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Many studies have noted excess mortality among patients with mental illness. Up to 50% of people with serious mental illness have recognizable co-morbid physical health conditions. Approximately 35% may have undiagnosed medical disorders and about 20% have medical problems that may explain or cause exacerbation of their psychiatric conditions. The conditions associated with long term mental illness include asthma, chronic obstructive airways disease (COPD), diabetes, coronary heart disease (CHD), arthritis, some specific tumors and cancers, skin conditions including psoriasis and some smoking related diseases.