Mar
21Alcohol: Virtue or Vice?
Tagged Under : Abstainers, Abuse, Accidents, Advertising, Alcohol, Arabs, Availability, Balance, Big Problem, Binge Drinking, Booze Buses, Broken Families, Cafeterias, Celebrities, Cheap Booze, Commercial Sales, Confusing Messages, Consumption Doubled, Context, Contradiction, Controversial Government Politics. Intoxicating Drug Al, Crime, Culture, david cameron, Dependency, Difficult Area, Disease, Doomsday Scenario, Drunk Tanks, Golden Triangle, Government Policy, Great Britain, Harm, Hate Taste, Health Minister, High-Functioning Roles, Ill, Innovative Solutions, Less Harmful Classified Drugs, Licensing, Life-Style Choice, Medical Authorities, Misuse Alcohol, Moderation, National Health Service, Other Countries, Perception, Personal Choice, Perspectives, Preventable Deaths, Prime Minister, Promotions, Region, Religion, Responsible Option, Scandal of Our Society, Serious Health Problems, Social Activity, Social Problem, Social Responsibility, Societal Attitudes, Spend, Spiritis, State Policy, T-Total, Tipping Point, Under Age Drinking, Values, Viable Alternatives, Violence, Vomit, Wreck Lives
My Dear Reader,
Many ills and diseases exist in our societies, leading to personal or social loss and harm. For example, we now have easy access of pornography - which frankly speaking is the continued debasing of the status of women here in the West (along with brothels, rape crimes, domestic violence, etc.) - through to gambling and substance abuse. One of these ills is related to the substance alcohol. The problem of addiction (of one type or another) is a huge problem and is burden on the public institutes such as the National Health Service.
Here, I write with my full heart and care on this issue, knowing that this is one of the most difficult areas to deal with as there are so many perspectives to deal with…

We all know what alcohol is – it’s a compound with the chemical group (-OH) and it’s found in many bio-organic composites. Yet, when it is converted into a beverage, it begins to go get into a disputed territory as to whether it serves as medical treatment, a positive stimulant, a social enhancer, or a indeed a mind/mood-altering drug that leads towards greater risks and crimes.
It certainly isn’t a new phenomenon; it’s been with humanity for centuries. Yet the arguments both for and against social drinking are ever-present, and getting the balance correct between individual choice, social responsibility and state policy is particularly tricky.
The consumption of alcohol is largely dependent on region, cultural norms, religious values, family background, age, context, commercial marketing and availability. There is no single standard of practice and what may work in one region with some people, may not necessarily translate so well with others in different places or contexts.
In America, they tried banning alcohol (prohibition) in the 1920’s, but this didn’t work; it just pushed the sales of alcohol underground (bootlegging). So what exactly is this material that has become such a precious article at the heart of British and most Western cultures, and what are the circular arguments surrounding it?
Recently, Prime Minister David Cameron pledged to tackle the “scandal of our society” – a reference to the UK’s binge drinking culture, where abusive drinking is reported(1) to cost the NHS in excess of £2.7 billion/year. To curb this problem, there is view to provide innovative solutions that include more police on patrol in A&E wards, “booze buses” – vehicles with paramedics to help drunken party-goers – and US-style “drunk tanks”. These are cells where drunks can sleep off their over-indulgence – negating the need to formally arrest and charge someone or take them to hospital, and keeps them off the streets and out of vehicles.
The Prime Minister went on to say “And the problem is getting worse. Over the last decade we’ve seen a frightening growth in the number of people — many under age — who think it’s acceptable for people to get drunk in public in ways that wreck lives, spread fear and increase crime.”
Though on the whole, many would say they have a ‘healthy’ view and relationship with alcohol, there are never-the-les some startling statistics leading to the above-cited cultural shift, and the striking relationship that some members of our society have with this particular substance. Since the 1950s, the amount an average person drinks has risen sharply, rising from five litres of alcohol per year to over 11 litres by 2007(2). Now, over 10 million adults in England drink more than the recommended limits(3), accounting for 75% of all the alcohol consumed; 2.6 million of these drink more than twice the recommended limits(4).
There have also been worrying trends amongst women and children. The amount that young people (those aged under 16) drink has doubled since 1990(5), and there has also been a dramatic rise in drinking by women, with heavy drinking increasing by almost a third in the decade up to 2008(6).
For a significant (and growing) number of people in England, alcohol misuse is a major cause of ill health, contributing to a wide range of serious health problems and accidents that require health care. Excessive drinking causes accumulating harm in long-term ways, contributing to liver and kidney disease, acute and chronic pancreatitis, heart disease, high blood pressure, depression, strokes, and it can harm the developing foetus(7). Alcohol is now the second biggest risk factor for cancer after smoking, contributing to cancers of the mouth and throat, liver, laryngeal, colon (in men) and breast cancer(8).
