Salisbury Café Scientifique                   1st May 2012Combating the harms of excessive drinking in the UK  Institute o...
Latest figures on hospital admissions, deaths & costs 2008 – 2009   945,469 hospital admissions               - 47% increa...
Adults > 16 yrs – drinking behaviour                                             Men %   Women %Hazardous**       Men >21 ...
BBC News         ’Wealthy areas head alcohol table’Hazardous drinking is rife in affluent middle class– Runnymede 26.4%, S...
Male & female alcohol consumption & cirrhosis                         Males                FemalesCumulative total        ...
Drinking amongst children aged 11 – 15 yrs (Annual survey across 264 English secondary schools)One-third consuming >15 uni...
Screening for excess alcohol consumption• Blood tests – SGOT, AST, MCV identify misuse in  two thirds of hospital patients...
Effective management of the social healthand economic problems caused by alcoholrequires a much broader collaborativeappro...
Overall alcohol consumption reduced  IF     AFFORDABILITY         ACCESS         ADVERTISING                    ARE RESTRI...
2009 – 2010£17.6 million      – Government expenditure                     on alcohol awareness£600 – 800 million – Drinks...
Effects of changes in alcohol controls                                  Alcohol                     Change in             ...
Obesity in the UKRate rising sharply-2009         65% ♂ & 50% ♀ overweight or obese> 16 yrs     24% in obese category BMI ...
Deceased Donor TransplantsApril 2010 - March 2011. Total No: 689  Alcoholic Cirrhosis              134  HCV Cirrhosis     ...
Organ donors and liver transplants    per million population (2010)              Organ donors Liver transplants           ...
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Combating the harms of excessive drinking in the UK

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A talk given for Cafe Scientifique on 1st May 2012 by Prof Roger Wiliams CBE, Institute of Hepatology & Foundation for Liver Research

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  • Talk for WASP
  • Combating the harms of excessive drinking in the UK

    1. 1. Salisbury Café Scientifique 1st May 2012Combating the harms of excessive drinking in the UK Institute of Hepatology & Foundation for Liver Research Professor Roger Williams, CBE
    2. 2. Latest figures on hospital admissions, deaths & costs 2008 – 2009 945,469 hospital admissions - 47% increase over 5 yrs 2008 9,031 deaths, majority from cirrhosis, females 34%, 8 & 7-fold increase in 35 – 44 age group since 1998 2006 – 2007 2.7 billion cost to NHS (78% hospital/OP) 55.1 billion total societal cost (Moriatry KJ. Frontline Gastroenterology. 2010; 2: 77-81)
    3. 3. Adults > 16 yrs – drinking behaviour Men % Women %Hazardous** Men >21 <50 units/wk 31 20 Women >14 <35 units/wkHarmful** Men >50 units/wk 9 6 Women >35 units/wkDependent+ Scoring of Alcohol 9 4 Dependence Questionnaire** General Household Survey, 2006+ Adult Psychiatric Morbidity Survey, 2007
    4. 4. BBC News ’Wealthy areas head alcohol table’Hazardous drinking is rife in affluent middle class– Runnymede 26.4%, Surrey Heath 26.0%Harmful drinking is highest in poorest areas– Manchester 8.8%, Liverpool 8.1%
    5. 5. Male & female alcohol consumption & cirrhosis Males FemalesCumulative total 917 kg 570 kgalcohol consumptionPercentage developingcirrhosis 33% 63% (Marbet UA, et al. J Hepatol. 1987; 4(3): 364-72)
    6. 6. Drinking amongst children aged 11 – 15 yrs (Annual survey across 264 English secondary schools)One-third consuming >15 units a wk= 178,560 children31% of children in drinking vs 5% in non-drinkinghouseholds (NHS Information Centre 2008)
    7. 7. Screening for excess alcohol consumption• Blood tests – SGOT, AST, MCV identify misuse in two thirds of hospital patients but only 25% in primary care• Audit – Alcohol use disorders identification test self administered 10 questions on consumption (3), drinking behaviour (4) & dependence (3)
    8. 8. Effective management of the social healthand economic problems caused by alcoholrequires a much broader collaborativeapproach, led ultimately by Government ifalcohol consumption in the population as awhole is to be reduced. (Stubbs MA, et al. Clin Med. 2011; 11(2): 189-93)
    9. 9. Overall alcohol consumption reduced IF AFFORDABILITY ACCESS ADVERTISING ARE RESTRICTED
    10. 10. 2009 – 2010£17.6 million – Government expenditure on alcohol awareness£600 – 800 million – Drinks industry on promoting consumption
    11. 11. Effects of changes in alcohol controls Alcohol Change in consumption indicator1917 Denmark: increase -76% DTs cases -93%in spirits & beer taxes Alcohol deaths -83%1955 Sweden: abolition +25% DTs cases +438%of alcohol rationing1969 Finland: beer +46% Alcohol deaths +58%purchases grocery stores1985-88 Russia: anti- -25% Alcohol deaths -54%alcohol campaign Male suicides -37% (Source: Alcohol related harm – a growing crisis, time for action! R. Room, 2005)
    12. 12. Obesity in the UKRate rising sharply-2009 65% ♂ & 50% ♀ overweight or obese> 16 yrs 24% in obese category BMI > 30 (kg/m2)2 - 16 yrs 17% ♂ & 16% ♀ obese75% of obese individuals have NAFLDNAFLD prevalence in population 20 – 30%
    13. 13. Deceased Donor TransplantsApril 2010 - March 2011. Total No: 689 Alcoholic Cirrhosis 134 HCV Cirrhosis 90 Primary Biliary Cirrhosis 43 Primary Sclerosing Cholangitis 52 Acute Hepatic Failure 77 (incl. Paracetamol overdose 25) (Data from NHSBT, 2011)
    14. 14. Organ donors and liver transplants per million population (2010) Organ donors Liver transplants (incl. LDLT)Spain 32.0 20.7France 23.8 16.9Italy 21.6 16.9Germany 15.8 15.7UK 16.4 11.5U.S.A. 25.0 19.8 (Data from the Transplant Committee of the Council of Europe. 2012)

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