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a personal struggle. it's impact that goes 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 christy. yeah, you're watching the cost of everything. where today will delve into the heading 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 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 diseases and injury conditions. now, beyond health consequences, so harmful use of alcohol brings significant 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 and 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? well, how can, how use this order of problems with alcohol is 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 develop 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 inside 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 was a high incidence of june, havoc involvement with a family member 1st or 2nd order role of the, of having problems with alcohol. then each versus 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. so things 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. that 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 we'll powers much involved because your ability to make decisions become so impaired, taking the next drank, or having that next the drinking of it is what the impaired. and that's one of the 1st bad decisions that people may. so it's, it's, uh if they hit the bottom line, the answer to your question is about the product, the bad decisions i wouldn't say will buy though. and certainly there is 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 paying them again after. but it took 30 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 being 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 the 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 of breaking down the workplace productivity, and also the cost of the criminal justice system. an automobile accidents also in workplace uh productivity. they assess things as last work. the 1st things that accidents, the work uh it goes into breaking 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 i,

it certainly industry and the transportation industry particular are, are very susceptible to this, but i will give you 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 the safe defense of the position. for example, the bus driver trained, or of, or a healthcare professional, nurse doctor, etc. that they, they are certainly monitored by their license the agency. they are 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 tried to go to the gym, but i'm certainly not ready to fight russia. this is also of soon. this is the 3rd world lunacy re washing press for. so the funder line likes to say, we have the tools while we just start with stability and business deals, which allow me something living on campus very close 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 questions. some more questions ask the better. the answer

is will be the by the early 1950. can you became one of the centers of resistance to colonialism, east africa. the british invaders infringed on the most basic rights of the local population. great britain pursued the policy of squeezing out the local population from their indigenous lands. the best airable areas were given to white farmers, dooming canyon step 5 or d and hunger. these go mazda sharp road test of the peasants. 10 less to the emerging of the mile mile movement, which started the bike against the invaders. the rebels felt themselves canyon land and freedom army. the spiritual leader of the movement would be anti colonial, active as jo, mo, kenyatta to freedom fighters used guerrilla tactics and attacked the individual units of the british troops. the latter responded with massive air raids and

artillery effects. when suppressing the uprise of london relied on the maximum cruelty over $50000.00 kenyans were killed. about 300000 people were thrown into prisons and concentration camps. where george here in no way inferior in girl z to the nazis was widely practiced. the veracity of the colonial list only led the temporary success. in 1963, the british empire had to recognize the independence of gain. yeah. however, the colonial raising left behind a trail of blood and wounds that canyon nation has not recovered from on sale. now . on march the 22nd 1943. during the great patry, i'll take all the shirts and munch fatality and 118. run down the belly, mercy and village of cutting rod ish about them for the new wish. and luxury. is that a yes or no?

this one, most of the rooms, 242, you 149. people died including $75.00 children of age was practically wiped off the face of the law. new blue loves are a little but live arching could attractive offer, you know, and you will use to dispose oh, shoot. was hard really. i really usually don't you feeling yes. so the infamous battalion responsible for the atrocity included over $100.00 ukrainian national is from west to new. right. very happy to talk the system with friday. so i'm see what you guys get for the new e phone with a lot of those to you guys pursuing your up. assume um with them you as customers declassified criminal cases from the central archive of the k g b,

a better rules shed light on the atrocity analysis and numerous questions that have remained on on said for many years. watch on tv. 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. now hungry tops the list as 21 percent of the population that suffer from alcohol abuse followed by russia at 20.9 percent. beller roost at 18.8 percent. lot via a 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. these 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. and 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 nausea, 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 is not considered 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 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 $21.00 so that there is not accessible to them. is the overall awareness that i believe should start with the primary care physician as primary care physician, acetates vivid? well, do you drank? how much do you drank? 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 as all the time 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 were diabetes. 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, 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 illnesses, 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 town, with nor up and now for an inhibitors with the main stabilizers and alcohol interferes with those,

it also interferes with our medications. that we use our anti depressants are anti anxiety agents are sleep, medications are all interfered with by alcohol. so it really complicates the feel of 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 of one of the 1st things with depression or anxiety or any mental health patient. 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 perfect stream uh, on both of the 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 alcohol use. and simply because alcohol interferes with our impulse control and our decision making is heavily involved in crime. there's many crimes that wouldn't be committed if the individual wasn't under the influence of alcohol and how does alcohol addiction impact employment rates and job stability, 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 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 or 49000000000 was even eye opening. the may, i knew the overall costs of addiction, but 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 and different demographics? well, i'm certainly starting to see with generation x even for example, of alcohol free drinks. we started seeing 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 is that have for many other health concerns over the years of 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 or alcohol, is not good for humans to consume even in small amounts. 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 physio, logical, 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 and the brain structure and functions, which affects the decision making impulse control and reward pathways. a, 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 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 high acceptance and i'm here to plan with you. whatever you do, do not watch my new shelf seriously. why watch something that's so different. little opinions that he won't get anywhere else. welcome to please or do you have the state department to see i a weapons bankers, multi 1000000000 dollar corporations. choose your fax for you. go ahead. i changed and whatever you do,

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phineas or another cousin on the last of the was, i'm just from what i'm seeing by the name of the units before introduced to your worship. i mentioned the breaking news on our international test. the 6 civilians are killed, including an infant, and 17 more wounded as ukraine strides, a shopping center in russia's border region of belgrade. we are in the town of payment night and the front is just a few kilometers away from here. i think the crating and corporate continues dog corresponding the reports from near the front line and verified 4 digits from the medical complex. and i thought you were to send it to storm and vice writing courses comes as the id. yes,