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People with
mental disorders are at increased risk for several physical
diseases and have
a higher mortality for natural causes than the general
population. Their access to physical health care
is reduced and the quality of the physical care they receive
is worse compared to the general population.
If we are really concerned about the quality of life of our
patients and the protection of their civil rights, we
cannot ignore that physical health is a crucial dimension of
quality of life in these persons,
and that access to a physical health care of the same
quality as that available to the rest of the population is a
basic right
of these persons as human beings and as citizens.
This Regional Meeting will review the research evidence about the
comorbidity between mental disorders and
physical diseases, the factors which contribute to generate
this comorbidity, and what can be done to address the
problem.
The city of Cairo, which hosted an excellent World Congress
of Psychiatry in the year 2005, will be the
extremely attractive venue of the Regional Meeting, whose
speakers will include many of the most renowned
international experts in the field.
I
look forward to meeting you in Cairo.
Prof. Mario Maj

President of WPA Regional Meeting - Cairo
President World Psychiatric Association
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One
of the main caveats of our current psychiatric
classifications is the high prevalence of co-occurrence of psychiatric disorders because of the
overlap of symptoms and blurring of delineation of disorders. What is more alarming is the
high co-morbidity between physical and mental disorders. Recent studies revealed that the
prevalence of cardiovascular,
cerebrovascular, diabetes,
hyperlipidaemia, emphysema, etc… are commoner in mental
patients than in the general population. Our patients may
have high threshold for pain and so many painful physical disorders are misdiagnosed and under
diagnosed. The life span and quality of life of our mental patents are less than the general
population. Clinical training and postgraduate curricula should have an emphasis on the
co-morbid medical conditions
with psychiatric disorders so that the psychiatrist should
have proper access for diagnosis and management of their medical disorders. It is a good
opportunity to highlight this co-morbidity in the next WPA regional meeting in Cairo where ancient
Egyptians believed that the site of all mental illness was in the heart as revealed in Eber's
papyrus and at treatment was physical rather than mystical.
You are welcome to Cairo to
discuss what was realized 6000 years ago of the physical and
mental co-morbidity.
Prof. Ahmed Okasha

Honorary President of WPA Regional Meeting - Cairo
President Egyptian Psychiatric Association
President Arab Federation of Psychiatrists
Past President World Psychiatric Association
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