Alcohol problems
Achieving a balance between pleasure and pain - WHO :
The World Health Organisation in a guide for action, on alcohol
problems in a report on Alcohol policy and the public good state,
"Alcohol is a commodity sold largely in the free market, providing
pleasure as well as pain and may bring health benefits to some people.
How is a balance to be achieved between the two, the cost and the
benefits?"
Alcohol inflicts a costly and unwelcome burden on the majority of
societies, both in the developed and the developing worlds. This has
provoked an enormous variety of policy responses ranging from the total
prohibition of alcohol to the virtual absence of any purposive public
health action.
“To try to balance the credit against the debit in terms only of
economic calculation does not make sense.”
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One way or another, the issues surrounding alcohol impinge on almost
everyone and on all the main institutions and sectors of
society-Governments and legislative bodies, the police and the criminal
justice system, the education system, health and social services and the
workplace.
Alcohol problems are not just problems for individuals; they also
impose major demands and costs on society as a whole. At the same time,
in most Western countries, alcohol is a commodity sold on a largely free
market, providing pleasure as well as pain and may bring health benefits
to some people. How is a balance to be achieved between the pleasure and
the pain, the cost and the benefits?
The answer to this question will depend largely on what view is taken
of the nature and scale of alcohol problems for societies as well as
individuals and how these compare with any health or other benefits.
For example: Are alcohol problems restricted to a minority of
'deviant' individuals, or are the harms and pain much more widely
distributed?
At what level of consumption does this risk of harm become
significant, and does it vary according to different kinds of harm? Is
there a relationship between the likelihood of individuals experiencing
harm and the level of consumption in the society of which they are a
part? In addition there is the very important 'what works' question:
Given that Governments cannot avoid having an alcohol policy of some
kind, what approaches to the prevention of alcohol problems can be shown
to be effective and what measures are really likely to serve the public
good?
This report is intended as a contribution to informing and empowering
policy makers by providing a summary of the present state of knowledge
in regard to:
The nature and extent of alcohol problems. The risks of alcohol
consumption in relation to a range of medical and social harms. Some
principal factors influencing the occurrence of alcohol-related harm.
Effective measures to reduce alcohol-related harm.
One thing above all is clear. It is that however wide-ranging and
pervasive alcohol problems are, they are not immutable. They do not have
to be accepted as 'given', beyond all control. On the contrary, alcohol
problems can be ameliorated and do respond to sensible public policies.
Economic cost :
Alcohol - Credit debit economic balancing does not make sense :
As regards economic balancing on credit debit basis the report
states:-
"Whatever the profits that accrue to societies from the use of
alcohol, there are also likely to be substantial entries that have to be
made on the debit side of the ledger.
"To try to balance the credit against the debit in terms only of
economic calculation does not make sense." The cost to everyone
concerned of say a man leaving a bar in a drunken state, and killing a
pedestrian as against the tax taken from the man's drinking, does not
balance like against like.
For purpose of the present exposition the data given in the table are
entered simply to make the point that whatever the sum of suffering,
alcohol problems also have a significant cost dimention that Governments
will do well to note".
"In the tabl, economic cost of alcohol abuse in USA for the year 1990
are estimated at nearly $100,000 million, with over 80 per cent of the
cost related to treatment, morbidity and mortality".
Sri Lankan doctor to chair WHO's Global Forum in Cairo
Sri Lankan doctor will chair the tenth Global Forum on Health
Research opening in Cairo, Egypt on Sunday October 29. The doctor is Dr.
Pramilla Senanayake who is presently the WHO Regional Director for
Eastern Meditation.
The WHO press release on the event states: Forum 10 - the tenth Forum
of Global Forum for Health Research will take place in Cairo, Egypt from
October 29 - November 2 under the theme 'Combating disease and promoting
Health'. 'How better health research can meet the health needs of the
poor and marginalized in developing countries' is the focus of the Cairo
Forum.
The broad agenda includes sessions on gender equality and health,
women's health, road traffic accidents (which are the fourth leading
cause of deaths and injuries), innovative challenges in drug
development, HIV/AIDS research and successful public-private
partnerships (PPPs).
The participants include policy makers, representatives of
multi-lateral and bilateral development agencies, foundations,
non-governmental organisations, pharmaceutical firms and research
institutions.
The official opening will also have a high level representative of
the Presidency in Egypt, Dr. Hatem Mostafa El-Gabaly - the Minister of
Health and Population of Egypt, Dr. Hussein A. Gezairy - Regional
Director of the World Health Organisation's Regional Office for the
Eastern Mediterranean and the Chair of the Global Forum - Dr. Pramilla
Senanayake.
Prominent speakers at other plenary sessions include Hani Mahfouz
Helal - Minister of Higher Education and Scientific Research, Egypt,
David Nabarro - United Nations Coordinator for Avian Flu, Seth Berkley -
President, International AIDS Vaccine Initiative, USA, Victoria Hale -
Chief Executive Officer, Institute for OneWorld Health, USA, Christopher
Hentschel - President and Chief Executive Officer, Medicines for Malaria
Venture, Switzerland, Robert Ridley - Director, Special Programme for
Research and Training in tropical Diseases (TDR), Switzerland and
Josefina Bonilla - Executive Director, NicaSalud Network Federation,
Nicaragua.
Red wine can help prevent stroke damage
WASHINGTON: (Reuters)
Red wine might work to protect the brain from damage after a stroke
and drinking a couple of glasses a day might provide that protection
ahead of time, U.S. researchers reported.
In an effort to better understand how red wine works, the scientists
from Johns Hopkins University fed mice a moderate dose of a compound
found in red grape skins and seeds before inducing stroke-like damage.
They discovered that the animals suffered less brain damage than
similarly damaged mice who were not treated with the compound, which is
called resveratrol.
"When we pre-treat the animals with the compound orally, then we
observe that we have a significant decrease in the area of stroke damage
by about 40 per cent," said Sylvain Dore, the lead researcher for the
study.
Dore and his research team presented their results from the study,
which was funded in part by the U.S. Government, at a Society for
Neuroscience conference in Atlanta. "What is unique about this study is
we have somewhat identified what can be the specific mechanism," in the
wine that is good for health, Dore said. "Here we are building cell
resistance against free radical damage."
The study showed that resveratrol increases levels of an enzyme in
the brain - heme oxygenase - that was already known to shield nerve
cells from damage.
Dore said the beneficial effects associated with drinking a moderate
amount of red wine could be explained by the fact the the wine turns on
the heme oxygenase anti-oxidant system.
"Red wine has been suggested for the heart. Here what we show is its
special effect in stroke and pre-treatment," Dore said. "It suggests
that prophylactic use of wine could work."
BMJ study finds
IQ Linked to long life: (Longitudinal cohort study of childhood IQ
and survival up to age 76) Children with higher IQs may live longer,
suggests a study in this week's BMJ. These findings add to our knowledge
of the personal traits in youth that contribute to survival in adult
life.
Results of an intelligence test, given to all 11-year olds attending
Aberdeen schools in 1932, were used to determine survival up to 76
years. Of 2,230 subjects traced, those who died before January 1, 1997
had a significantly lower IQ at age 11 years than those who were alive
or untraced.
This suggests that high mental ability in late childhood reduces the
chances of death up to age 76. The effect was weaker in men than in
women, partly because men with high IQ were more likely to die in active
service during the second world war. |