stablish, but immediate speculation from bystanders and people in the community say this could be an incident of gang violence, or that these men were known to one another, and that most of the victims were simply at the wrong place at the wrong time. again, this speculation from those who live in the area now local law enforcement are being aided by the local f. b. i field office the atf, the marshal service, the investigations are ongoing. so all the details are still very murky at this time. but worth noting, today's mass shooting is the 48th, the 48th in the us so far in just 2024 alone mass shootings are qualified of course by the f b i as having 3 or more victims. here we're looking at nearly 2 dozen and to top it off this valentine's day is the 6th anniversary of the deadly margery stoneman, douglas high school shooting in parkland florida. that left 17 people dead. so many

people online trying to connect those dots. but as of now, according to officials, we must stress, no motive has yet been established and the investigation will continue. the beijing has launched out at a new proposals to slap restrictions on chinese companies for doing business with russia. we are a way of the relevant reports, china, some of the opposed illegal sanctions alone um jurisdiction against china on the grounds of cooperation between china and russia. and so the who is set to sign some companies and china is what us tuck india and sub for repeatedly helping moscow sack, who's un sanctions and by to his goods 3 sided parties now is the plan is approved . this will be the 1st time that your opinion has imposed restrictions on farms in china and india. since the will in ukraine stopped to vice chairman of the shanghai

center for impact and international studies. nelson wong, i believe so. patient was tolerate such a move. this is quite ridiculous because to the chinese, it's quite ridiculous. so how can you mean that you are being viewed? and as i tried to stop the sanctioning chinese companies for doing business with russia, because it has nothing to do with the, with china and russia are trading partners. and you called just say that because you don't like russia. you, you want to say good to heard for actually, so that's why at chinese companies cannot do business with russia. that's, you know, it's, it's not something that china is, is going to tolerate. i'm going to accept the trade between china. russia has already reached over $200.00 in philly last year. and it's, it's been going on fairly well and no way the chinese companies are going to be

scared by this. i mean, this is not, you know, legitimate sections of that's why the chinese government has said that these are illegal sanctions because they are unilateral nations actually and finally, a real kid has successfully lost it off. it's uh on it supply mission to the international space station. it's due to delta in 2 days time as well as the engines will decide as walk and successfully lifted off the phone, the by cool customer drive and catholic stone, the progress module, and 12 times 2 and a half tons of call go into things by till supplies of fuel drinking, water and nitrogen from the stations office that are packed with a plan for find our car and a southern crew members on will be i assess security tradeoffs. how does uh,

signing off from oscar just saw we are heading over state side now. y. christie. all right, is waiting for you. the cost of everything is up next to enjoy the alcohol addiction is not just a personal struggle. it's impact echoes through individuals and society. at large world wide 3000000 deaths every year, result from harmful use of alcohol representing 5.3 percent of all debts. but while it's an important social lubricant that plays an important part in every culture, excessive alcoholism is becoming a growing problem. i'm christy. yeah, you're watching the cost of everything where today will delve into the hitting costs of alcoholism, shedding

a light on the staggering toll it takes on communities. the alcoholism effects, millions of people all over the world. and it's not only harmful to the individual, but also to other people around done such as family members, friends and co workers. on top of that, the health costs are substantial from liver diseases, to cardiovascular issues, and mental health disorder. the medical costs can quickly rack up not just in treatment, but in the long term care required for individuals dealing with alcohol related issues. and all the 100530 liver disease depths and 2021. 47 percent of them involved alcohol abuse of excessive alcohol. consumption can also cause death and disability relatively early in life and is a casual factor in more than 200 diseases and injury conditions. now beyond health

consequences. so harmful use of alcohol brings significance, social and economic losses to individuals and society. one of the most alarming consequences is the connection between alcoholism and homelessness. studies reveal that 30 percent of homelessness can be attributed to alcohol abuse. approximately 25 to 30 percent of the homeless population grapples with alcohol related issues. and this not only contributes to the strain on shelters and social services, but also perpetuates a cycle of despair that is challenging to break. in total alcoholism cost the u. s . economy over $249000000000.00 in losses. $28000000000.00 comes from health care costs. a 179000000000 come from last productivity. and $13000000000.00 comes in collisions and d wise and $25000000000.00 in criminal activity. in 2020 to 29500000 people age 12 and older had alcohol use disorder. alcohol related incidents also

placed a heavy burden on law enforcement. alcohol is often a common denominator in various criminal activities from domestic violence to public disturbances. to it not only puts a strain on resources, but also contributes to the cycle of recidivism, which has a tendency of convicted criminals to re offend each year or more than a $140000.00 deaths are attributed to excessive alcohol use. and now joining us today as dr. charles smith, medical director recovery 1st treatment centers. now doctor, how does alcohol addiction affect one's relationships with friends and family? what else? alcohol use disorder or problems with alcohol. it's very dramatic with interpersonal relationships. working in the front line of addiction and several rehabs that i work at, patients come in a totally overwhelmed with problems that they've developed with marriages problem.

