it was the aim of a sensual conformity. same sex marriages prohibited the field trip by the nations recently amended. families will look forward to volunteer but it clashes with the country is d. p rooted religious traditions. the media director of the issue of general flux to have a head to charge believes that western pressure on this l g b t issue is unacceptable, as it contradicts not just the corporal certain legal findings of the country is the you know, the culture is you know the more on values these, you know, religious values, if he's in, you know, or a negative value in legal documents as including data of band claiming on the document. it all, you know, politic clearly stated is that it is legally for beaten. so the, why are we compared to, to, to so, and the why is the, or, you know, whatever diploma take or important to con, social and development that relations took,

such kind of the things which we don't have, you know, of the social, in the historic on values to, to be a condition, why do they predict the condition? and then more than the condition or why does they make influences? so it, for us, this is the really, very difficult to, to really, to, to uh, saturday, you know, i, we kind of looked at each, the mine both of these people, you know, it's really very difficult to read. we have we, as a church, the outcomes and the i was teaching this, can you please stated that such practice i've seen for so we cannot be forced to exit seen for the act? say no to my situation because if so then what, why easy, why do we have agents they need to? we are attempting seen on find the a mass shooting at the super bowl parade in kansas city. delta in the us has left

one passing dead 29 inch at some of the victims of children. local police began evacuating the site as soon as multiple shots rang out. several people need as hospital treatment. 2 of them remain in critical condition. 3 on suspect, all confirmed to be in cost to the thought. the city's police department chief says that the number of offices at the event should have been enough to prevent such a tragedy. the people who came to this celebration should expect a safe environment. we had over 800 law enforcement officers, kansas city and other agencies at the location to keep everyone safe. about 1000000 people turned out for this victory parade. for the super bowl champs, the kansas city chiefs. the super bowl is, of course, america's biggest sporting event of the year. so with a turn out that large,

the event was all hands on deck by local law enforcement, with some $800.00 police working the event that gunfire broke out at around to pm local time, just outside kansas city union station near the end of the parade route. as facilities were drawing to a close eye, witnesses say this was near the parking garage area, so many parade goers were returning to their cars at the time that this alleged fire fight broke out. many families with children, simply wrapping up a fun morning that resulted in tragedy. now at this time, no motive for the shooting has been established. now, given this was a hotly politicized super bowl surrounding pop star taylor swift and her boyfriend chief tied in travers kelsey who many right wing conspiracy theorist on social media suggesting online that the biggest sporting event in the us was ridge for kansas city to win. so that swift and kelsey could make

a political statement endorsing joe biden. during the victory speech, of course, to help energize his lagging campaign among the youth vote. of course, none of that came to fruition. so again, no motive or indication as to how or why the gunfire erupted, has yet been established, 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 mash 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. while that is a rep for this, our honest good bye for me for the day and take me, i read the 12 words to chase or join him a bit later on us me the

the alcohol addiction is not just a personal struggle. it's impact echoes through individuals and society at large world wide $3000000.00 debts 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 chris. yeah, you're watching the cost of everything. we're today will delve into the heading costs of alcoholism, shedding a light on the staggering toll. it takes on communities, the alcoholism affects millions of people all over the world and it's not only harmful

to the individual but also to other people around them, 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. excessive alcohol consumption can also cause death and disability relatively early in life. and is a casual factor in more than $200.00 diseases and injury conditions to now be on health consequences. so harmful use of alcohol brings significance, social, and economic loss as 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 us economy over $249000000000.00 in losses. $28000000000.00 comes from health care costs. a 179000000000 comes from last productivity. and $13000000000.00 comes in collisions and di 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 is the 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 is 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, add 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 worked 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 drink 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 having problems with alcohol. then each 1st, the 2nd order relative has a 50 percent chance of developing that 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 are 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 a drink or having that next a 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 and 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 600000000 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, big, fat soluble, permeates every cell in the body, everywhere from brian sales to heart sales to 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 i'll say, 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 quantify the 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 a finding the breaking down the health care costs of breaking down the workplace productivity, and also the cost of the criminal justice system and automobile accidents also in workplace uh productivity. the assessing the last work to assess things with 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 think it's certainly industry and the transportation industry particular are very susceptible to this, but i will give you the transportation industry in the healthcare industry is not, there is a do a better job of monitoring. we quite often use the word when someone comes to treatment. if they are in a safe defense for the position. for example, bus driver training, there are a health care professional, nurse, doctor, a, etc, that they, they are certainly monitored by their license, the agency, the 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 . there's no end in sight over how you're going to continue to destroy the earth. is the case of the med, most of the people i've tried to go to the gym, but i'm certainly not ready to fight russia. this is also a pursuit. this is the 3rd world lunacy re washington. as for so the funder line likes to say, we have the tools while we just start with stability and business deals to help me

living on that. we have very quick propaganda. you know a price here in new york. i think we don't know the aftermath any time that you're not allowed to ask questions, you should ask all of the question. some more questions, ask a better. the answer is, will be well, 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. now hungry top the list as 21 percent of the population that suffer from alcohol use followed by russia at 20.9 percent. beller roost at 18.8 percent. lot b, a 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. the alcoholism can be caused by a con, 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. repeat a drink increase 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. 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, let's bring in 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 not could sit are acceptable for many situations, needs to be taken. for example, if there's going to be minors, add an a v a 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. busy 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 there is 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 asked dates visit?

well, do you drink, how much do you drink? how often do you drink? 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 tom for their best success. i need them to approach is just the they would part disease just as they would have blood pressure just as they would that be the if i need them to adhere to a treatment plan, it is a chronic, long term relaxing 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, a better decision making it so it's a process that the therapist work with patients all the time on. now in what ways does alcohol diction 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 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 or possibly even involved in the criminal justice system. one of the 1st

things with depression or anxiety, or any mental health patients, 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 ends 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 in our decision making, it's heavily involved in crime. there's 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 jobs to ability apples, an individual and societal level? well, i thought that was interesting that work place productivity was there has cost here 179000000000. so that's basically to offer 2 thirds of the cost of, of excessive alcohol use is directly on in the streets and workplace productivity. so we have patients who may not be intoxicated as the time they come to work, but they had drank accessibly 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 249000000000 was even eye opening. the may,

i knew the overall costs of addiction, but the alcohol compound, it alone, i think is very high. almost half. how has the prevalence of alcoholism changed over the years? and are there more notable trends or patterns and different demographics? well, i'm certainly starting to see with generation x, even for example, of alcohol free drinks. we started saying things like mot tales. i know heineken now has 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 are 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 amount for those 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 prolonged abuse of alcohol can lead to alterations in the brain structure and function which affects the decision making impulse control and reward pathways. however, psalm 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 widespread 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. the the, [000:00:00;00]

the the breaking news at this hour and off you international, you understand at least 5 civilians are killed including a child 18 more wounded in a ukrainian strike on russia's board, a region of build a role that as we understand bit of shopping center and residential building them office who is better for us fighting or trump. yeah, a lot of my food and put on the spot as a job to do is better for russia is on. so coming up with a comment on his recent interview with talk a call soon, which central question media to run milk. first of all, it's good that wisdom leaders are watching and listening to what i see. but it's bad that wisdom lead us teeth and distort when i say no way left to hide. now here we're not you international,