And Koplan compliments his patient on past success in reducing pollution. But it's time to think outside the box and address big environmental trends not just the growth of cities and increased demand for water and clean air, but the redesign of communities to reduce social isolation and encourage physical activity. Give mental health its due. This is a neglected area, says Koplan. His patient could be a lot happier and more productive if the impact of mental health on physical health and well-being were better recognized.
Mental illness is a leading cause of disability.
Therapies have proven effective for a range of disorders. But stigma and barriers to treatment prevent many from getting help. The knife, the bullet, the fist each a pathogen. Koplan views homicide, suicide and other forms of violence as public health problems amenable to public health solutions. That means targeting communities, schools, workplaces and churches with a campaign against violence similar to the campaign against tobacco.