Is Violence 'Senseless'? Not According to Science. Let's Make Sense of It and Treat It Like a Disease.

In many cities across the United States, we see a familiar scene unfold virtually every week- end - dozens of youth between the ages of 15 and 24, most of whom are black or Hispanic, are injured or killed in major cities including Baltimore, New York, Los Angeles, Chicago, St. Louis, New Orleans and Detroit. Outcries spread through neighborhoods and the nation; most are focused on the "senseless violence."

John Snow's legacy: epidemiology without borders.

This Review provides abstracts from a meeting held at the London School of Hygiene and Tropical Medicine, on April 11-12, 2013, to celebrate the legacy of John Snow. They describe conventional and unconventional applications of epidemiological methods to problems ranging from diarrhoeal disease, mental health, cancer, and accident care, to education, poverty, financial networks, crime, and violence. Common themes appear throughout, including recognition of the importance of Snow's example, the philosophical and practical implications of assessment of causality, and an emphasis on the evaluation of preventive, ameliorative, and curative interventions, in a wide variety of medical and societal examples. Almost all self-described epidemiologists nowadays work within the health arena, and this is the focus of most of the societies, journals, and courses that carry the name epidemiology. The range of applications evident in these contributions might encourage some of these institutions to consider broadening their remits. In so doing, they may contribute more directly to, and learn from, non-health-related areas that use the language and methods of epidemiology to address many important problems now facing the world.

Prevention Professional for Violence Intervention: A Newly Recognized Health Care Provider for Population Health Programs.

The National Uniform Claim Committee recognized a new type of health care provider for violence intervention: prevention professional. This creates a pathway for population health interventions to obtain reimbursement through traditional medical financing systems. In addition to violence, prevention professionals may specialize in other conditions of public health importance.

How the Health Sector Can Reduce Violence by Treating It as a Contagion.

Violence is best understood as an epidemic health problem, and it can be effectively prevented and treated using health methods to stop events and outbreaks and to reduce its spread. This health framing is important because it recognizes that violence is a threat to the health of populations, that exposure to violence causes serious health problems, and that violent behavior is contagious and can be treated as a contagious process. Relatively standard and highly effective health approaches to changing behaviors and norms are increasingly being applied to the problem of violence and are showing strong evidence of impact among individuals and communities. We need to mobilize our nation's health care and public health systems and methods to work with communities and other sectors to stop this epidemic.

The prevalence of victimization and perceptions of job neighborhood safety in a social service agency and the need for screening.

Because staff attitudes and affects are impediments or strengths in appropriately assessing and managing traumatized or violent patients, the authors discuss the need to explore staff's experience with trauma and violence. A survey of social service field and administrative office-based staff revealed that numerous staff had experienced traumatic events. Compared with staff based in a downtown administrative office, significantly more field-based staff were dissatisfied with their job's neighborhood and perceived their job's neighborhood as a dangerous place to work. Further, significantly more field staff perceived that their job's neighbors would be "unlikely" to intervene in observed antisocial behaviors. In our sample of primarily female, African-American, social service staff, the ratio of victimization was higher than rates in other studies. Screening social service staff for experiences of trauma and victimization and asking about their perceptions about their job's neighborhood will help leadership shape efforts to address these dynamics. By addressing staff's perceptions of their job's neighborhood, leadership can influence staff's willingness to participate in proactive community organizing and prevention activities designed to reduce violence and increase safety. Several recommendations to reduce violence in the workplace are presented.

How Uganda reversed its HIV epidemic.

Uganda is one of only two countries in the world that has successfully reversed the course of its HIV epidemic. There remains much controversy about how Uganda's HIV prevalence declined in the 1990s. This article describes the prevention programs and activities that were implemented in Uganda during critical years in its HIV epidemic, 1987 to 1994. Multiple resources were aggregated to fuel HV prevention campaigns at multiple levels to a far greater degree than in neighboring countries. We conclude that the reversed direction of the HIV epidemic in Uganda was the direct result of these interventions and that other countries in the developing world could similarly prevent or reverse the escalation of HIV epidemics with greater availability of HIV prevention resources, and well designed programs that take efforts to a critical breadth and depth of effort.