they develop with their children, work voice problems. it basically interferes with every aspect of your life. but i would have to say the relationship aspect is the most influence of your basically not yourself. when you drank alcohol, there's changes in the brain. changes in the prefrontal cortex, changes with impulse control, it just makes functioning uh, in a healthy relationship, extremely difficult. how much of alcoholism is genetics and how much of it is personal choice and poor decision making? well, i was tell patients an insides quite often were, were asked to say nature versus nurture. but when it comes to alcohol problems, we don't really have to make that decision. we know there's a high incidence of july like involvement with a family member 1st or 2nd order role of, of having problems with alcohol. then each 1st, the 2nd order relative has

a 50 percent chance of developing a problem. also, we know it's a product of nurture. your environment growing up 1st thing is like all of the trauma, such things as dual diagnosis. some things is early access to alcohol and drug and alcohol when you're very young. so i always give it about a $5050.00 is it's a product of your environment, certainly. and it also is a product of your genetics, as far as will power for those who have a predisposition for this disease, i don't think will powers much involved. because your ability to make decisions become so impaired, taking the next, drank, or having that next, the drinking yvette is what the impaired. and that's one of the 1st bad decisions that people make. so it's, it's, uh if they hit the bottom line, the answer to your question is about the product of bad decisions. i wouldn't say

will tie though, and certainly there's a genetic predisposition. and also how we reacted to our environment, stresses and bar environment. as i said, dual diagnosis, psychiatric conditions, age of early drinking and trauma. now from a health care standpoint, what are the direct health costs associated with alcohol addiction? yeah, the last article that i reviewed came from the c d. c. and this was published in 2019, and i think these numbers, at least for me, and i don't really have went up fits them. because after the pandemic, we did the rods in drinking during the pan them again after. but it's so tardy. steiger a numbers. the estimated loss in the united states is $249000000000.00 annually. in general, the american society of addiction medicine now gives the cost of addiction overall

of 600000000000 in the united states. so certainly makes sense to me that alcohol own is almost positive, responsible for half of that cost. can you disagree as any long term health consequences and the associated financial burden on both individuals and society? well, certainly discuss this with my patients all the time. we are now certainly training primary care physicians, internal medicine, doctors, family practice doctors to do alcohol screening. for example. we don't want them to fall out of the guidelines that are national institute of health, which is that women shouldn't drink over one drink a day or more than 7 in a week to be considered high risk. and man shouldn't have over 2 drinks a day or more than 14 in a week to be considered high risk. alcohol being fat soluble,

permeates every cell in the body, everywhere from brian sales to heart, sales deliver sales to bone sales. we know these patients certainly develop liver disease with fatty liver disease that certainly uh at least 10 percent will progress to fatal. cirrhosis of the liver is a one of the leading causes for dementia. in middle age, the elderly patients who have consumed consist considerable amounts of alcohol in their live. also heart disease and cancer are also associated with the a heavy to moderate alcohol is what i tell patients now. if they're interested in a healthy lifestyle, there's simply no redeeming qualities the drinking alcohol and one of the things outside of look when you went for your routine health maintenance. screening, has the doctor ever said, i think you should start drinking alcohol?

of course, of course not. so that's really the way i poses the values of those, no redeeming qualities to alcohol. if you have those significant risk factors that i've talked about before, or you have fallen out of the recommended guidelines for consuming alcohol, you need to seek help. and now can you discuss any studies that quanta, 5 economic burden of alcoholism, including loss productivity, and increased health care costs? yes, this is a 2019 c d c dot gov, forward slash alcohol article that i just quoted you. those numbers before. and it goes into detail explaining the breaking down the health care costs are breaking down the workplace productivity and also the cost of the criminal justice system. an automobile accidents also in workplace uh, productivity. the assess things as last work to assess things with the accidents,

the work that goes into breaking them down in, in a little more detail. but that was the just of it was a staggering number of 249000000000. and this is a c, d, c study from 2019 other specific industries or sectors that they're a disproportionate economic burden. actually, not that i'm aware of. i say it certainly industry and the transportation industry particular are, are very susceptible to this. but i will give the transportation industry and the healthcare industry nod there is they do a better job of monitoring. we quite often use the word when someone comes to treatment. if they are in a safe defense of the position. for example, the bus driver, trained, or of, or a healthcare professional nurse, doctor,

