
Drinking over Christmas
The Joint Oireachtas Health Committee faces new challenges in its efforts against alcohol abuse according to the Irish Medical News (IMN)
The problems associated with alcohol abuse reach every corner of society. It is associated with health problems such as liver cirrhosis and various cancers, it is linked to mental difficulties, self-harm and suicide, it places an unnecessary burden on the healthcare system, it is a factor in domestic abuse, it can destroy families and finances, it is connected to criminal behaviour and it plays a part in fatalities on Irish roads.
So what can be done to curb alcohol’s corrosive impact on society? Last month, Health Minister James Reilly stated that the report of the Steering Group for the National Substance Misuse Strategy is close to completion and is expected to be published in the coming months.
The report will look at policies concerning the supply, pricing, availability and marketing of alcohol, including the question of a minimum price for alcohol.
Minimum pricing is a mechanism of imposing a statutory floor in price levels for alcohol products that must be legally observed by retailers; its primary function would be to discourage high-risk levels of alcohol consumption.
The report will also look into measures for the policy areas of prevention strategies, treatment, rehabilitation and substance dependency, research and information. The Joint Oireachtas Health Committee is also playing its part in trying to eradicate the abundance of alcohol-related problems in the country.
Over the past two months, the Committee has engaged in much discussion on the issue of alcohol. In October, the first in a series of meetings was held on the topic, which culminated in Chair Deputy Jerry Buttimer stating that members of the Committee have adopted alcohol as one of their priority topics.
At the meeting, Mr Mick Devine, clinical director and clinical manager at Tabor Lodge, an addiction treatment centre in Cork, produced figures showing an “alarming increase” in the numbers of women who are seeking treatment for alcohol abuse.
Furthermore, the core service provided at Tabor Lodge is a 28-day residential treatment episode and Mr Devine said it has become evident that this period is not long enough.
He told the Committee that in the past 10 to 15 years, it has become clear that this timeframe is not long enough to adequately treat a client for alcohol addiction, “especially for people aged between 18 and 35 who are addicted to more than one substance and come from a disadvantaged community, may be unemployed and may be struggling with the addiction of another family member in the household.”
The Committee also heard that drinking in the home has exacerbated problems of alcohol abuse and dependency for women. “Bearing in mind that it might not have been so possible for a woman to behave in a drunken manner in the pub, she is drinking more as the pub trade diminishes and the focus of drinking shifts to the home,” Mr Devine said.
The incidence of domestic violence is also on the up, he stated, and people are also drinking at an earlier age. “Where youths might once have begun drinking in their mid-teens, it has been reported in the past 10 years that they are starting to drink in their early teens.”
The clinical director noted that if one asks a patient in Tabor Lodge whether there is a family member addicted also, the usual answer is that there is and it is usually the father. “It is now common to expect someone between 18 and 35 years to be poly-addicted,” Mr Devine said.
“Individuals in this age bracket are still reporting that alcohol is the favourite, first and main drug, but they are using others also. … It is unusual to have an under-35 year old addict in this country addicted to only one substance and I suspect that is not confined to Cork.”
Committee member Senator Colm Burke also revealed some alarming figures showing the number of babies who went into delirium tremens or DTs after being born, as a result of maternal consumption of alcohol during pregnancy.
The number of babies delivered in the Rotunda Hospital who experienced DTs amounted to 44 in 2008. This fell slightly to 38 in both 2009 and 2010. In Holles Street Hospital in 2009, 20 such babies were delivered, he said.
Speaking to IMN, Senator Burke said the biggest issue facing Ireland now is the health problems created by alcohol, especially in emergency departments where many people end up as a result of injury through drinking.
Furthermore, he reiterated the problem of domestic drinking. “You go into a pub and if you have too much to drink, the publican might say ‘I’m not serving you any more’,” he said. “But there are a lot of people drinking at home where there is no-one to cut them off.”
Senator Burke drew attention to campaigns in recent years that have highlighted the dangers of drink-driving.
He also said that third-level institutions need to take on board some of the responsibility. Last month, the Committee welcomed representatives from the Advertising Standards Authority for Ireland (ASAI) and from the Alcohol Marketing Communications Monitoring Body.
Two of the functions of the ASAI are to deal with complaints about advertisements from any source and to monitor advertisements for compliance with its code. According to Mr Edward McCumiskey, ASAI President, very few alcohol advertisements are found to be in breach of the Authority’s codes.
“For example, in 2002, 12 advertisements were found to be in breach of the code but none has been found to be so since 2007,” he told the Committee. The ASAI code on alcohol states that alcohol advertising should be “socially responsible and should not exploit the young and immature”.
“It requires that anyone depicted in an advertisement for alcohol should look, and be, over 25 years of age. Aspects of youth culture should not be portrayed and advertisements must not appear in media primarily intended for children,” Mr McCumiskey continued.
Senator Burke emphasised the importance of educating young people so as to prevent them becoming victim to future alcohol abuse. “Colleges and other third-level institutions need to take a measure of that responsibility,” he said.
“Especially in first year of study, in that crucial run up to Christmas. Students need to be educated on the dangers of excessive drinking.”
The Committee is due to have two more meetings concerning alcohol issues in mid-December, and one of these will see attendance from HSE representatives. The Committee will then prepare a report on the topic to send to Minister Reilly. The report will be published by the end of January, 2012, the IMN heard.
Senator Burke said the priority will be to look at ways to stop excessive drinking. “It’s about how we get the message out there. We need to be very aggressive in letting people know you can enjoy a drink without having excessive drinking.