There are numerous reports and statistics that can give rather grim pictures of alcohol-related behaviour, harm and crimes, some provided by the NHS Information Centre(9) and other statutory bodies(10).
But amongst the main issues, it seems to emphasis surrounds perception and that of the personal relationship with alcohol, and this is by no means limited to England, but spread across the whole of the UK including Scotland, Wales and Northern Ireland.
A survey conducted in Scotland(11), for instance, had a section titled “Perceptions of Alcohol-Related Social Harm in Scotland” in which it was revealed that the public widely perceive alcohol abuse to be a social problem – and therefore not just a health issue. In fact, ninety-seven per cent of respondents to the Scottish Crime and Justice Survey (2009/10) considered alcohol abuse in Scotland to be a problem, with almost three quarters (74%) perceiving it as a ‘big problem’.
Unsurprisingly, women (78%) perceive alcohol abuse to be a greater problem in society than men (70%). Of course, the trouble doesn’t stop with the adults, because a range of negative effects of alcohol-drinking related activities were also reported by children, including having tried drugs, been in trouble with the police and vomiting, with the latter, as well as – ‘having an argument’ – being the most common negative effects reported.
These are only some of the reasons of how alarm bells begin ringing and we get the repeated headlines reported like the one given recently by the former head of the Royal College of Physicians, Prof Sir Ian Gilmore (writing in the Lancet) “There could be 210,000 preventable deaths over the next twenty years due to alcohol-related diseases, accidents and violence”.

A breakdown of these deaths, diseases and crimes in cost terms show that over a third (£1bn) of the £2.7bn annual cost is spent directly on Accident and Emergency (A&E) services. Moreover, a recent government report put alcohol’s cost to society in crime and lost work at anywhere between £17bn and £22bn(12).
Hospital admissions due to alcohol rose to 200,000 last year, a 40% rise over the decade and the number of patients with acute intoxication has doubled to 18,500 since 2002(13).
It is clear that excessive consumption of alcohol can have harmful and wide-reaching consequences for individuals, their family and friends as well as the wider communities.
However, many would argue that when drinking alcohol in moderation, it is not only harmless, but acts as rather like a sedative; calming and relaxing the nerves. Social alcohol in a controlled environment (usually a family-type atmosphere or a more formal gathering) is a means of enhancing relations and binding people together. And the debate is currently hot as to why certain drugs that have potentially therapeutic effects are banned, whereas alcohol is widely distributed(14).
In any case, alcohol is a strong part of one’s British and Western identity. So-much-so, that taking it out of the social fabric would create a gaping hole: what would people do then?
Well this is probably the heart of the issue. On the one hand, it is a huge part of the general culture and identity, hence its wide-spread presence, legality and availability.
Yet, on the other hand, it is more toxic than some of the ‘softer’ drugs that are currently classified as illegal(15). This is not only a contradiction that fuels the circular arguments that society are (and have been) facing, but is very confusing for the younger members of every up-coming generation who grow up trying to reconcile their ‘identity’ with a “legal substance” that does possess the power to intoxicate, and ultimately lead to harm – whether of self or others.
One of the larger problems of the binge-drinking culture in the UK particularly, in contrast to some other European countries, is that here there are three types of alcohol beverages in distribution: wines, beers and spirits, where dependency on spirits can be particularly debilitating because it gives the quickest elevation and intoxicating effect out of the three types.
Some of the strategies and tactics used to tackle this residing issue have included price increases, better intervention programmes, tougher punishments, and increased restrictions on the commercial marketing of alcohol in the open market, as well as the more recent introduction of ‘booze buses’ and ‘drink tanks’.
Nonetheless, despite such measures, our society is finding it very difficult to strike a balance between personal choice, social responsibility, commerce (sales and marketing) and state governance.
Again, many answering the call to revise the current status quo of alcohol in society are viewing the issue through their personal or professional lens: from those who come across the seven-year old child who has had to act as a carer for his alcoholic parent, to those treating a victim of alcohol-triggered violence on the hospital bed.
Subsequently, the commercial sector also has their perspective on the matter, arguing that the situation is being over-played. Henry Ashworth, chief executive of the Portman Group, which also represents UK drinks producers, said: “It is really important that we put this report in context.
“The vast majority of people drink responsibly. Painting doomsday scenarios won’t help reduce alcohol misuse and calling for Soviet Union-style population controls cannot do anything but alienate the vast majority of people who already drink within government guidelines.