et cetera. they, they are certainly monitored by their life and the agency, the un monitored people of factory workers, farm workers, etc. don't get much attention and certainly don't get exposed to screening. thank you so much dr. smith, but please stick around. dr. charles smith will stay with us right here after the break. and when we come back, did you know that the per capita alcohol consumption in the country doesn't necessarily correlate directly with the prevalence of alcoholism? we'll have more after the break, the,

the and it was warmer to the office agenda to separate from the petro dollar and create a gold back dean are which inevitably led to the us nato, european union. mafia ball to kill them at the edge of a bayonet. know, throw this country. the 3 or 412 years has been the victim of one of the most. savage, multi spectrum was the, the us and the u. k. m a u. and there are lights in the gulf states and then israel and turkey. and i was instructed that i had to create a crisis by a given date,

so that farms and missiles could be fired. and i, i made it clear that i would do my job. i would do my duty we have seen a carrier of a normal progressive nurse by the u. s. and the western powers. while you might think that the rates of alcoholism would correlate closely to the overall alcohol consumption per country, that's actually not the case. americans on average consume 8.7 meters, appear alcohol per capita annually, but it is only 38th on the list of countries with the highest alcohol consumption per capita. despite this, it is number 7 on the list of countries with the highest rates of alcoholism is now hungry tops the list as 21 percent of the population that suffer from alcohol abuse

followed by russia at 20.9 percent feller roost at 18.8 percent lot via at 15.5 percent. and then the us at 13.9 percent. alcohol misuse is now the 3rd leading cause of preventable death in the us after tobacco use and being overweight. alcoholism can be caused by a can donation of genetics, environmental, and physiological factors, stressful life events, mental health disorders, peer pressure, early access, and the normalization of heavy drinking can all contribute to its development. drinking often causes you to experience positive outcomes, such as feelings of being confident, relaxed and stressed and number. which means that you want to drink alcohol over and over again to feel the same effects, overtime repeated drink, and create a physical towards to alcohol. and you'll end up experiencing withdrawal symptoms when you stop drinking. and this can quickly turn into

a vicious cycle for those who are willing to get help. there are many choices including alcoholics anonymous, residential rehab, outpatient counseling, etc. now rehabilitation centers play a crucial role in offerings support therapy in a structured environment for recovery. however, there are challenges such as stigma, accessibility and relapse prevention that persist. the centers can costs from a few $1000.00 for outpatient programs to tens of thousands for inpatient facilities. factors include the duration of treatment, amenities provided, and the level of medical and therapeutic support to they're also medications used in conjunction with counseling and therapy that can help to be balance chemicals in the brain. that may be changed by drinking too much and decreasing the craving for alcohol. other medications work by causing unpleasant effects, such as knowledge of vomit, a headache or flushing if you drink alcohol in order to create

a negative association. so for this and more or less bringing again dr. charles smith's medical director at recovery 1st treatment centers. now doctor, how can communities implemented preventative measures to reduce the societal costs of alcohol addiction? well, certainly out of mindset that alcohol is not considered acceptable for many situations. needs to be taken, for example, if there's going to be minors adding a via and how much and what sorts of alcohol would be served there. with professional sports, we've noticed that they started closing down the alcohol vendors an hour or possibly 45 minutes before the end of the game. so basically it is to put some curtailing events around alcohol don't make the ease of access quite so great . certainly monitor for him under 21. so that,

that it's not accessible to them. but it's the overall awareness that i believe should start with the primary care physician that the primary care physician ask batesville that will do you drink, how much do you drink? how often do you drag? do you exceed guidelines? and do you need some sort of medical intervention or referral and i'm seeing that done now even when i go to my own private position, i notice that that i get those questions asked more often than we did 20 years ago . and what role do rehabilitation programs play and mitigating the long term consequences of alcoholism and how effective are these be, have programs? well, rehabilitation programs are very effective when combined with patient compliance, i tell my patients to solve the time for their best success. i need them to approach this just they would part of these just as they would have blood pressure

just as they would that be these. i need them to adhere to a treatment plan. it is a chronic, long term relapse thing disease. so this will be a treatment that i expect them to participate in the rest of their life. as far as coping skills. relapse prevention, healthy boundaries, better decision making it so it's a process that the therapist work with patients all the time on now and what ways does alcohol eviction contribute to mental health disorders? and how do these conditions complicate the recovery process? can you discuss the correlation between alcoholism and issues such as depression, anxiety, or cognitive decline? well, 1st of all, when you are treating mental health issues, anxiety, depression, mood disorder, skipped. so for any of any of our spectrum of psychiatric illness,

