to stop this morning to see if that was the moisture, the easy to find new lands and the binge drinking is defined as consuming a large amount of alcohol in a short period of time. typically what the goal of becoming intoxicated of this type of drinking can have a range of negative health effects, including increased risk of accidents, injuries, and chronic health conditions, such as liver disease, high blood pressure and certain types of cancer. but does that mean all drinking is bad for the health while i'm sky now he use it on this edition of $360.00 view, we're going to look at what is causing the rise of alcoholism around the world and what ties alcohol might have the controversial social issues like if the

transgender debate, let's get started. the binge drinking is a rising trend with dangerous consequences. as people are being released from the pendant o'clock downs, there's a drop off to go out and catch up on the times you has missed were an actual course lot. roxana solano tells us about one incident of mass bench at drinking at a university in america. well, scotty, college students are on one of the groups. experts are worried about beings drinking as they're trying to make up for last year separated from their peers. so we end up in demick, university of massachusetts is warning students about the new drink combination, causing $28.00 am lenses to be called to off campus parties. a tip top is being blamed for circulating the drink trends and ingredients. the social media platform

is already in hot water with the u. s. government as bills are being floated in congress to band tick tock, the drink, the boards, or blackouts rates. gallows is encouraging students to be in string. copious amounts of alcohol from gallon galaxy start with the account. the famous drink is training on tick tock would be a showing work recipes work selling this and work ponce most importantly, you have to name it and it's got to be something with borg. and so basically gens you just like trace this, students were seen carrying the jobs at the annual on sense and you mass students event learning blow up. they were seen naming their dogs with work ponds on social media. well, clearly intoxicated. rick, in the j. jason, board, people in the comments clean. the goal is to have your own drink to bring 2 parties

to prevent writing terms or getting sleep with a date, rape drug. students promote drinking this combination of water and electrolytes and vodka because they think it will help them stay hydrated while they drink. and then lastly, because there's only 1 pm, we're going to add some liquid ivy. so we don't get hung over at midnight. i'm just gonna throw this whole time. i just take it off. but this misconception is leading to alcohol poisoning, who's up and then make. we're seeing the rice and beans drinking. during the pandemic, we saw a number all declining drinking. most were isolated or at home as classes move online. group activities or parties were drinking, would be prevalent, simply were not happening. this isolation contributed to mental health problems and substance abuse across the board. and so even though we saw a lower amount of people drinking, there was a massive rising people,

beans drinking in 2020 alcohol death across the globe, increased by 20 percent, causing the world health organization to raise the alarm for women, russia, an australia have the highest numbers of alcohol, lisa dependence, followed by norway, columbia on hungry. russia rates a stop of the least for males suffering from alcohol. listen, followed by hungry victoria and south korea. however, now we're back. people are going to parties, college bars and restaurants are open again. the national institute of health is worried about what they're calling the alcohol deprivation effect. people tend to really rebound in drinking after a period of not drinking experts say they are not expecting you to stop drinking. it is after all, a staple in our society. be yours after work to one happy hours of 5 o'clock. mean most is a bronze or bloody marys or popping up something for

a birthday. but it is important to rethink during the drinking a. make sure you stay within a safely ment. for 360 view, i'm kind of solano back to you to study. today we are thrilled to be joined by dr. george cube. the director of the national institute on alcohol abuse and alcohol isn't at the national institutes of health. we're so glad to have you today. let's get right into it. dr. cube we are seeing a rising trend online with college students posting videos about drinking boards or blackout rage and gallons these and mix half a gallon of odd coat with electrolytes and students promote these as a way to help them stay hydrated while they drink. scientifically, is there any truth to this? to date, there's no real evidence to suggest that this approach has any harm reduction, little which is a, but there hasn't been much research on it either. and basically,

you're talking about half a gallon of vodka, which, you know, if you're 40 percent alcohol, to lose a glass of water you're, you're talking about, you know, the equivalent of, um you know, 2 bottles of wine at a minimum of $4.00 to $51.00 at that so about 20 percent alcohol. and i'm honestly if one person it just that you're, you're really gonna originally photos. so it's, it's, you know, it would, you know, used to worry about students having uh, uh, alcohol from punch bowls. um. but uh more cuz they're like, uh, self made punch bowls to go. well, as we saw on our report, this misconception led to about 28 ambulances rushing to university massachusetts for students suffering from alcohol poisoning. and you said you did think of the electrolytes actually help, but there's been no research. what are the dangers,

