Alcoholic liver disease in England

by rcentor on March 15, 2005

Jump in alcoholic liver disease

Between 1989 and 2003 admissions for the disease increased by 116% in men and 108% in women.

The figures, collated by London’s St George’s Hospital and Imperial College, were presented at a British Society of Gastroenterology meeting.

They underline just how much of a drain alcohol abuse is on NHS resources.

The figures show that there was a rise in admissions in people of all ages – including young adults.

Many health campaigners have voiced concern that changes to licensing laws, allowing more pubs and clubs to stay open for longer, could lead to increases in alcohol-related illness and public disorder in the UK.

Lead researcher Dr Mark Fullard said that with hospitals already struggling to cope with demand, the rising number of cases of alcoholic liver damage was a potentially huge problem.

“The research findings highlight an important problem in public education and health planning and how we are going to manage alcohol related problems in this country.

“If it doubles again, it is going to have tremendous implications for the future burden of care in hospitals.”

All physicians know the long term evils of excess alcohol intake. What I find most interesting is how different cultures handle alcohol. In some cultures, drinking is socially acceptable, but being drunk is unacceptable.

As I view British culture, I see the opposite. Unfortunately, I perceive the same problem in parts of the US culture. Too many college students revel in their drunkeness. Too many patients that I see go out drinking to get drunk.

I wish I knew an answer to this problem. Abstinence (while important for recovering alcoholics) is unlikely to provide the answer.

When my children were adolescents, I stressed the importance of drinking responsibly. I never had delusions that they would not drink. Rather, I pointed out two key features of responsible drinking: Never drive when drinking and Getting drunk makes you the fool. I believe that we need a cultural shift in promoting responsible drinking. But, unfortunately, I am skeptical of the likelihood that it will occur.

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{ 1 comment… read it below or add one }

somecare November 19, 2006 at 11:40 pm

Studies Reveal More Problems Facing Alcoholics
Two more research studies have emphasized the serious health effects of long-term heavy drinking, from an increased risk for having accidents to developing liver cancer.

Heavy drinking has long be associated with other liver problems, such as cirrhosis, and now a new Italian study links heavy drinking to the development of liver cancer.

Dr. Francesco Donato, a professor of epidemiology and public health at the University of Brescia in Italy, studied 464 Italian men and women diagnosed with hepatocellular carcinoma, the most common form of liver cancer, and 824 patients with no liver damage.

Donato’s researchers found that drinking more than 60 grams of alcohol a day, equivalent to four to five glasses of wine, was associated with an elevated risk of developing liver cancer for both men and women.

They also found that the risk of developing liver cancer was even greater for patients who had been diagnosed with either hepatitis C or hepatitis B.
The study was published in the American Journal of Epidemiology.

Increased Injury Risks
The second study conducted by the Boston University Schools of Medicine and Public Health, revealed that recovering alcoholics are much more prone to injury than recovering users of cocaine, heroin and other illicit drugs.

The researchers found at the start of a detoxification program, alcoholics were about twice as likely to have suffered a serious injury in the previous six months as compared to illicit drug users.

The significant finding of the study was the surprising revelation that higher injury rates to alcoholics continued for the following two years of detoxification; alcoholics continued to be more accident prone than drug users even after they quit drinking.

Jeffrey H. Samet, the study’s senior author, said, “Our hypothesis was simply that when it comes to substance abuse, the consequences vary for each substance and for the group of users. What the substance is may be an important factor in the outcomes of the user.”

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