“We agree with the prime minister that strong partnerships are essential to tackle the minority who use alcohol recklessly and drinks producers are committed to supporting this approach.”
Countering this, the chief executive of Alcohol Concern, Eric Appleby, said: “What we have to accept is that doing nothing is no longer a responsible option for alcohol policy, and that trying to ‘nudge’ drinking culture through information and persuasion has proved to be little better than doing nothing.
“We can see from the example of other countries that drinking patterns really can change, the challenge is there for the government to start the process now through the alcohol strategy.”
The Public Health Minister, Anne Milton, said: “As the prime minister said earlier this week, we are determined to tackle the scandal of alcohol abuse. People that misuse alcohol endanger their own lives and those of others. It costs the NHS £2.7bn per year and in our forthcoming alcohol strategy we will set out our plans on how to deal with the wide range of problems and harms it causes.”(16)
The medical group certainly believes that the ‘potential tipping point’ is within reach with respect to the drinks industry and the way it labels and promotes its products, and “taking on the shameful, preventable loss of life caused by alcohol.”
I remember when advertising of certain beverages were strongly associated with certain images or demographic types; Martini’s will always carry a certain perception in comparison to Baileys. There is an argument that the role of media in promoting alcohol as an essential feature of life is not doing justice to the vulnerable amongst us: those who have low level of self-discipline in relation to this particular product.
And this vulnerability spans all socio-economic classes; from the broken families on council estates, to those occupying ‘high-functioning’ roles, to indeed the Parliamentary (heavily-subsidised) ‘The Standard Bar’(17). The point is, there is no stereo-type, as anyone can be an ‘abuser’ and/or a ‘victim’.
Intervention treatments are only dealing with the symptoms, sometimes a little too late. To me, it seems the more fundamental criteria are two-fold: (a) the societal attitude towards alcoholic beverages and consumption, & (b) the provision of viable alternatives.
What I mean by these two is that far too many of the social/recreational activities are centred on alcohol. Why should this be the case? Yes, perhaps it’s historical matter(18), but the current binge-culture was not always at the level it presently is – with more younger people falling prey to this substance than before as well as more women – and being furnished with this understanding alone does not resolve the issue either.
People, particularly our younger members, must be provided with viable alternatives to alcohol-based venues and activities. Back in the late 60’s / early 70’s, when London reduced in the ranks of the hippy culture, many young Britons sought pleasure and relaxation elsewhere, namely Amsterdam. People say it was not the dope that was the sole attraction, but the companionship, the fraternity, the ambience of the place, which was largely due the people gathered at the place, who may also have been watching a film or show.
And this is the real central feature of the alcohol culture: that people want the companionship in a place to ‘unwind’; i.e. to find escape from the daily chores along with sociable company to relate with, and there is no harm in this itself. But surely, this does not have to include alcohol, or any other classified drugs for that matter, does it?
But away from controversial government politics and policy, who seem to keep changing positions on classifications of even lesser harmful ‘class C’ drugs(19), my main point here is that social activities can be done without the presence of the intoxicating drug alcohol. There are amongst us those who have never drunk a sip – I amongst them. There are others who have tried it and not wanted anymore, they’ve decided to become ‘tee-total’(20).
One young person commented on the Cosmopolitan site for the question: “What do people think about the drinking culture these days? Since going to university I’ve noticed that a lot of it centres around going out and getting wasted. (I know that there are people who don’t do this, but there are huge amounts that do). Personally I don’t really like to drink. I don’t particularly like the taste of alcohol and I don’t see the attraction of getting so drunk you don’t know what you’re doing. I have a boyfriend to respect as well as myself. I will have the odd drink now and then if I feel like it but that’s rare. My friends are always saying to me “you never get drink”, “go on, drink tonight,” “I’ll give you a lift so you can drink”. To be honest I don’t see the obsession, I can have a fun time without. My friend even said to me, “I don’t mind if you don’t drink on a night out, you’re fun even if sober.” (21)
And it’s the stars too who are changing their drinking habits and attitudes towards this substance. Many citing(22) they ‘hate the taste’, ‘never needed it to relax’ and Daisy Lowe (21-year-old model) joined her teetotal mother Pearl as a ‘soberista’ recently; boasting how her new clean living lifestyle has transformed her for the better. Glamour site said “We can’t imagine many ‘It’ girls who spent their 21st sober…”
But she’s is not alone in that league. The list also includes the likes of Leona Lewis, Kristin Davis, Jada Pinkett Smith, J Lo and men too amongst the t-totalers: David Williams, David Beckham, Gerard Butler – the latter who recognises now the pangs of beer and says he ‘did a full life’s worth of drinking between the ages of 14-27’.