you know, of from judging half a gallon of vodka. how's it? the simple answer is dest. okay? because basically, you know, you have in a half a gallon and like, uh, about 40 standard rates are 40 shots. a shot is 1.5 ounces. that's a standard drink for distill beverages. 12 ounces of beer for beer, and 5 ounces of wine. those are a standard drink and you know, when you, when a male drinks about 5 or a female for you're at point 08, which is the binge level. you double that, your point $16.00, which is at the black out level. that's the name for boards, and if you double that, you're at the legal dose of alcohol, which is about point 35 grand percent. not that anybody's going to remember that, but you know, the legal limit is point away. it's a 4 times the legal limit,

which is we consider a bench is basically the, the least fault, those 50 percent for alcohol, for a person of, you know, a $150.00 pounds. so you know, it, it, it, it, that's one of the dangers. i mean, you can then go down the list. i mean, you know, there can be a tax, the inability to operate, you know, heavy machinery like an automobile. more likely to have accidents falling off or off a fence or a wall. or, you know, many different things in that, in that realm that, um that, that drinking in individual it on above not to mention blackouts, which is where you don't remember what transpired when you're drinking. and so i think anyone can imagine what problems that could lead to it in a part of the situation. now you said before,

people were drinking at less and during the pandemic. and are we seeing that people drink more? now, during the pin, derek restaurants were close to people. actually we're not going out to bottom was branches are going out to campus parties, people were drinking less. are we seeing an increase in drinking now that we are returning to normal? see, you know, you asked earlier about as a phenomenon as well as stablish and now coffee and what we call the alcohol deprivation effect. so people who have not been drinking for awhile for whatever reason, and then resumed drinking often overshoot it. i hate to say it, but not only do people do it, but primary monkeys do it. let's do it in my stewart. okay, so this seems to be a universal phenomenon of over drinking when having been deprived. so that's, that's one thing that people should watch out for as, as the pandemic. um, you know, moves us back after, as a decline in pandemic issues moves us back to on our,

our regular social interactions. so, you know, i think i think alcohol is when you go past a moderate drinking level becomes a passage and, and i think we really need to understand that and understand that it, it, it, you know, counts for 5 percent of, of cancer in the united states. and that's according to the national cancer institute with whom we work at. and i age, of course, we have heard of an increase in binge drinking. this is specifically amongst women . what are some of the concerns you have and the, and i age with this increase and binge drinking? anything past the dietary guidelines, which are 2 drinks a day for males wondering today for females, you basically increase the likelihood of problems associated with alcohol and, and they, you know, alcohol sex 200 different organs in the body. and exacerbates many different disease conditions. everything from diabetes to, to heart disease, 2,

problems with liver function. in particular, i'm half of liver disease desks now in united states are attributable to alcohol. so you basically are seen a major concern about health in general with increased alcohol use. and, and, you know, i guess if there's anything i'd like to get across is that people understand what a standard drink is when we say to drink today. we're not talking about the new yorker cartoon. i think it was the new yorker pattern where, you know, i only have one glass of wine and a, but you know, the class is the size of liter. so, you know, i think, i think that's an important issue that i think the public should understand what is a standard drinking and what is considered by the cdc. moderate drinking again, it's 2 drinks a day for males wondering today for females. so you said people were drinking less during the pandemic, but there were more deadly cases of drinking during that time. what led to this kind of deadly drinking during the pandemic locked down?

um, it's possible we, we, we really don't have data. is that that fine grained of analysis. what we do now was that there was a 25 percent increase in tests associated with alcohol on death certificates. in the 1st year of the pandemic, that increased was sustained an increased even more in the 2nd year. the pandemic, there's the increased cirrhosis of the liver, and a number of liver transplants. during the period of the pandemic car crash, fatalities increased for, for from the 1st time in the long time in 2020. and the percentage of emergency room visits involving alcohol consumption also increased. and what we're picking up is that about 25 percent of individuals increase their consumption, but that group tends to be individuals who are drinking to cope with the stress distress that was associated with the pandemic. so it can include, you know, everything from job concerns to a lack of social interaction because we're,

we were locked down for a long periods of time and, and also concerns about even getting sick from, from the virus. and you were very specific about men. a normal amount is about 2 drinks women and normal amount. just wondering in america, we recently have dealt with these mass shootings where people are very confused about the identity of the shooter who came out to be transferred or not transgendered. transitions are kind of coming about more, more and more often it can cause sometimes confuse things when you're talking about these limits for drinking. do hormones or these transgender surgery is change that, or even if somebody transitioning, should we sticking to the biological amounts? when you say these limitations for male or female, you know, that's, that's, we just don't have any data on that. i mean, it's a good question. it's great science, different questions. but i, i really, you know, i think it mostly has to do the difference between males and females,

