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all the latest advise outlets. christie, i as she looks at the cost of alcoholism in today's society, i won't be in the back of the top of the hour with a full blunder. bye for now. 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. a, i'm christy. yeah, you're watching the cost of everything we're today. well, 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 is 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 in 202147 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? what else? how can, how use disorder of problems with alcohol is very dramatic. with interpersonal relationships. working in the front line of addiction at several rehabs that i work at, patients come in a totally overwhelmed with problems with that develop 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 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 will always tell patients and insides quite often, where we're 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 is a high incidence of june, havoc involvement with a family member 1st or 2nd order relative having problems with alcohol. then each verse is 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, such things 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, drank, or having the 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 the 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 rise in drinking during the pan them again after. but it took 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 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 us any long term health consequences and the associated financial burden on both individuals and society? will 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 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 fall and now 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 explaining, breaking down the health care costs of breaking down 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 accidents, the work they go, the break even 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 the transportation industry and the healthcare industry nod. 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 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,

the monitored people of factory workers, farm workers, etc. don't get much attention up 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,

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the russian states. never as one of the most sense community best, most all sense of the, in the system must be the one else calls question about this, even though we will then in the european union, the kremlin media mission, the state on the russia to day and split the ortiz food that came in our video agency, roughly all the band on youtube tv services. for the question, did you say it's a request, which is the

mixed methods? yeah. but the cisco go for it. it's on there, a customer to be and what you don't get you should by some of the creators did know correct the they are supposed to be with them when you go 5 dollars thing. and i'm going to use the same one that is for that. and they have the mean gratitude, we've got to push that and the use the motors which to enjoy the rich article coming, pushing. she never would have patricia. yep. and you will get you, they just come across from a congestive heart 0 plus the beat. so where you move these cars from that point where it's a video which is jet of incentive in the scenes to show you have no story. first 5 in that those numbers are usually a garage. let's look at osha godaddy for most of the people get

huge space that's or the destruction of gaza and its people continue unabated by the administration shows no meaningful interest in stopping israel's genocide or salt. at the same time, there is much talk of a ceasefire in this one side in conflict. it would seem, it is just that. just on the fly, the middle of the 20th century, the portuguese colonial empire, was in an acute crisis. a particularly 10 situation had developed in mozambique the people of this country were put in a humiliating position, income inequality ramp, and illiteracy. this respect by the portuguese for the local traditions led to

a mass unrest. getting 1964, the liberation front of mozambie for a limo began its armed struggle for freedom. the regular army was not easy to resist, but the guerrillas inflicted considerable damage on the invaders through the fighters against the colonial regime were supported by the soviet union and china. whereas the united states and great britain took the side of the invaders, the board to gaze responded to the guerrillas attacks with cruel counter insurgency . however, pre limos 10 year courageous struggle was a success after the overthrow of the fascist regime in portugal in 1974, the new authorities surrendered. a year later, lisbon fully recognized the independence of mozambie. but the victory had been gained at a high price during the war, mozambique had lost tens of thousands of its sons and daughters the on

the 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 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 abuse followed by russia at 20.9 percent. beller 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. 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. 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 at the end of the at 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. but it's 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 to solve time for their best success. i need them to approach this just 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, 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 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 tone, with nor up and a half or 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 really complicates the field. makes it much, much more difficult to treat a depression and patient anxiety to patient a mood patient. when alcohol is involved for all those reasons, the interviews with adult, the main 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 been 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 took the xtreme 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 alcohol use. and simply because the alcohol interferes with our impulse control and our decision making is 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 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 in the streets and workplace productivities . so we have patients who may not be intoxicated as a time. they come to work, but they had drank 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 249000000000 was even eye opening. the may, i knew the overall costs of addiction, but the, the alcohol component 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, 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 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 are, 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 in the brain structure and functions 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 the 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 unit i would say, just to save house because the application and engagement equals the trail. when so many find themselves will support,

we choose to look so common ground the the other way law lives as he goes to border brother printer was or up in there. so some of this, so please papers with me. your last name was name is read, it was can when we used to live in that you have we have support for someone who is this, we would show new people to the the