A visit from the Kumakatok is usually an omen of death, as either the eldest member of the house, or one who is ill, will be visited and subsequently die. The visits are supposedly more frequent after a disease outbreak. Residents of Luzon and Visayas at one time painted white crosses on their doors to ward off the Kumakatok. This trend was said to cause the trio to switch from residences to government buildings, hospitals, and even churches.