Happy and Healthy and Together

Happy and Healthy and Together

Putting the “Community” back in “Community Health”

In May of this year, Vivek Murthy issued what’s called a Surgeon General’s advisory. These reports typically call attention to “urgent public health issues” like smoking or obesity. But this one was different. It focused on the effects of loneliness and social isolation.¹ It’s long been a concern of Murthy’s and one that he has chosen to use his considerable platform to highlight.

According to the report, social isolation and loneliness have real consequences for health. Those include cardiovascular health, cancer outcomes, dementia, and Alzheimer’s disease. They can even affect academic and financial success in later life.

Not surprisingly, isolation and loneliness affect COVID too. American counties with less social capital have had more COVID-19 cases and deaths. Areas with more social participation have fewer deaths. Similarly, one broad-based international study found higher levels of interpersonal and government trust associated with lower rates of infection.

The whole report is long but fascinating. It’s a subject that touches many different parts of our lives. I recommend it if you’re interested in public health or policy.

Murthy includes a warning in the advisory: social divisions cause poor health. Americans need to build “more connected lives and a more connected society,” he tells his readers. If we fail to do so,

we will pay an ever-increasing price in the form of our individual and collective health and well-being. And we will continue to splinter and divide until we can no longer stand as a community or a country. Instead of coming together to take on the great challenges before us, we will further retreat to our corners—angry, sick, and alone.

And then he says, “We are called to build a movement to mend the social fabric of our nation.”

If you hear in that an echo of religious language about rebuilding the world, you might not be wrong. Murthy’s suggested approach is very systematic, aimed at making connection a priority across social life.

It’s also an approach that’s highly relevant to the world of faith communities. Specifically, it fits very well with the work we’ve all done on COVID. Investigations have found that people with fewer social ties are more likely to get sick after exposure to common viruses like colds or the flu. They’re also more likely to develop more severe symptoms. Likewise, another study found having fewer social connections can hinder the effectiveness of COVID vaccines.

And isn’t sponsoring prosocial behavior what religious communities are all about? Even the casual meet-and-greet after worship helps build resistance. Churches and other faith communities also create social connections by promoting friendships and other relationships, and they encourage the kind of civic participation that leads to connection in the wider community.

It’s possible to carry on this work during a pandemic. Getting together over Zoom might be imperfect, but it’s better than not getting together at all. It’s also possible to encourage volunteerism and social support in response to crisis.

But for the most part, the work is best carried out before a public health emergency strikes. Look at the suggestions for community-based organizations found in the advisory. You’ll find many things that faith communities do quietly all the time:

• Create opportunities and spaces for inclusive social connection
• Embed social connection in internal policies, practices, and evaluations
• Actively seek and build partnerships with other community institutions
• Advance public education and awareness…of social connection and disconnection among community members
• Create and provide education, resources and support programs
• Foster a culture of connection in the broader community

Leaning into this work would be a good thing. By the evidence, it will lead to a stronger, more resilient and healthier community. It might also result in strengthened faith communities.

We worry a lot in the church world about decline and shrinking budgets. Yet we know that people are hungry for connection. What if we took seriously the idea that coming together as one meant better health? What if we took on the job of “mending social fabric”? What if we did it in ways that went beyond the traditional boundaries of congregation and community?

No, seriously, I’m asking. Evidence indicates both congregation and community would be better prepared to meet the next COVID wave. Ditto any other emergency. But what creative ways would you use to get us happy, healthy and together? I want to hear.

¹Social isolation is defined as the fact of having few or inadequate social connections. Loneliness is the negative feeling associated with the experience of social isolation.