US Top Doc Predicts Rise In Depression, Suicide

Dr. David Satcher, the Surgeon General of the United States, says that US public health officials are anticipating an increase in depression as a result of the September 11 attacks in New York, Washington and Pennsylvania.

Satcher, who made his comments during a press briefing before addressing the Cleveland City Club, said he also anticipates an increase in suicide attempts and suicides as a result of the attacks. Moreover, he said that responding to this mental health challenge would be difficult for the public health service because mental health services are “a major weakness in the public health system.”

Satcher said the Oklahoma City bombing and the bombings of embassies in Kenya and Tanzania serve as examples of what can be expected after the September 11 attacks. A year after the Oklahoma City bombings, he explained, “there was a significant increase in substance and spousal abuse, divorce and, yes, suicide among rescue workers there.”

He headed up a team of medical specialists who traveled to Kenya and Tanzania to help survivors of the embassy bombings. The team included a psychiatrist who had worked with the Oklahoma City survivors. In the time since, Satcher said, “the one person called back most often is the psychiatrist.”

Touching on bioterrorism, Satcher said that the past two months have provided a unique challenge to the Public Health Service and especially to the Centers for Disease Control and Prevention (CDC).

He admitted that CDC epidemiologists are learning as they go. The teams have fought disease outbreaks all over the world, he added, but the anthrax attacks “are some place that we have not gone before.” That lack of experience led to some initial missteps, Satcher noted, including the assumption that anthrax could not “spread from a sealed envelope as it passed through the postal system. Now we know we were wrong.”

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