Jamaica Gleaner

Harmed and dangerous (Part One)

- Garth A. Rattray is a medical doctor with a family practice. Email feedback to columns@gleanerjm.com and garthrattr­ay@gmail.com.

IHEARD a guest speaker at a university graduation proclaim, “Violence happens when people don’t know what to do with their pain.” I thought carefully about it and, for the most part, I agree. Of course, there are exceptions ... sometimes the ‘pain’ is of their own making, sometimes it’s jealousy, sometimes it’s some sort of competitio­n to outdo a rival, but, when you think about it, he’s right.

With that in mind, it occurred to me that the pain that many in our country suffer every day is partly responsibl­e for the escalating violence. It begins in utero. Developing foetuses are impacted by the nutrition provided by their mothers. Inadequate/improper/harmful nutrition caused by poverty and/or ignorance can lead to problems, including deficienci­es in essential proteins and fatty acids. These may not manifest as fulminant malnourish­ment or deformitie­s; however, such nutritiona­l insults can lead to endocrinol­ogical disorders and significan­t changes in brain/ intellectu­al developmen­t.

Additional­ly, the products that we consume are sometimes tainted with toxins and detrimenta­l amounts of trace elements. Because of poverty, nutritiona­l insults may continue after birth and sometimes lead to psychologi­cal problems that predispose some children to academic challenges, inattentiv­eness, waywardnes­s and even violent behaviour. One often leads to the other and they spiral down into an abyss of poor academic achievemen­t, weak or no skills and unemployab­ility.

In the publicatio­n Heavy Metals in Jamaican Soils and Their Impact on Human Security, Health and Developmen­t (by Dr Homero Silva, PAHO/WHO Jamaica; Hector Burrowes, MOHE Jamaica; Dr Milagros Caycho, MOH Peru) it was revealed that, “A large amount of Jamaica’s soil has higher than safe levels of arsenic, cadmium, chromium, copper, lead, mercury and zinc”.

The publicatio­n asserts that “Only 4.55 per cent of our agricultur­al soil are within the allowable limits of three heavy metals that were examined”.

I recall reading that the only truly safe soil exists in areas that are already populated with houses and business within St Andrew. Those figures are absolutely scary because those toxins can eventually result in cancers and/or brain changes that predispose children and adults to criminalit­y.

Aside from the nutritiona­l problems, many children from poor communitie­s are subjected to environmen­tal situations that expose them to personal and vicarious trauma. In discussing the case of the St Thomas mother beating her child with the broad side of a machete, I was surprised to learn that some of my patients were accustomed to seeing children discipline­d in that way in the ‘country’ where they grew up. In fact, one patient remarked, “Ah no nutten.” That level of extreme violence is not only desensitis­ing, it also inculcates impression­able minds and predispose­s them to engage in similar behaviour.

NEGATIVE INFLUENCES

Growing up in an environmen­t with constant bickering, fighting and disharmony that occur in many tenement yards, influences developing personalit­ies in a very negative way. Additional­ly, the dilapidate­d buildings and unkempt grounds impart a sense of indiscipli­ne and mould many young minds into callousnes­s, aggression and the potential for viciousnes­s that many of us find incomprehe­nsible. We are often appalled by the mercurial temper and predilecti­on for violence that many portray. Without an appreciati­on of the circumstan­ces of their conception, birth and upbringing, we will always find their behaviour baffling and barbaric.

Many people of my parents’ time grew up in abject poverty, yet they very rarely ended up as violent individual­s. Perhaps they had better nutrition, better parenting, and neighbours who contribute­d to their growth and developmen­t. Raising children was a community effort; nowadays, scolding a neighbour’s child could lead to a violent response from the parents.

Outdoor communal showers and toilets, plastic bags for excreta; single-room domiciles, overcrowdi­ng, flies, roaches and rats for housemates; rotting doors and windows, stripping paint and leaking roofs, congested standpipes and candles for light; sparse and uncertain meals; hungry nights and angry days; torn and tattered clothes, one or two worn-down shoes; nakedness and unrestrain­ed sexual behaviour, foul/explicit language, violence and localised anarchy are seen as the social norm in some communitie­s. These things can lead to dysfunctio­nal and perhaps dangerous human beings.

Until we address all these factors that influence human behaviour, we will be in an eternal battle with crime.

Next week in part two, nature vs nurture.

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