Other Hollywood stars(23) choosing to abstain do so for diet, weight and detoxing reasons, some simply because they ‘can’t handle alcohol’, or that they don’t want to ‘slip-up’. Whatever the reason, non-drinkers include ‘A’-list stars like Jim Carrey, Tobey Maguire, Natalie Portman, Bruce Willis, Samuel L Jackson and Tom Cruise.
So, it is evident that many actually detest the taste of alcohol, as well as hating having to face hangovers, and any form of regrets from wrongful alcohol-induced actions.
The predominant cultural idea of the “watch a game of footie; pint-in-hand” requires further consideration. I mean, if we can go to the cinema and watch a film and consume popcorn (or cheese-topped nachos with jalapeno’s) with a fizzy drink, possibly followed by an ice-cream, then we must be able to watch a game of footie without the need to have an alcoholic beverage associated so strongly with it?
It’s this activity-related drinking that concerns me more than other things, because often it appears everything is normal, under control, then before long, something happens. Though tolerance towards alcohol can vary from person-person, there are minimum guidelines published everywhere, but who’s watching and measuring when people are drinking in private? Besides, as with other things, tolerance increases with consumption. And one person’s tolerance-threshold is another person’s cup of tea…therefore, there are degrees to dependency, consequently, addiction or abuse is very much a subjective matter.
One chap (Paul, in his mid-50’s) who was travelling on the same train as me out of London recently told me how he was surrounded by alcohol since his twenties and used to drink with his friends regularly till 4:00am. He complained about the loss of the ‘community pub’, but said many off-licences had made it easy for people to get cheap booze. He’s been a heavy drinker for years and never considered there were any problems, apart from the bad breath he had at work. Then the real problems began: relationship breakdown, loss of family and hospitalisation. Not only did he have liver cirrhosis(24), but the two side-effects that shocked and disturbed him most were severe itching and bleeding. He told me that excessive bleeding, a condition called melena(25), came out from his mouth and genitals, which was pitch-black with an extremely pungent, chemical smell. If he stopped drinking, his mind became too alert – and he couldn’t stop thinking – so he kept on the drink to maintain his semi-euphoric state.
At least he was not in any denial over his life-style or issues. I know how emotive a subject this is, as it means so much for different people; whichever side they are approaching it from – clinically or as a dependent abuser – it’s like an embodiment of this material, a part of their identity.
As stated, perception, consumption and tolerance levels play a significant role in lifestyle choices, but so do manufacturing, distribution, marketing and promotion. I really can’t understand why non-alcoholic cafeterias don’t stay open till later. If one looks across the Middle East, it’s clear that families and young people go out at night to places of relaxation and socialisation where there is no sign or presence of alcohol.

List of countries by alcohol consumption
2004 data of alcohol consumption per capita (age 15 or older), per year, by country, in litres of pure alcohol. (26)
The Arabs of pre-Islamic times were aficionados of wine and alcohol; they had high-taste and appreciation of distinctiveness – taste, smell, flavour, colour, and tone – they refined it all. Even now, they have over seventy names just for palm-dates – depending on the stage of development (ripeness), to when it’s harvested, and from which region, etc. So, one can similarly imagine how effective they were with vineyards! Yet, on the whole, they have abstained based on religious, social and cultural grounds, and kept it like that for over 1,400 years.
I too, had I drunk, believe I would have been a bit of a connoisseur. But I don’t need it – never did – though I do like socialising, bantering, interacting, lounging, or being entertained. As seen from the celebrity profiles above, people are wising-up to the idea that they can enjoy themselves without turning to alcohol(27).
And this is the key, that people themselves come to the realisation they can enjoy themselves without taking any intoxicating drug – just as in places like Egypt, Morocco and parts of Spain, where cafeterias, shopping malls, and eateries are open till later hours, here too, I believe, a similar cultural shift would assist in normalising drinking habits and attitudes.
Once social habits equalise themselves the trick is half done. I don’t think, in my opinion, it will be solved through governmental pricing / taxation strategies alone – it doesn’t really put it out of reach – just as it hasn’t with tobacco-cigarettes (nicotine). Rather, this just creates more antipathy as people regard the policies as hypocritical and self-defeating. In any case, most people do not agree with the idea of extending the ‘nanny state’.
What the government ought to do, as it has a moral responsibility to encourage and ensure good social behaviour and maintain peaceful order, is to get the licencing strategy right across the food and beverages / leisure / recreational / entertainment sectors. Helping people – the younger members especially – have wider access to viable alternatives to alcohol-centred activities will encourage better life-style choices.
