet the headlines kept him from winding down: Violence dominated the news. “All across the country, I saw that violence was an issue in the same way that cholera or diarrheal disease had been an issue in Bangladesh or AIDS was in Uganda,” he says. So he began to research violence the same way he had investigated the causes and patterns of disease as an epidemiologist.
Last September, Slutkin discussed his findings while speaking about “Peace in the Age of Uncertainty,” the first installment in a three-part Pathways to Peace Series sponsored by Rotary International and the University of Chicago’s Harris School of Public Policy.
“Looking at violence,” he explained, “we can see through maps and charts and graphs that it behaves exactly like all other epidemic issues.” And like other contagions, violence tended to cluster, with one event leading to another. “How does that happen?” he asked. “It’s because of exposure. That was the insight I came to years ago. What was the greatest predictor of violence? The answer: a preceding act of violence.” What’s more, he insisted, if violence is predictable, it can be “interrupted.”
With that in mind, Slutkin began investigating new ways to treat violence. He started an initiative originally called the Chicago Project for Violence Prevention; in 2000, it implemented its first program – CeaseFire – in a violence-plagued Chicago neighborhood. Known since 2012 as Cure Violence, it’s based at the University of Illinois at Chicago, where Slutkin is a professor at the School of Public Health.
The Cure Violence model employs three components used to reverse any epidemic: interrupt transmission; reduce risk; change community norms. Cure Violence outreach workers prevent violence by counseling people exposed to violence in their home or community. These “violence interrupters” work with high-risk individuals to discourage them from acting out violently.
Where implemented, the Cure Violence model typically reduces violence by 41 to 73 percent in the first year. In 2011, a film called The Interrupters documented the success of the program, and today its impact is felt worldwide. “We have a global effort to reduce violence through partnerships in multiple regions, in particular Latin America, the Caribbean, and the Middle East,” as well as in 25 U.S. cities, Slutkin says.
“Public health has been responsible for some of the greatest accomplishments in human history,” he says. “It’s gotten rid of multiple diseases like plague and leprosy and smallpox. Polio is on its way out. Violence is next.”
Slutkin spoke with contributing editor Vanessa Glavinskas about his pioneering methodology, behavior change, ineffective punitive remedies, and ways Rotarians can lend a hand in the fight to cure violence.
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