In recent years, there have been calls in the US and in Britain for a publi
c health approach to violence and violent crime. This article considers the
implications of such an approach for the definition and understanding of t
he 'problem' of violence and appropriate ways of tackling it. The discussio
n challenges the assumptions implicit in some of the literature that this i
s an intrinsically progressive and unproblematic perspective. This proposed
expansion of the domain of contemporary public health poses dilemmas for i
mplementation, as well as issues concerning the nature and process of gover
nance in contemporary societies such as Britain.