To this end, education is pivotal and will certainly help raise important awareness and push the momentum towards a healthier cultural shift. The ‘golden triangle’ stated at the beginning of this article – of individual choice, social responsibility and state policy – would then be placed in a better framework that is more likely to work in a sustainable manner into the future.
Needless to say, the role of media would have to adjust itself in light of changing perceptions, habits and demands: the independent charity Alcohol Concern has a useful publication on this aspect(28). They commissioned a study looking into the (negative and forceful impact) of alcohol branding in comparison to cake and ice-cream branding. A recent article in the London Metro(29) (March 15th 2012 Edition, p20) showed how four out of five primary school pupils identified Carlsberg as lager and Smirnoff as vodka – twice as many as those who recognised Mr Kipling cakes branding.
It is clear that children spot alcohol logos more readily than cake branding. Alcohol Concern’s Andrew Misell said “do we want to live in a society where children are so familiar with major alcohol brands?”
Sadly, until and unless we get the balance right, we, as a society, are going to continue to face the ills of alcohol(30). The on-going contradictions, cultural disparities and varied arguments will no doubt continue to fuel the debate, and prick the conscience of some, and there will most certainly be preventable deaths caused due to this mysterious object of obsession we generally call alcohol.
Other Points:
A comment posted on The Guardian(31):
“Price has absolutely nothing to do with it. Here in Italy you can buy a litre of wine for as little as one euro and yet people do not stagger around drunk like they do in the UK.
I have long wondered why northern European countries have such problems with alcohol and Mediterranean countries much less so. At first I thought it might be a religion thing. But they did a survey in the USA which found that Irish descent Catholics were 7 times more likely to become alcoholics than Italian descent Catholics.
In the end, Mediterranean countries drink mainly wine (as opposed to spirits etc.) and it is considered to be a food stuff which is consumed (with food) in a family environment (around children). There are few alcohol drinking establishments, unlike in the UK, and the law here in Italy requires that canapés be served with each alcohol drink free of charge.
It will take a long-term education programme to change the drunken culture in the UK. Raising the price is simply a money-making exercise for the Government”.
Non-alcoholic posh cocktails: even better than the real thing
Cuban Cooler
Take a highball glass and add
a sprig of mint;
one teaspoon of sugar;
15ml apple juice;
15ml lime juice.
Mix with a spoon in the glass, then add 10ml cranberry juice on top for a bit of colour and fill with crushed ice to the top of the glass. Add a wedge of lime as desired as a garnish
Very Berry Fever
Take a highball glass and add
10ml raspberry juice;
10ml blueberry juice;
10ml blackberry juice;
a teaspoon of sugar.
Mix in the glass, add crushed ice as desired and 15-20ml of lemon juice.
Top the glass up with soda water.
Mix again with a spoon
Mock
Mix together in a cocktail shaker
a teaspoon of strawberry jam;
5 blackberries;
a teaspoon of sugar;
10ml lemon juice;
30ml of grapefruit juice;
30ml of pineapple juice;
a small amount of ice.
Pour into a whisky glass and garnish with a strawberry cut into three pieces.
For Continued Success and Contentment (but be careful folks, this does not need external substance dependency!)
Asad Khan
References
(2) Institute of Alcohol Studies (2010) IAS Factsheet: Alcohol Consumption in the UK Cambridge: Institute of Alcohol Studies
(3) National Audit Office (2010) Reducing Alcohol Harm: health services in England for alcohol misuse London: The Stationary Office
(4) House of Commons Health Committee (2009) Alcohol: First Report Session of 2009-10 London: Stationery Office Limited
(5) ibid
(6) Office for National Statistics (2010) Smoking and Drinking amongst adults, 2008 Newport: Office for National
Statistics
(7) op. cit. House of Commons Health Committee (2009) and National Audit Office (2010) Reducing Alcohol Harm:
health services in England for alcohol misuse London: The Stationary Office
(8) op. cit. House of Commons Health Committee (2009)
(11) NHS National Service, Scotland http://www.alcoholinformation.isdscotland.org
(12) Department for Work and Pensions (2009) State of the nation report: poverty, worklessness and welfare dependency in the UK, London, DWP.
(13) Alcohol Concern consultation response to ‘Healthy Lives, Healthy People’ Public Health White Paper
(18) http://en.wikipedia.org/wiki/Alcoholic_beverage
(19) http://www.guardian.co.uk/society/2007/oct/25/drugsandalcohol.drugs











