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Although public health practitioners have made some contribution to the prevention of mental illness, this has not been a result of deliberate intent. Considering the extent of the problem, the response to mental illness as a public health issue has been grossly inadequate. An exploration of the historical reasons and an analysis of public health's reluctance to include mental health as part of its responsibility may assist in the premarital counselling required to broker what could be a mutually beneficial marriage with mental health. The prospective fruits of this union are explored, with recommendations for future action.

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