and it's a small difference. and in some level, if you do, if you look at the alcohol chart, it is largely due to bonding water distribution. and so, you know, females in general have more body water, a less body water, excuse me, and more fat per kilogram than men. and because of that, alcohol tends to hang out in the water component. men have more body water per kilogram than females. so that accounts for a slight change in blood alcohol level, but the other major changes that men are just larger than females. so i would think the body weight would trump everything else, to be honest with you and, but i don't have any data. it's a very good scientific question whether, you know, for model changes would, would affect the,

the blood alcohol and metabolism and absorption, but for now i don't, i don't, we don't have any data that i'm aware of on that. thank you. i, dr. george cube, the director of the national institute on alcohol abuse and alcoholism at the national institute of health. and now after the break, we're going to continue our conversation with dr. tube and asked, what can we as individuals do to help identify or prevent this crisis from getting on the look forward to talking to you all that technology should work for people. a robot must obey the orders given by human beings accept. we're so short or is it conflict with the 1st law? show you alignment of the patient. we should be very careful about our personal intelligence at the point, obviously is to make

a trust rather than to the various things with artificial intelligence. we have somebody with demons, the robot must protect this phone. existence was on the recorded street just and what else was the story to avoid mutual in which a lot of what you see is not a simple device. so the blue it go. it is yes. yeah. when you go to the, to a new one and then you lost when you really as well. but he pulls the for loop. the

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lager back on the sky. now hughes and you are watching a $360.00 view. we're talking about the dangers of binge drinking and alcoholism. we are rejoined by doctor george cube, the director of the national institute on alcohol abuse and alcohol isn't at the national institute of health. thanks for joining me, doctor. and we are seeing people drinking more. those who binge drink and don't necessarily suffer from alcohol, isn't just maybe lack of education on safe alcohol consumption. but what are some of the science to look for? if you believe a loved one is suffering from alcohol addiction, we use the term alcohol use disorder. now just for the record. so that means it's a spectrum disorder and you know and, and it's mild, moderate, and severe and, and what we used to call alcoholism or alcohol and diction or alcohol dependence is

probably moderates. fear i'll call use this or, but we also have introduced the construct recently myself and nor of all costs the director of the national institute on drug abuse and a colleague tom mcclellan worked for many, many years in the addiction services research area. the concept of pre addiction. so we actually think that the mild i'll call use disorder is, is, is a signal that something and that you're more likely to have a problem later on. so what are the signs? well, the 1st sign i always look for is a deterioration in social interaction or work performance. i mean, you know, for students, it might be, you know, being so hung over after a weekend that they don't, they aren't able to turn in the term paper on time or, or they're late for the exam. or they haven't studied for the exam for it, for individuals or maybe it's assignments or work or getting to work on time. these

are early signs, but perhaps even earlier assign our deterioration. relationships within family, within friends. you know, up the drunken discussions over the phone at night where he clearly the person seems to be, you know, emotionally, lay bile. that means you know, ranging from one emotion to the other. they're down there up and, and they soon found intoxicated. so those are some of the early signs and, and i think, you know, is it so i would say, you know, impairment and occupational and social interactions are some of the early assign. now we have spoken about social implications. maybe missing a term paper, mood swings, drunk and conversations. what are some of the physical repercussions to alcohol overuse over a long term period of time, or what some characterized as binge drinking as well and yeah,

another metric that i should have mentioned to sleep. so alcohol disrupts, sleep, you know, it does help you fall, sleep slightly, shortens the latency to go to sleep. you know, the time it takes that fall sleep. but unfortunately, um, you know, it wears off fairly quickly and so you may wake up in the middle and night to go to the bathroom number one. and then you suddenly find your brain as hop wired and you know, hyper active and then you take it back to sleep and then the next night, you know, so maybe you drink a little more the next night so that you increase the likelihood of falling asleep but again, you then exacerbate the same problem that you had the night before and you wake up early and you get into this vicious cycle where actually alcohol can cause sleep problems and sleep problems because more drinking. so that's one physical sign. i mean, other gastro, intestinal discomfort and alcohol can irritate to got,

