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Eugenides employs a simile and an extended metaphor in order to express the widespread belief in their hometown that Cecilia's suicide was akin to an infectious disease that ultimately spread ot her sisters:
Already Cecilia’s suicide had assumed in retrospect the stature of a long-prophesied event [...] Her suicide, from this perspective, was seen as a kind of disease infecting those close at hand. In the bathtub, cooking in the broth of her own blood, Cecilia had released an airborne virus which the other girls, even in coming to save her, had contracted. No one cared how Cecilia had caught the virus in the first place. Transmission became explanation [...] Spiky bacteria lodged in the agar of the girls’ throats. In the morning, a soft oral thrush had sprouted over their tonsils.
When Lux feigns a burst appendix in order to visit the hospital and take a pregnancy test, she meets with Dr. Hornicker, who had previously met with Cecilia after her suicide attempt. After the other sisters commit suicide, Dr. Hornicker advances a theory that Cecilia's sisters suffered from PTSD, or post-traumatic stress disorder, following Cecilia's death. Many in the neighborhood come to think of Cecilia's suicide "as a kind of disease," a simile that reflects their desire for a scientific explanation for these otherwise inexplicable acts.
Further developing this notion through an extended metaphor, the neighborhood boys state that, in the local imagination, Cecilia "released an airborne virus which the other girls, even in coming to save her, had contracted." Nobody can ultimately explain "how Cecilia had caught the virus in the first place," but they are satisfied with their conclusion that she was the source of the infection, which quickly spread to her sisters. Ultimately, this language of illness, viruses, and bacteria reflects one of many attempts bye characters in the novel to "solve" the mystery surrounding the sisters' actions.

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Common Core-aligned