of adding alcohol to the mix, it is a, is a real burden. and a real complicated because we're working on the doping mean reward system. when we're trying to treat these patients for depression, either with their tone, with nor up and now for an inhibitor, is with the main stabilizers and alcohol interferes with those. it also interferes with our medications that we use. our anti depressants are anti and the, the agents are sleep, medications are all interfered with by alcohol. so it are really complicates the field makes it much, much more difficult to treat a depression, patient or anxiety to patient a mood patient when alcohol is involved for all those reasons, the interviews with the domain reward system, it also interferes with any medical interventions that we would be posing it also causes complications in the personal life that we talked about earlier,

relationship problems that, that are possibly been involved in the criminal justice system or one of the 1st things with depression or anxiety or any mental health placement. when we see them, we certainly want to know what substances they use, see if they fall out of the range and do an intervention to see if they need rehab . and how much does alcohol addiction contribute to criminal behavior? what kind of a stray does it put on the criminal justice system? well, it puts x stream uh on both its criminal justice system and the health care system . there's many studies that show over 50 percent of emergency room encounters have alcohol or drug involved. but there's also a large correlation between domestic violence and the alcohol use. and simply because the alcohol interferes with our impulse control. and our decision making is

heavily involved in crime. there was many crimes that wouldn't be committed as if the individual wasn't under the influence of alcohol. and how does alcohol addiction impact employment rates and job stability, apples and individual and societal level? well, i thought that was interesting that work place productivity was there has cost here 179000000000. so that's basically 2 over 2 thirds of the cost of, of excessive alcohol use is directly on industry and workplace productivity. so we have patients who may not be intoxicated as a time. they come to work, but they had drink excessively the day before, so their productivity is, is down. i know, certainly we don't want health care professionals or safety sensitive position. patients to come to work either impaired or recovering from the effects of alcohol

. it's a very big factor in the industry. and as i said, the cost of 200 for 49000000000 was even eye opening. the may. i knew the overall costs of addiction, but the, the alcohol compound, it alone, i think is very, it's almost half. how has the prevalence of alcoholism changed over the years? and are there more notable trends or patterns in different demographics? well, i'm certainly starting to see with generation x, even for example, of alcohol free drinks. we started seeing things like mocked tales. i know how they can now have alcohol for a beer, and i'm sure there's many others out there. i just saw the in los angeles and alcohol free bar opened up. so i think the trans heading there just just that have for many other health concerns over the years. education is our way out of

this. people and young people, particularly just need to be taught the fac, certainly they're very smart, and they can make good decisions when posed with the facts. and the facts are alcohol is not good for humans to consume even in small amounts. so there's no redeeming qualities. if you have the risk factors, it's even worse. thank you so much, dr. smith for all your time today. now the question of whether alcohol addiction is a disease or personal choice as a topic that has been widely debated. many medical professionals and organizations recognize alcohol addiction as a disease, as it emphasizes the physiological and neurological changes that occur in the brain as a result of repeated substance abuse. studies show that the pro long abuse of alcohol can lead to alterations in the brain structure and functions which affects the decision making impulse control and reward pathways. to. however,

sol argue that alcohol addiction is a result of a series of personal choices. those subscribing to the personal choice model maybe addiction through a more or ethical lens, attributing it to a lack of willpower or moral character. ultimately there's a wide spread agreement on the importance of providing support and effective treatment using a combination of medical, psychological and social interventions. i'm christy, i thanks for watching and we'll see you right back here next time on the cost of everything. oh, the the and it was warmer to the office agenda to separate from the petro dollar in create a gold back dean are which inevitably led to the us nato,

european union. mafia ball to kill them at the edge of a bayonet. know, throw this country. the serial for 12 years has been the victim of one of the most. savage multi spectrum was the, the us and the u. k. m, a, u and the allies in the gulf states and then israel and turkey. and i was instructed that i had to create a crisis by a given date, so that farms and missiles could be fired. and i, i made it clear that i would do my job. i would do my duty. we have seen a carrier most aggressive knows why the us and the western powers the

the who is better for us fighting or trying to find out is not important for fun. take a bit later on that to us. so watching president comment and so, so on his recent interview with talk a call said, which said much open media into a meltdown to finish. first of all it's good. the twisting leaders are watching and listening to what i see, but it's bad wisdom leaders cheap and distort what i state, you know, what let, just to high palestinian civilians have run out of options. as is where the prime minister premises a full scale operational ross plus a fairly safe space back to the point of contact to search a common tenacious current defense minister declasse himself. the window of wednesday. the presidential election i've has all the towns get.