especially if you're drinking on an empty stomach and not with food. so that's a early physical sign. you could have elevated liver enzymes. when you go in for your physical. um, you know, there, there are a host of, of, of other changes in your body that, that could be affected. people with a vulnerability to a risk meals nation start showing more. a risk me is hardly written is i'm talking about. so you know, it's like alcohol affects everybody, oregon in the body, and it's not a good way when you, when you pass, for certainly when you're past the you know, dietary guidelines, levels of drinking. if someone wants to confront a loved one about high alcohol use, what are some suggestions you have about starting this very delicate conversation? yes, absolutely. and a real challenge. and so you don't want to confront someone that inevitably

backfires you. we have a resource, so maybe get to talk about it at the end called rethinking drinking. you can sometimes point a loved one toward that were kind of mentioned that you've looked at this website and you know, it's a website that covers major things or been we have been discussing. but it also, you know, allows you to re evaluate your relationship with alcohol. one thing you can say to someone, you know, is, you know, if you, if you just skipped drinking a couple of days, why don't you see how you feel? and what i tell people is if, if you feel better when you're not drinking, then your body is trying to tell you something. so listen to your body. another option is to talk to your primary care doctor. and when the person goes in for a physical know, make sure that the physician ask them or, or the nurse practitioner, whoever, you know, in the health care domain, ask them how much do you drink. and in a very simple version of this is how much do you drink and how much to your friends

drink and just those 2 questions. you can do the audit, see, which is something that use professionally at basically a similar it just is how often do you have a drink containing alcohol? how many drinks do you have on a typical day? and have you ever had more than 6 drinks or more on, on a given occasion? and that audit see is part of the bigger screener. but it, but it actually awesome predicts whether someone is developing alcohol use problem . now i'm not suggesting everybody, just the audit siege of their loved ones, but i'm just pointing out that, you know, there are questions you can ask that in, in, in moving toward a form of motivational interviewing. like, you know, if, if you didn't spend so much money on, on, on alcohol, you know, maybe you could get that new surfboard, or, you know, maybe you could even upgrade your automobile. you know, the people add up how much they actually spend on alcohol when they're starting to

get into it. it actually can be substantial. so, you know, those are the approaches that we recommend. obviously we have another resource called the and i triple a treatment navigator. and if you go on there, you can find out what is and alcohol used disorder and also the spectrum of and alcohol used disorder and the spectrum of treatment. and so there are many counselors that are, are experts that can help individuals at the beginning of alcohol. problem there are, there are motivational interviewing groups, cognitive behavioral therapy groups, and there are outpatient facilities where you can go in and join some of these treatments just in the evenings. not interfere with your day job, not even interfere with your family life. or maybe you have to enter their once every few days. so, you know, i think, i think people have to realize that there are multiple ways that you can inter

interface with this problem. but confrontation and yelling and carrying on this is only going to backfire because that just puts people's backs up. it's not a, it's not a good approach for changing behavior. now some people do say they try to drink coffee, they actually try to drink water, eat of fatty greasy food. but what is the real thing that will help lower your alcohol intake levels? limits your absorption limit, your intoxication and food on your stomach will do that at once. the rising phase and the blood alcohol curve. so if you drink on an empty stomach, i don't want this used in the wrong way, but you get a very fast rise and what alcohol level, alright. but if you, if you're having wine with dinner or beer with dinner or a cocktail with dinner, you'll find it that you get a much less steep, a verizon, but alcohol curve, you end up ultimately absorbing the same amount of alcohol. but it's, but the curve is blunted. if, if you have food on your stomach,

so that's true. caffeine doesn't help you at all. i mean, probably it's gonna potentiate the dehydration because it's also a diuretic, caffeine. you know, people use it to soper up and there's a problem with that as well. because if, if you get behind the wheel after you've drunk alcohol and then added caffeine, you know, maybe for a little while, you're a little more alert because of the caffeine. but if the caffeine starts to wear off and then you have the alcohol set of effects, you're just going to have a double whammy. so we don't recommend using alcohol. i mean are caffeine to as a so brain agent, the best thing to do is, is not drink so much. that's the bottom line. and oh great. we've been speaking with a doctor or george qu, but the director of the national institute on alcohol abuse and alcoholism and the national institute of health. thank you so much for joining us today to discuss this very important and delicate topic. known as recommended individuals limit

their alcohol intake to no more than one drink per day for women, and no more than 2 drinks per day for men. and that people who choose to drink do so moderation and with caution. for those who struggle with alcohol use our bench drinking dna recommend seeking professional help and support to address the issues and prevent future harm. i was going to, he was and this has been your 360 view of the news affecting you. thank you for watching. the

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