SX43%LIVERPOOL.AC.UK@evans.ucar.edu (11/19/90)
//////////////Original message////////////// As-Salaamu alaikum, The enclosed letter was initially printed in the editorial columns of a pharmaceutical journal and subsequently reprinted in the invitatin magazine. It makes some interesting remarks. Title : Alcohol Author : Mr R. A. Bhai,MRPharmS. Source : 'The Invitation' magazine, Sept 1990. Contact : The Invitation 83 Chadwick Road Nottingham NG7 5NN England U.K. ------------------------------------------------------------ Sir, While welcoming your concern on alcohol misuse and your advice to pharmacis ts to encourage 'sensible' drinking (PJ June 9 P673) I have to point out that there seem to be certain inherent contradictions both in the editorial and the article promoting the Drinkwise campaign (ibid,p688). Your contention that there is no harm in drinking alcohol in 'moderation' would seem to contradict the statement quoted in the article from a report by the Ro yal College of Physicians which states that : ' the greater part of the total harm in the community arises with the group whi ch drinks moderately'. Further, both the editorial and the article fail to draw the reader's attention to a very important point mentioned in the same report, that : 'unfortunately there is insufficient scientific evidence to make completely con fident statements on how much alcohol is "safe" '. Thus even the so-called 'safe' limit is not necessarily safe in the light of th ese remarks. Elsewhere in the same report, it quotes from a study which says that : 'reproductive function can be seriously disturbed in men taking even modest amo unts of alcohol'. Another report that I read of in a newspaper article suggested that regular con sumption even in modest amounts is likely to reuslt in some damage to the brain cells. The point is that there is no such thing as a 'safe' limit. And if we th ink there is then we are deluding ourselves. Thus your statement : 'while tobacco, even in moderation, can be harmful..the same cannot be said in relation to alcohol', is stictly speaking incorrect. However while damage that individuals do to themselves through alcohol can be t olerated as long as it is confined to themselves, what about the social consequ ences of alcohol misuse. Should we not as health workers be concerned about the social effects of this drug which is increasingly giving rise (or at least con tributing) to a general social breakdown in terms of increasing vandalism, dome stic violence, child abuse, road accidents, criminal activities, drunkenness, a bsenteeism, etc. ? Surely if it were not for the efforts of health workers and social reformers ea rlier this century in bringing about better social conditions, standards of hyg iene and sanitation, the sourges of such infectious diseases such as tuberculos is would perhaps have never been eradicated. Thus it is imperative for pharmaci sts to discourage the consumption of alcohol, and selling it as a 'beverage' wo uld be akin to promoting unhealthy habits which lead to poor hygiene, which in turn could lead to diseases. Here I do not see any conflict between the pharmacists role in the dispensive o f much more addictive drugs such as benzodiazepines as compared to alcohol beca use the former is not generally considered a 'beverage' as is the latter. On a final note I will leave you with a quote from the Qur'an : 'They will ask thee (ie the Prophet Muhammad (Peace on him) ) concerning intoxi cants and games of chance. Say, "In both there is great harm as well as some be nefit for mankind; but the harm which they cause is greater than the benefit wh ich they bring.' (2:219). R.A.Bhai, London SE5. -------------------------------------------------------------------------------